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examinations by the general practitioner



ROME A stain on the skin that does not convince or a strange throb that does not disappear. Or even the feeling of breathlessness, perhaps because of some extra cigarettes. And here we are ready to make an appointment for a specialist or, good vouchers, to wait hours in the waiting room of the nearest emergency room. From next year, however, to get a first diagnosis, the data may be reduced. In fact, simply contact your GP directly.

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Under the budget bill, which is due to be approved by December 31, by 2020, general practitioners will receive a range of health equipment with which to perform first-level diagnostics. They are mainly devices such as electrocardiograms, cardiac holters, which record the electrical activity of the heart 24 hours a day and then retinography devices, capable of studying and monitoring the evolution of possible retinal pathologies. With others, it will be possible to perform a polysomnography, to evaluate the changes in brain, muscle, cardiac and respiratory activity that occur during sleep. Medical studies may also provide telehealth, telehealth, tele-monitoring, tele-dermatology services, thanks to the database connection and consultation of a specialist. For the purchase of this instrument, the budget law provided a contribution of 235,834 million euros. The devices, however, will not be purchased by individual doctors. Article 55, paragraph 2 of the law states that "medical equipment referred to in paragraph 1, owned by health authorities, shall be made available to general practitioners in accordance with methods identified by the companies themselves".
ESTIMATIVE In essence, the value was estimated considering that in the national territory about 46,243 general practitioners operate, as shown by the ENPAM statistical yearbook for 2017. The public of the recipients is not indifferent: according to the National Service statistical yearbook. Health Surveys for 2017, it is estimated that, on average, at the national level, each general practitioner has a burden of about 1,211 resident adults. In particular, for the northern regions, except in some cases, deviations from the national average are positive. In all southern countries except the Sardinia region, the potential burden of general practitioners is lower than the national average. The lowest is in the Basilicata region, with 1,037 adult residents per doctor.

THE GOAL
The new first-level diagnostic path for GPs has a clear objective: according to the report illustrating the integrated budget account for 2020 and 2022, it should in fact 'reduce the burden on health services while reducing waiting list phenomenon ». This is why "economic resources are made available for the technological heritage intended to provide citizens, through the professional activity of primary care physicians, with first-level services." Therefore, the government intends to increasingly go for a local drug. "Changes in demand for health and social welfare related to changes in current and future population conditions in the social context (technological / demographic / epidemiological revolution) underline – the report underlines – the need for a radical paradigm shift. increasingly developing a pro-activity and proximity approach capable of preventing and anticipating the pejorative evolution of disease and the maintenance of health '.
Transfers to the regions will be organized on the basis of a needs plan that must be approved by a decree of the Minister of Health by 31 January 2020. For the plan's success, however, punctuality will be critical. "The effectiveness of the measure – warns the Court of Auditors – will of course depend on the speed of its implementation."



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