The Alpi Report (intramural liberal activity) presented by Agenas: “Around 33% less care services provided under the intramural regime in 2020 compared to 2019 and approximately 26% less in the institutional circuit”. Fava: “Think of more binding instruments so that local health authorities and regions guarantee the resumption of waiting lists”
ROME-“About 33% less health services provided under the intramural regime in 2020 compared to 2019 and about 26% less in the institutional circuit”. To certify the percentage reduction in the volumes of services provided, the Alpi Report (intramural freelance activity), presented today, result of the surveys carried out according to the “Guidelines for the ex ante control of services reserved in the Alps” drawn up by Agenas-National Agency for Regional Health Servicesin collaboration with the Ministry of Health, Cittadinanzattiva, Istituto Superiore di Sanità and experts from the regions and autonomous provinces in the field of waiting lists and the Alps. “Specifically, in 2019 the services provided in independent intramoenia were 4,765,345 and in 2020 they were 3,204,061, while in the institutional channel there were 58,992,277 in 2019 and 43,398,623 in 2020” , explains Cittadinanzattiva.
For Valeria Fava, head of the organization’s health policy coordination, who spoke today during the presentation of the Report, the data confirms “the need to recover what has been suspended due to covid and the need for citizens to return to mainstream care. In particular, it is necessary to accelerate by the regions the approval of the extraordinary plans for the resumption of services suspended due to covid, to monitor and make transparent the data on the progress of the resumptions, on the organizational models adopted by the regions to guarantee the restoration services, on the planned schedule and the use of allocated funds “
“There are 11 regions that exclusively use the CUP system managed calendar for reservations, in the others there are still cases where you book via paper diaries managed by the individual professional or by the structure and this to the detriment of transparency on the waiting lists. Moreover, in certain situations, the ratio between the services rendered intramurally and in the institutional circuit (which must not exceed 100%, that is to say that for each service rendered in the intramural circuit must be at least one made public) shows that for citizens the use of intramoenia is not a free choice but a compulsory choice. Indeed, the report certifies that, in 13 regions out of 21, there are situations in which the aforementioned ratio is greater than 100%, in particular in the context of gynecological examinations and ultrasounds”.
It happens, for example, that in an ASL in Campania for a cardiological examination and an electrocardiogram, there has been a passage of a ratio between the activities provided in ALPI and those provided under the institutional regime equal to 72% in 2019 and 206% in 2020, which means that for a service provided in the institutional channel, there are two provided intramoenia; in a company in the Marche region for urological examination the ratio increased from 147% in 2019 to 228% in 2020, for mammography in a Piedmontese company it increased from 16% in 2019 to 142% in 2020.
“For this – concludes Fava – it is necessary to think of more restrictive instruments so that the Local Health Authorities and the Regions guarantee a real resumption of waiting listsrespect the maximum waiting times and guarantee citizens the same rights, particularly in terms of access to services, regardless of the territory in which they reside”.