Francesca Lecci at the Chamber of Deputies on Health Care in CalabriaTHE DIRECTOR OF EMMAS ANALYZED THE PERSPECTIVES OF THE SYSTEM IN A HEARING OF THE SOCIAL AFFAIRS COMMISSION
Designing a governance system that favors collaboration, and not conflict, between the local, regional and State levels; evaluating the managing directors of local health units with a time horizon (at least 3-5 years) consistent with the needs of change management; interrupting the feedback loop that stripped the region of healthcare and management capacity. These are the issues that a reform of the health system in Calabria should resolve, according to the analysis conducted by Francesca Lecci, Director of the Executive Master in Management of Health and Social Care Organizations (EMMAS), during the hearing at the XII Social Affairs Commission of the Chamber of Deputies on health management in Calabria on Tuesday, 17 November.
Professor Lecci highlighted four groups of data, which provide a snapshot of a regional health system which has been under the control of a special commissioner for over 10 years. Healthy life expectancy in Calabria is 52.9 years, compared to 67.7 in Trentino Alto Adige; more than 20% of the patients turn to health facilities in other regions, every year, to meet their health needs; between 2010 and 2017 Calabria healthcare system has lost 17% of the medical workforce and 25% of the administrative and managerial workforce; the average payment time is longer than allowed by national and EU regulations and the levels of care provided to citizens is below the minimum threshold.
The director of EMMAS focused on what she defines the capacity feedback loop. “The financial repayment plan,” she said, "has not only drained financial resources, but also capacity, which is much more difficult to reintegrate. The COVID crisis, in fact, has freed the former, but not the latter: new intensive care beds, for example, need professional skills impossible to build in a short time.” And instead, she continued, "the best talents from Calabria do not aspire to develop their own professional path in the region, except in cases of heroism.”
It will therefore be necessary to build an extra-regional network to attract talents willing to work, even for a defined time, to transfer medical and managerial skills to the region. “We need, in short, a long-term plan, with good performance measurement systems, based on a few but significant indicators.”
Francesca Lecci's speech (in Italian) is available on the Chamber's webtv at https://webtv.camera.it/evento/17108, from 2h05' onwards.
by Fabio Todesco