The Program of National Outcomes (Pne), published by Agenas, sheds new light on the Italian hospital admission system. Despite a Return to the pre-pandemic rhythm.With nearly 8 million hospitalizations a year (300,000 more than in 2022), significant critical issues remain. Sardinia surprises everyone by emerging as the region with the most problems, overtaking Calabria, historically known for its health problems.
The report defies the traditional divide between north and south: while Calabria and Sicily show timid improvement, Friuli-Venezia Giulia Register a Decreased quality of hospitalization. Regional autonomy does not appear to be the remedy, with life expectancies ranging from 84.6 years in Trento to 81.4 in Campania (national average 83.1 years, ISTAT 2023 data), highlighting deep disparities.
Hospitals of Excellence and Departments in Trouble: Two Sides of the Same Coin
Hospital scenario is different. Agenas analyzes 1,363 structures205 using notation, public and private. While like hospitals Carriage of FlorenceiHumanitas of Milan AndMarche Hospital Company Distinguished by high quality hospitalizations, the situation elsewhere is less rosy. In many structures, the best departments and sectors coexist in difficulty, creating a two-speed system.
Urgent and planned hospitalization: chiaroscuro data
After a pandemic-imposed cutback, scheduled hospitalizations have begun to rebound, bringing the system back to pre-Covid levels. The Immediate hospitalizationHowever, they almost remain Unchanged. This difference indicates a. More careful management In emergency rooms, where many patients have limited access. Although some interpret this as an improvement in prevention, data suggest that urgent care may face more barriers than scheduled care.
Oncology surgery and hospitalization: alarming numbers
In the field of Oncological surgeryThe report highlights important issues. Hospitalized. Critical operations such as those on the colon or pancreas are often performed in facilities with limited caseloads, putting patient safety at risk. only 45% of pancreatic cancer operations Occurs in performing hospitals. At least 50 operations per yearMinimum standards for guaranteeing experience and competence.
Femoral Fracture: The Elderly Waiting.
Treatment of Femur fracture Over 65s within 48 hours remains a distant target for many regions. The national average is 59%, a slight increase from last year’s 53%, but well below the ministerial target of 60%.
While facilities such as Umberto I in Syracuse and Humanitas Gavazzini in Bergamo process more than 95% of patients on schedule, the elderly in regions such as Calabria, Liguria, Basilicata, Umbria, Molise and Sardinia have long waits.
Regional aid and avoidable hospitalization: a persistent problem
The pandemic has highlighted the shortcomings of regional aid, and Pne confirms this Hospitalization for Avoidant PathologiesLike heart failure, the rest to establish. One-year deaths from heart attack and stroke show modest improvements, but regional differences remain. For example, the mortality rate after 30 days of hospitalization for a heart attack has decreased from 7.8% to 7.1%, but in some areas it is still over 10% or 15%.
Resumption of surgical interventions: positive signs
Surgeries, particularly oncology, are returning to 2019 levels, perhaps thanks to this More widespread screening and early diagnosis. Prosthetic surgery (hip, knee, shoulder) continues to rise, with numbers surpassing pre-pandemic numbers by early 2021, indicating growing demand and a possible increase in confidence in the health care system.
