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Antonio Sbraga
Lazio patients are the ones who ask for more “asylum” from other regions. To which, in the last 7 years, Lazio has had to return more than 1.5 billion euros to reimburse the services provided to its absent residents. Those forced to a “medical displacement” that, just in the last year (2018), cost more than 230 million euros.
“The 6 Regions with the highest flight rate generate a debt of more than 300 million euros: on the Lazio front (13%) and Campania (10.5%) which together contribute to about a quarter of passive mobility” , quantifies the new report prepared by the Gimbe Foundation. In which Lazio is also on the sad podium of the Regions burdened by a “significant negative balance”, in 3rd place of the 6 worst: “Abruzzo (- 100.8 million euros), Puglia (- 206.4 million euros), Sicily (- 228.7 million euros), Lazio (- 230.7 million euros), Calabria (- 287.4 million euros), Campania (- 350.7 million euros) “. Added to this damage, then, is the insult suffered by the relatives of the sick (68,834, 9% of hospitalizations) treated outside regional borders: “It is difficult to quantify the costs incurred by patients and relatives for travel – warns the president of the Gimbe Foundation, Nino Cartabellotta – According to a survey of approximately 4,000 Italian citizens, in 43% of the cases those who move from their own Region incur expenses between € 200 and € 1,000 and in 21% of the cases between € 1,000 and € 5,000, with a substantial impact on the family budget ”.
In addition to the regional budget, which sees Lazio indebted to the rest of the Regions for 599 million and 369 thousand euros. From this figure, however, we must deduct the credit for health services made in the structures of Lazio in favor of residents in other regions, which amounts to 366 million and 375 thousand euros. Because Lazio, in addition to being among the 6 worst, also appears among the 6 best Regions (it is 4th) capable of attracting patients, especially from the Center-South: “The 6 Regions with the greatest attractiveness have credits of more than € 200 million: in Lombardy (26.1%) and Emilia-Romagna (13.9%) which together represent 40% of active mobility. Another 31.9% is attracted by Veneto (9.6%), Lazio (8, 5%), Tuscany (8.1%) and Piedmont (5.8%) ».
The balance, however, is negative, as last year, when the Report of the Court of Auditors also highlighted that “the Regions with the highest leakage rate are Lazio (which despite attracting from other Regions has 13.9% of the total debts for passive mobility) and Campania (10.2%) “. Also last year was the president himself, Nicola Zingaretti, who decreed that, “in order to reduce this phenomenon, the Lazio Region intends to promote highly complex hospital activities aimed at regional and extra-regional patients, sign border agreements with other Regions ( Toscana and Molise) with the aim of delimiting the opportunistic behaviors registered in some disciplines and strengthening the supply of outpatient specialists in particular branches that have high leakage rates ”.
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