Doctors go to school to optimize the prescription of right drug at the right time for their patients. The courses, organized by Ministry of Health, tend to train family doctors also with a view to optimize medical-pharmaceutical resources, as well as those cheap, to try to cure to the best their own patients, in order to avoid future problems for them also from the point of view of contain spending pharmaceutical.
It is essentially a trend reversal if you think that, a few years ago, some Regions, especially then the less virtuous ones, emanated some circulars in which they gave indications to family doctors about theindividuation and the use of farm us to treat their patients. In fact, the use of some high-end drugs was sometimes discouraged high economics, and which therefore would have meant a health expense considerable, to benefit instead of drugs cheaperbut sometimes not able to get the same results.
Choice at all wrong obviously, both from the point of view ethical, both from that economic. In fact, those guidelines did nothing but do levitate the costs of regional health expenditure, with consequent greater debt, a situation which then inevitably led to health care cuts. And this, coincidentally, precisely by those regional administrations little virtuous.
Yet the speech is very simple and surprises see how evaluations can be made so paradoxical by structures and people who, on the other hand, should be in a position to do the right choices.
Take, for example, disease cardiovascular which in Italy represent the first cause of death in the absolute sense with the 43% of deaths and also the greater expense healthcare with the 23% of the National Health Fund. A person suffering from pathologies cardiovasculari, if poorly cared for or not treated with the right drug, even if expensive, is more likely to face infarction events, events that in addition to putting to serious risk the patient's life, represent a healthcare expenditure much higher than the administration of a drug, albeit of high end as a price. This is if you think that a average hospitalization for a heart attack it lasts for 8-10 days, hospitalization that has a decidedly cost high, and not only since an infarct event, even if passed, foresees a convalescence during which it is necessary to make some exams of routine control, without thinking that many times it is necessary to resort to even one coronary angiography of control, examination from the cost Not Certainly irrelevant, cost absorbed by the national health system.
The Ministry of Health decided on a complete approach
