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  • 8 months ago
(Adnkronos) - "Apparentemente l'Italia spende meno in sanità degli altri Paesi europei, ma questo dipende dagli indicatori che vengono considerati per valutare l’impatto della spesa sanitaria sul Pil. Bisogna considerare il rapporto spesa sanitaria pro-capite sul Pil pro-capite per vedere che in realtà l'Italia, negli ultimi due anni, si è avvicinata velocemente alla retta di regressione e che, quindi, stiamo spendendo persino di più di Francia e Germania.” Lo ha detto Francesco Saverio Mennini, capo dipartimento, programmazione, farmaci, dispositivi e professioni sanitarie, Ministero della Salute intervenendo in occasione della settima edizione di 'Inventing for Life Health Summit', dedicato ancora una volta al tema “Investing for Life: la Salute conta!”, organizzato oggi a Roma da Msd Italia.

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00:00In reality, it's not that we spend less, it depends on what are the indicators that we take into consideration.
00:11Unfortunately, we always refer to this health spending ratio on the GDP, forgetting that it is the GDP that makes it the boss,
00:18because it is at the denominator, and by now everyone, even with the other economists,
00:22have widely demonstrated that this is not the indicator to take into consideration.
00:27Also because, with a simulation that we did a short time ago,
00:31only by putting the GDP of 2022 on the spending of 2024,
00:36we had expanded the spending ratio on GDP by 7%,
00:40so this means that these are two random measures that cannot be taken into consideration
00:46in order to see how much is being spent.
00:48Rather, we need to look at the GDP-GDP health spending ratio,
00:52from which we can see that Italy, in the last two years,
00:55has quickly approached the regression line,
00:58so we are approaching the level of spending that we can afford to spend.
01:04Again, and I'll go quickly,
01:06if we compare the GDP-GDP health spending ratio,
01:09it is always said that we spend much less than France and Germany,
01:13in reality the differential on the GDP-GDP health spending ratio
01:18is lower than the differential between the GDP of these two countries,
01:23so we actually spend, as GDP-GDP health spending ratio,
01:27if we read these data, even a little more than France and Germany,
01:31in relation to the GDP that we have, and to the GDP that they have.
01:36Having made this clarification, it is also underlined the fact that,
01:39by law, in 2025 and 2026,
01:43there will be an amount of financing from the National Health Fund
01:46that is a nominal value, in real terms it has never been recorded before.
01:51This does not mean, however, that only the resources are necessary.
01:55In addition to the resources, as the Minister has emphasized more often this morning,
02:00we must then go and see how we spend these resources that we have available,
02:05which have increased,
02:07and above all how to guarantee a rapid access of those citizens for care.
02:11Of course, important measures have already been put in place
02:15that will guarantee to wait,
02:18because they have not even been introduced for a year,
02:20they will guarantee an earlier and safer access to care.
02:24Just think of the DL73 on the waiting lists,
02:27which is a fundamental tool,
02:30because it will allow the Ministry to monitor
02:33what is the progress in real time of the waiting lists,
02:36and therefore it will also allow to go and verify what the anomalies are.
02:40This is all to protect citizens and patients,
02:43because at that point they will also be able, by consulting the platform,
02:46to go and see what the waiting times are.
02:50Reducing the waiting lists and reducing the waiting times
02:53also means that the patient can be treated earlier.
02:58Treating a patient earlier means guaranteeing him the best care,
03:03it means making him heal, in most cases,
03:06thanks to the use of new technologies,
03:08or at least reducing the negative impact of a pathology.
03:12And then, at the end, this will also determine
03:15a reduction of the costs of the system itself.
03:19Another aspect on which we are working,
03:22always to guarantee, first of all,
03:24a sustainability of the system,
03:26and on the other hand,
03:28also an access to the fastest care of patients,
03:31is to transform some voices,
03:33which today are part of the health and current expenditure,
03:36into investment.
03:38I believe this will be an epoch-making change.
03:41The interlocutions with MEF have already been activated,
03:45also thanks to the intervention of the Minister
03:48and the Deputy Secretary of Health,
03:50who are allowing us to understand
03:52which voices of the health sector
03:54will be able to be part of the investments
03:57to be put into the European Stability and Growth Pact.
04:01This is an interlocution that we have started
04:04just a few days ago.
04:06We will have to conclude it by April
04:08to carry out the submission
04:10by the Ministry of Health
04:12in collaboration with MEF.
04:14And this, for the first time,
04:16will finally allow some voices
04:18of the health expenditure
04:20to be considered investment.
04:22Because we know that health is an investment.
04:25And we will have to go in this direction more and more.
04:29Because investing correctly in health
04:31means guaranteeing an improvement
04:33in the quality of care.
04:35All studies show this.
04:37And, at the same time,
04:39reducing the impact on health expenditure,
04:41but also on family expenditure.
04:43Certainly, one of the main voices
04:45to be considered as investment
04:47is that of prevention.
04:49The Minister also underlined this this morning.
04:52And this is the direction
04:54towards which we will go
04:56at the level of the Ministry of Health.
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