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In addition to the insurmountable emotional void, the recent death of the pediatrician Sergio Zarrilli also left a vused in health care.
Campobasso’s esteemed professional He was involved in the care of some 850/900 children and young people between 0 and 14 years old. Their patients followed them to associate studio in via Pascoli where these days there are many calls from parents who want to know how to act after losing this important reference for the health of your children. All of them are informed that due to emergencies, check-ups or even just for medical advice, they can still go to the office (during the usual outpatient hours) where those on duty that day will temporarily take the place of Dr. Zarrilli, who has come He died on December 20 after an illness on the street. Later, you can contact Asrem for the election of the new pediatrician.
And here they begin worries: First of all, why trust every time a doctor who, no matter how good, does not know the child, always causes him some anxiety. And then because, without wanting to enter into the merits of the competence and preparation of the ‘borrowed’ pediatrician, it goes without saying that that relationship of knowledge, the relationship of trust that is established between doctor and patient cannot be born overnight. All this until a new – and this time definitive – pediatrician is assigned.
When a child is born, and those who have children know it well, we immediately contact Asrem who, depending on availability at the time, assigns the doctor to the new patient. Sometimes there is a list you can choose from, most of the time you take the one that was free in that particular circumstance. Zarrilli’s death will reactivate this procedure. According to the study communicated in via Pascoli to the families of its clients after the Christmas holidays.
Mother I dubbi stay. Prescribing molecular swabs, back-to-school certificates, vaccinations, and then treating the many flu symptoms in peak season were all the duties of the missing 65-year-old pediatrician who will now have to care for someone else in his place.
Meanwhile, the Molise regional pediatric secretary explained some useful things, Donato Meffe. “We family pediatricians in Molise have known each other for 30 years and we are also friends. For many years we have often met in union meetings to discuss problems related to Molise territorial pediatric care that did not exist before us. Sergio was the first in Campobasso and the rest of us arrived immediately afterwards ”.
All the members of the Italian Federation of Pediatricians of Molise (Fimp Molise) of which Meffe has been secretary since 1990, the year the association was founded, “we have always democratically divided regional and national tasks, roles and positions. In the early years Zarrilli helped me from the union and organizational point of view, he had various roles, for many years as our representative before the Campobasso Order of Doctors, our contact person for neurodevelopmental diseases and therefore in relationships with colleagues. of child neuropsychiatry. Later he became more involved in other roles, together with other doctors, such as resuscitation courses for children that are held in schools and also in the square, the Nati to read initiative, environmental ecology, helps children in Africa where he also brought medicines ”.
In short, a very important person for the entire Molise Federation has also passed away, which brings together 100 percent of the pediatricians in this region. IS also on the basis of the values and principles of the association that many of them are willing to visit Zarrilli’s clients “To be able to solve his patients’ problems for free for at least a few months while he waits for the moment to choose another pediatrician.”
For now, therefore, between the pediatricians of the Via Pascoli study and those available in the Federation, young patients should not be abandoned by the public health system.
But there is a but. And Dr. Meffe explains it again: “Pediatricians are hired based on the legislation governed by the National Pact of Pediatrics of Free Choice of 2005 and 2009”.
This agreement states that for every 600 children from 0 to 6 years old, a new pediatrician must be inserted within the local area of the reference district (There are three: Campobasso, Isernia and Termoli).
“Serious denaturation del Molise, however, has ensured that pediatricians in the region exceed the optimal pediatrician / child ratio indicated by national legislation. “
Denatalidad that is registered in the three districts but mainly in Campobasso. “And this explains why in Bojano, for example, where a pediatrician has been retired for a year, Asrem does not replace her. The same situation occurred in Venafro and Termoli where in the last two years two other doctors have died (again due to having reached the age limit) and no new positions have been conferred; nor have they been replaced. Also in Venafro just a few days ago there was another retreat. Out of 37 family pediatricians we now have 33 and at the end of 2021 another doctor will retire in Bojano. Not to mention those who are close to the retirement threshold ”.
For the numbers that Secretary Meffe holds, there are three supernumerary pediatricians. “Therefore, this is the logical conclusion of your reasoning. you can’t add a new pediatrician ”.
This does not mean that medical assistance will necessarily be lacking for former Zarrilli patients, but rather that their clients will be distributed to other pediatricians free of charge. Without a state of lack of well-being (which occurs in the unfortunate hypothesis in which there are no pediatricians) the Asrem does not confer positions, not even temporary. So in the short term (hopefully) Campobassan families will have to choose the new GP for their children.
This is not an easy undertaking either considering that Of the approximately 10 pediatricians who remain in Campobasso, more or less half have already reached the maximum number of patients. Therefore, the future choice should be reduced to five. More doctor, less doctor. The variability also depends on the fact that at the age of 14 the pediatrician loses his patient. There are also transfers outside the region or to another district. However, above all there is the phenomenon of unborn children that has caused a drop in enrollment in recent years. In conclusion, the free doctors, albeit in small quantities, should be enough to satisfy the request of the very young Molise user.
The Asrem technical assistance service that you should go to to choose is the basic medicine service on the ground floor of via Ugo Petrella. If you are low-income, you should also get the annual ticket waiver so you don’t have to go back a second time. The choice is immediate on the basis of a list of available professionals provided by the Federation to the regional health company.
(photo on the home page altroconsumo.it)
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