Health economics

Hospital management of chronic illness. Potential resources for Lombardy

The conference aims to analyze the profiles of hospital admissions and identifying those cases of hospitalization that are potentially avoidable (together with those DRGs – diagnosis related groups – which are of a high risk of being non-compliant with the usual hospital routine, listed in appendix B of the Healthcare Pact of 2010-2012), if these admissions are managed through the implementation of other regional models (CreG, Sub-acute Cure, New Health Networks), beginning with DRG products and related chronic diseases, in order to reach an estimate of the economic resources that could be released in favour of other more appropriate, regional, healthcare settings.

The research has particular importance especially in the light of the new spending review decree of July 6, 2012 (n. 95), which has already been passed into law (no. 135), on August 7, 2012 and which will inevitably involve the total reorganization of the hospital network. In fact, a further reduction in the ratio of hospital beds per inhabitant is expected, a fall from 4 per thousand, established by the healthcare agreement of 2010/2012, to 3.7 per thousand (a 13,000 drop in hospital beds), including 0.7 per thousand for long-term beds and rehabilitation.

During the discussions, the issue of health planning and the relationship between the state and the regions will be discussed, with reference to the health act of September 5, 2012. The effects that the various public spending cuts are producing and will produce on the national economic fabric will be discussed and this latter aspect will be looked at with reference to the pharmaceutical industries in Lombardy.