It is known that exams are booked in computerized pharmacies today. But that a user can choose the new doctor by revoking his own is too much. It happens to ASL Monza and Brianza, and perhaps soon to ASL Como. The Lombard Federation of Doctors' Orders does not fit, which in the figure of the president Giovanni Belloni and the deputy Gianluigi Spata wrote to the Region, whose resolution 1427 of February 28 provides for the new service available to the citizen, speaking of a service not provided for by the decree on the pharmacy of services, with which however "the pharmacist is able to condition the acquisition of assisted by the doctor". «In "care" cities like Milan, the rent of studios up to semi-peripheral areas exceeds 2,000 euros per month against an agreement essentially blocked in 2006. Doing our job becomes unsustainable - says Roberto Carlo Rossi, family doctor and leader of Snami Lombard (as well as president of Omceo Milano) - while it is not unsustainable to think that if a pharmacist owns premises near the shop that can be equipped for studios, he can rent them to one or more doctors of
family: if from now on you could refer undecided patients to the doctors operating on your premises, would it really not be a conflict of interest? Furthermore, if the conditions were advantageous (I always speak in theory) it would not necessarily be easy for the lessee doctor to exercise without pressure. The resolution undermines the independent exercise of general practice and can generate conflicts of interest. "We cannot admit that it is a health professional who indicates another professional to the patient," says Belloni who is also president of the Order of Doctors of Pavia. "It is true, national legislation strengthens the services that can be provided in pharmacies, but the pharmacist is not a counter and his services should not go against ethical and deontological principles". Belloni understands that it was not the Lombard pharmacies but the Region that envisaged this rule: «For this reason we have sent a letter to the Health Department, to the Councilor and to the President in which we ask to review the rule. But I'm waiting for the Order of Pharmacists to take a stand as well. Then with the pharmacists – continues Belloni who will see the regional authorities at a technical table on this issue on the 26th – we should talk more; with them and the nurses we are the key figures on which the revolution is based, which will bring many treatments from the hospital to the local area. And the Regions should deal more with how to make these professions collaborate with each other, independently, in the interest of the patient, than with assigning improper tasks ».
Mauro Miserendino
Thursday, 05 June 2014 –
