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Territory and hospital. What are the main access ports to the National Health Service and how they work
Integrated Clinical Record
To standardize the different professional languages, to improve the quality and completeness of the information available to healthcare professionals in order to ensure greater appropriateness and safety of care. This is the goal of the regional project for the creation of an integrated clinical record, as a unique, inter-professional and interdisciplinary tool that collects all the information related to the patient’s care and assistance path .
Professional & Friendly Envoirnment
Hospitalization takes place in order to carry out complex diagnoses, interventions or therapies that are not possible at home or in outpatient facilities in the area. It can be ordinary, day hospital-day service, long-term-rehabilitation.
Whatever type of hospitalization, everyone has the right to have close family, friends or trusted people, consistent with the needs of general hygiene and other patients. In pediatric wards, parents are always allowed to stay with their children
118, the Emergency Room, the Medical Guard: the emergency-urgent network, widespread throughout the country, employs thousands of professionals: doctors, nurses and technicians. It also includes voluntary associations involved with their ambulances in the rescue.
Thanks to the evolution of the technology supplied to the operations centers, today the reception and management of calls is optimized, reducing errors and speeding up the procedures for activating emergency vehicles.
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Diet postponed to September. In August, it is better to renounce the balance anxiety: with the high temperatures, in fact, you lose less weight and the results of the sacrifices are reduced. Advising ‘holiday free from diets’ the nutritionist Ciro Dressed which reveals, however, a trick that – without much effort – to prevent the weight go out of control.
“We spend most of the calories – explains Adnkronos Health Vestita – to maintain our body at 36 degrees and a half.” In winter the body ‘wasted’ a lot to maintain the temperature, facilitating weight loss. In the summer, diets do not work so much, and it is no coincidence that many nutritionists and dieticians do not take part in this period. ” More useful then wait for the return from vacation for ‘good intentions’. Moreover, even psychologically, summer is a ‘moment of suspension’, in which habits often jump, and therefore badly adapted to the need to face dietary regimens in which regularity is an imperative.
At the table, then, “we can count on some foods that are break-hungry, tasty and effective, for example, watermelon A slice, even if big, between one meal and another certainly reduces appetite with very few calories. rich in water, contains very little fructose The most common sugar is xylitol which has a very low calorie content: a snack that can ‘fill’ without gaining weight “. Another low-calorie and tasty snack is “tomato juice, seasoned with lemon and pepper, for example, drunk before the meal reduces the sense of hunger”. The apples, too, which are starting to arrive now, are the most well known low-calorie break-starter, as well as peaches.
Moreover, with the heat it is almost natural to opt for some traditional “diet” dishes: “panzanella, better if made with wholemeal bread, preferably using the crust, the friselle, the salads”. For meat “you can opt for boiled meat: in boiling the meat degreases and loses more than 30% of the proteins, thus becoming a dietetic dish, if simply seasoned”. Another ‘natural’ help is the seasonal low-calorie vegetables.
“The courgettes are steamed and seasoned with oil, lemon and mint, they are very light even large portions, but even the aubergines have very few calories, as well as cucumbers that are very helpful for the bacterial flora and are also disinfectant and cicatrizant “. Better not to overdo it, given the high sugar content, however, with apricots, figs and, above all, with grapes “, concludes Vestita.
What is the right to health care, who has the right to health care and how, what are the essential levels of care. Altroconsumo, the association for the protection and defense of consumers, explains in ‘Rights in health’ everything that should be known about health care in Italy. The objective of the ‘Rights in health’ project, born of the collaboration between Altroconsumo and Acu (Users Consumers Association) and financed by the Ministry of Economic Development, is to answer the most common health questions.
Here, in short, the main information useful to citizens, in the insights dedicated to the right to health care in our country:
– WHAT IS SANITARY ASSISTANCE? The national health system ensures access to services taking into account health needs; quality and appropriateness of care; the economy in the use of resources. In Italy – explain the experts of Altroconsumo – the government of the health system is exercised by the State and Regions: the state legislation is the determination of the essential levels of assistance (Lea), ie the services and services that must be guaranteed throughout the national territory ; regional legislation has the task of organizing and providing the above services and essential assistance for the protection of health.
– WHAT IS THE RIGHT TO HEALTHCARE? It means using health prevention and care services such as basic care, specialist care or hospitalization. The services available to the citizen are:
Basic care: family doctor or pediatrician; continuity of care: the right to access the treatment continuously, this means that when there is no primary care physician, the assistance must be guaranteed by a replacement doctor or by the continuity of care services (former medical guard); access to diagnostic services: the possibility of taking advantage of specialist visits, laboratory tests and diagnostic tests must be guaranteed; public and private accredited or affiliated: the choice between a public and a private structure to access the services must be free; hospital admission: the right to freely choose the hospital structure where to be admitted; right to information: the citizen must always be informed in an appropriate manner before being subjected to examinations and interventions; access to medicines: the right to receive medicines prescribed by doctors on the regional cookbook, sharing the expenditure through the payment of a contribution (ticket).
– HOW DO YOU APPLY TO THE NATIONAL HEALTH SERVICE? The registration – observed by Altroconsumo – is mandatory for Italian and foreign citizens residing in Italy and in compliance with the residence permit. Children born in Italy must be registered with the Health Service and acquire the right to assistance. The registration with the Ssn guarantees the assistance of the general practitioner (family doctor) or of the pediatrician of free choice. Health care is guaranteed to all citizens (Italians and foreigners with the right) through a network of services (medical and pediatric assistance, pharmaceutical, outpatient specialist, hospital, home and public consultants). At the time of enrollment in the health service is released what was once the health card and today is the Regional Service Card (CRS), an electronic smart card. The Crs is in fact valid as: health card, European health insurance card (Team), social security number.
The following categories of people can register for the Ssn:
Italian citizens: residents in Italy, Italian pensioners living abroad, family members of a worker employed in Italy; citizens belonging to the European community: temporarily in Italy or residing in Italy; foreign nationals not belonging to countries with agreements: with a residence permit or without a residence permit.
– THE ESSENTIAL LEVELS OF ASSISTANCE (LEA): are the health services that the SSN is required to provide to all citizens, for free or against payment of a fee (ticket). The services included in the Lea – Altroconsumo points out – are identified on the basis of principles of effective care, effectiveness and appropriateness and represent the level of “essential” care guaranteed to all citizens. Regions will be able to use their own resources to provide additional services and services. The Lea, established by the State, are inspired by the binomial ‘effectiveness + solidarity’ and identify services considered essential and effective guaranteed to all, on three levels:
Collective health care in the living and working environment, which includes all prevention activities aimed at the community and individuals (protection from the effects of pollution, accident risks in the workplace, veterinary health, food protection, prophylaxis of infectious diseases, vaccinations and early diagnosis programs, forensic medicine); district assistance, that is to say the activities and health and social care services spread throughout the territory, from basic medicine to pharmaceutical assistance, from specialist and outpatient diagnostics to the supply of prostheses to the disabled, from home services to the elderly and the seriously ill to consultative territorial services (family counseling centers, mental health services, rehabilitation services for the disabled, etc.), semi-residential and residential structures (residences for the elderly and the disabled, day centers, family houses and therapeutic communities); hospital assistance, in the emergency room, in an ordinary hospitalization, in day hospital and day surgery, in long-term care and rehabilitation facilities, and so on.
On January 12th, after 16 years, the essential levels of assistance have been updated by the Government. Many news: many interventions performed in hospitalization now become outpatient: you will pay a ticket, not previously provided by some Regions; the range of vaccines is extended; six new chronic diseases are introduced, including endometriosis and chronic kidney disease; some rare diseases go to chronic, for example celiac disease and Down syndrome; the list of rare diseases is updated with 110 new entries, many of which already in the regional lists; more technological performances are introduced, such as ingestible micro-camera enteroscopy and hadrontherapy; the nomenclator of the prostheses is updated: for example, digital hearing aids, computer aids to communicate, indoor stairlifts; the services concerning medically assisted procreation (homologous and heterologous) are provided as outpatient; new screening for newborns are introduced; performance for diagnosis and treatment of autism is updated.
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