Problem Solving › Healthcare
Otto mesi di lista d'attesa pubblica, otto giorni a pagamento · Healthcare · Beginner
You are the medical director of a hospital trust. A well-documented local press investigation shows that for a cardiology visit the institutional waiting list is eight months, while through the private practice scheme, with the same physicians and the same clinics, a slot is available in eight days. The law allows private practice within public hospitals, but requires that private volumes not exceed institutional ones and that waiting lists stay under control: data in hand, in two specialties the ratio has been violated for some time. The cardiologists defend the scheme as untouchable salary integration (and threaten to leave for the private sector if touched), the region demands a plan within thirty days, patient committees announce a formal complaint. How do you intervene?
Sei il direttore sanitario di un'azienda ospedaliera. Un'inchiesta giornalistica locale, ben documentata, mostra che per una visita cardiologica la lista d'attesa istituzionale è di otto mesi, mentre in libera professione intramoenia, con gli stessi medici e gli stessi ambulatori, il posto c'è in otto giorni. La norma consente l'intramoenia, ma impone che i volumi in libera professione non superino quelli istituzionali e che le liste restino sotto controllo: dati alla mano, in due specialità il rapporto è violato da tempo. I cardiologi difendono l'intramoenia come integrazione salariale irrinunciabile (e minacciano fughe verso il privato se toccata), la regione chiede un piano entro trenta giorni, i comitati dei pazienti annunciano un esposto. Come intervieni?
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