{"id":6839,"date":"2014-12-28T19:33:13","date_gmt":"2014-12-28T18:33:13","guid":{"rendered":"http:\/\/www.fedaiisf.it\/?p=6839"},"modified":"2014-12-28T19:33:13","modified_gmt":"2014-12-28T18:33:13","slug":"sanita-sprecona-macche","status":"publish","type":"post","link":"https:\/\/www.fedaiisf.it\/en\/sanita-sprecona-macche\/","title":{"rendered":"Wasteful healthcare, nope"},"content":{"rendered":"<p>According to a ministerial recalculation of NHS revenue, there would have been a surplus of 518 million euros in 2012 and 811 million in 2013<\/p>\n<p><a href=\"http:\/\/www.iltamtam.it\/2014\/12\/28\/sanita-sprecona-macche\/\" target=\"_blank\" rel=\"noopener\">by: Redazione2 |\u00a0<time datetime=\"2014-12-28T18:22:00+00:00\">28\/12\/2014 |<em> The<\/em>tamtam.it<\/time><\/a><\/p>\n<p><strong><img loading=\"lazy\" decoding=\"async\" class=\"alignleft\" alt=\"\" src=\"http:\/\/www.cergas.unibocconi.it\/wps\/wcm\/connect\/670e45804cab8e609794d75e36a8db96\/1\/health_economics_hta.jpg?MOD=AJPERES&amp;CACHEID=670e45804cab8e609794d75e36a8db96\/1\" width=\"247\" height=\"83\" \/>NHS spending historically grew by an average of 4% per year, with an average deficit of 4%,<\/strong>\u00a0albeit with significant regional differences.<br \/>\n<strong>Since 2009, public spending has remained substantially stable and in 2013 the preliminary data show, for the first time since 1995, a reduction (-1.2% compared to 2012).<\/strong><\/p>\n<p>The decrease in spending is associated with the decrease in GDP (-0.4% compared to 2012), but more accentuated, so that the<strong>\u00a0weight of current public health expenditure on GDP decreased in 2013, going from 7.3% in 2012 to 7.2%<\/strong>.<\/p>\n<p>Even the\u00a0<strong>the health deficit has decreased significantly and has now stood at 1-1.5 billion euros since 2011, therefore around 1% of current expenditure.<\/strong><br \/>\nIndeed, the data show\u00a0<strong>a surplus of 518 million euros in 2012 and 811 million in 2013, even if only due to a new and particular method used<\/strong>\u00a0at the ministerial level for the accounting of the regional tax revenues destined to cover the deficits.<\/p>\n<p><img loading=\"lazy\" decoding=\"async\" class=\"alignright\" alt=\"\" src=\"http:\/\/www.egeaonline.it\/allegati\/91031.JPG\" width=\"194\" height=\"275\" \/>This is the picture that emerges from\u00a0<strong><a href=\"http:\/\/www.cergas.unibocconi.it\/wps\/wcm\/connect\/dc8fbf56-3c1d-407a-8fdd-66d804b81b2b\/ES_OASI2014.pdf?MOD=AJPERES\" target=\"_blank\" rel=\"noopener\">Oasis Report 2014 <\/a>by Cergas and SDA Bocconi with the collaboration of Bayer<\/strong>, which also highlights the road that remains to be done.<\/p>\n<p>\u201c<strong>Healthcare companies<\/strong>\u00a0\u2013 say the editors of the Report \u2013\u00a0<strong>they performed a small miracle: a balanced budget and no increase in spending for 5 years, with the system substantially stable<\/strong>despite the aging of the population, the worsening epidemiological, new technologies and the increase in poverty. The\u00a0<strong>system is now fully sustainable<\/strong>.<\/p>\n<p>From the phase of rapid cost containment mainly with input based logic\u00a0<strong>we must now reorganize the services, aligning them with the emerging epidemiology: it is a medium-term job, now possible, only because we have sorted out the accounts<\/strong>. This is the challenge that awaits the NHS and healthcare companies must play a central role&quot;.<br \/>\n<strong>Healthcare companies have been the silent protagonists of this difficult season of the NHS<\/strong>. Many of the contradictions of the system have been &quot;downloaded&quot; onto them, often leaving them with the responsibility for implementing the changes.<\/p>\n<p>An improvement in the accounts that is not without costs, also in terms of quality, efficiency, safety and fairness.<br \/>\nThe National Health System has\u00a0<strong>having seen personnel expenses fall by around 1.5% per year over the last three years,<\/strong>\u00a0due to the failure to replace retirees, the freeze on wages and the outsourcing of many activities to social cooperatives.<br \/>\n<strong>in the Tyrrhenian regions<\/strong>\u00a0subject to a repayment plan (Lazio, Campania, Calabria and Sicily) on\u00a0<strong>permanent staff decreased by 15% from 2006 to 2012 and temporary or temporary staff by 27%.<\/strong><br \/>\nThe dynamics of\u00a0<strong>subsidized pharmaceutical expenditure was even more marked: it decreased by 7.6% per year in the last three years.<\/strong><\/p>","protected":false},"excerpt":{"rendered":"<p>Secondo un ricalcolo ministeriale delle entrate del SSN, si sarebbe avuto un avanzo di 518 milioni di Euro nel 2012 e 811 milioni nel 2013 di: Redazione2 |\u00a028\/12\/2014 | iltamtam.it La spesa del SSN storicamente cresceva in media del 4% all\u2019anno, con un deficit medio del 4%,\u00a0seppur con rilevanti differenze interregionali. Dal 2009 la spesa &hellip;<\/p>","protected":false},"author":4,"featured_media":6845,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[26],"class_list":["post-6839","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-notizie","tag-spesa-farmaceutica"],"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/6839","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\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/comments?post=6839"}],"version-history":[{"count":0,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/posts\/6839\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media\/6845"}],"wp:attachment":[{"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/media?parent=6839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/categories?post=6839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.fedaiisf.it\/en\/wp-json\/wp\/v2\/tags?post=6839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}