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Family doctors will give free swabs (mostly quick) to relatives and cohabitants of proven positives. This is provided for by an agreement that will be signed today by the Region with the two most representative category codes, Fimmg and a union agreement, and with the association of pediatricians. Since these acronyms represent the majority of doctors, members of other unions must also respect them.
Family physicians, as reported in an article published today by Sicilian Journal – They will clean the most exposed categories, thus alleviating the workload of the Usca (the teams of doctors and nurses summoned to provide home care) and the burden on hospitals. Furthermore, “suspected cases” can also be controlled by family doctors: those who have been in contact for at least a quarter of an hour in a closed environment with a positive already proven.
Relatives of positive and suspected cases can spontaneously contact the family doctor by booking a free check-up. Doctors will act in two different ways: whoever has a study that allows it can receive patients; Otherwise, it will summon the people to be checked in the place and time that will be agreed with the Asp. The crux in this case is given by those professional studios that are located in condominiums without an independent entrance or where contact with other people is easy: controls cannot be made there.
In Palermo, the ASP is identifying four or five alternative areas to the Fair in order to make the agreement between the Region and family doctors operational. The test will begin when the ASPs send the lists of people to be checked, the tampons to use and especially the insulating suits and visors that are essential. For each swab performed, family doctors will receive a gross remuneration of 18 euros. During the first month and a half there is a maximum limit of 34 tests.
The Scientific Technical Committee of the Sicilian Region has authorized a document for the management of Covid-positive patients who do not require hospitalization. The focus is on the family doctor. According to Sicilian experts, “today we have more knowledge about COVID-19 and we know that early diagnosis and therapy can help prevent dire complications. Thus the role of the general practitioner becomes fundamental, even more so when it is integrated by the Usca and supported by the Departments ”.
The model provides for the direct management of positive patients, paucisymptomatic patients and patients with mild illnesses (fever, cough, sore throat, muscle aches, etc.) for which an integrated system of home visits, telemedicine, telephone follow-up by doctors is provided . general medicine, from Usca doctors but also from specialists from different disciplines who can also assess comorbidities. For the experts of the Sicilian CTS “from the moment of the simple infection it is essential not to feel alone fighting the virus and it is essential to know that there is someone who knows when and how to assist you with the appropriate medical treatment or when a quick hospitalization is needed”.
The CTS has also made the best scientific and empirical knowledge available to general practitioners, in a word, good clinical-care practices and summarizes the current clinical and especially therapeutic follow-up protocols depending on whether they are asymptomatic, paucisymptomatic or with mild symptoms even with comorbidities. “Enhancing the Role of the Family Physician – Swabs are great, CTS experts say in unison, but go the extra mile. Your doctor’s voice is a friendly voice and not just any but the qualified voice of those who know you from a clinical and personal point of view and can help you in the initial stages of the disease better than anyone, better than any hospital because we are still in the dimension relationship “two” that scientists call personalized medicine and that place at the top of the best clinical practice. “
Finally, the CTS points out that “it is not a question of decongesting hospitals, but of quickly treating positive patients with the best strategy that medical science proposes to us at this time: it is a model that is good not only for Covid but for any pathology “. .
