{"id":16644,"date":"2013-05-20T10:30:00","date_gmt":"2013-05-20T08:30:00","guid":{"rendered":"http:\/\/www.fedaiisf.it\/massa-tagli-ad-esami-e-farmaci-in-cambio-di-incentivi\/"},"modified":"2013-05-20T10:30:00","modified_gmt":"2013-05-20T08:30:00","slug":"massa-tagli-ad-esami-e-farmaci-in-cambio-di-incentivi","status":"publish","type":"post","link":"https:\/\/www.fedaiisf.it\/en\/massa-tagli-ad-esami-e-farmaci-in-cambio-di-incentivi\/","title":{"rendered":"Mass. Cuts to exams and drugs in exchange for incentives"},"content":{"rendered":"<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 7.5pt\">by Claudio Figaia<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Arial&quot;,&quot;sans-serif&quot;; font-size: 6pt\">the MASS<\/p>\n<p><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">&quot;Less exams, please, and less prescriptions&quot;. The local health authority puts pressure on family doctors to reduce health care costs. And, in return, it promises incentives to the &quot;basic&quot; healthcare providers themselves: you make the company save again and the company rewards you (in cash).<\/p>\n<p><\/font><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">The expenditure for diagnostic and laboratory services carried out at the request of family doctors is in line - indeed a little better, as noted by the 2012 Mes report of the Sant&#039;Anna Institute of Pisa - with the standards defined by the Tuscany Region.<\/p>\n<p><\/font><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">But stay high; just as very high, the highest in Tuscany this time, is the overall per capita health cost of the Apuan Local Health Authority: 1,923 euros, against a regional average of 1,896 euros. <\/p>\n<p><\/font><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">It is therefore necessary to cut, and the ASL management has begun to be a lighthouse for some time. Also because, in addition to the rationalization of costs imposed on the entire Tuscan health system, it has to deal with the &quot;accursed&quot; issue of the maxi hole of 240 million which has long since put the Apuan health system behind the blackboard of the &quot;bad guys&quot;.<\/p>\n<p><\/font><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">Hence the launch of a package of measures that has just been defined by the company management of the ASL in recent days. The one for the reduction of exams has as its objective the 5% cut of the total number of laboratory and diagnostic imaging exams corresponding to an economic valuation of 800 thousand cures per year. <\/p>\n<p><\/font><\/span><\/p>\n<p class=\"MsoNormal\" style=\"text-align: left; line-height: normal; margin: 0cm 0cm 0pt; text-autospace: ; mso-layout-grid-align: none\"><span style=\"font-family: &quot;Times New Roman&quot;,&quot;serif&quot;\"><font size=\"3\">How to achieve this savings? The strategy of the ASL is to share the criteria of appropriateness for laboratory and diagnostic tests with family doctors, also through the dissemination of a list of tests that could often be avoided because they are not strictly essential in relation to the pathology. , either because they are now outdated, or because they are redundant. In other words, pressure on doctors to order only tests that are &quot;really&quot; useful for diagnosis and treatment<\/p>","protected":false},"excerpt":{"rendered":"<p>di Claudio Figaia i MASSA &quot;Meno esami, per favore, e meno ricette&quot;. L&#8217;Asl preme sui medici di famiglia per ridurre i costi della sanit&agrave;. E, in cambio, promette incentivi agli stessi sanitari &quot;di base&quot;: voi fate ritisparmiare l&#8217;azienda e l&#8217;azienda vi premia (in denaro). La spesa per le prestazioni di diagnostica e di laboratorio effettuate &hellip;<\/p>","protected":false},"author":1,"featured_media":9846,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[90],"tags":[],"class_list":["post-16644","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-fedaiisf-archivio-storico"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/16644","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/comments?post=16644"}],"version-history":[{"count":0,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/16644\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media\/9846"}],"wp:attachment":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media?parent=16644"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/categories?post=16644"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/tags?post=16644"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}