2021 - Franco Angeli
Article
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Has healthcare rationalisation been rationale? : hospital beds and Covid-19 in Italy
133-151 p.
- The outbreak of Covid19 pandemic highlighted the existence of a hospital bed shortage in Italy, as a result of a longstanding trend. The article analyses this process by an international comparison with other Western European countries, highlighting the intensity of hospital bed reduction in Italy, as a fundamental component of NHS rationalisation. Although it was based on solid grounds, international data suggest that hospital bed reduction was probably excessive, depriving the NHS of organisational slack. Moreover, dehospitalisation would have been matched with a stronger development of primary and community care. The relative shortage of these services, along with the lack of integrated networks between hospital and nonhospital care, explains many difficulties experienced by hospitals in tackling Covid patients. Beyond investments in health care, these elements call to rethink the organisation of health care provision at local level, questioning the purchaserprovider split. [Publisher's text].
Is part of
Salute e società : XX, 2 supplemento, 2021-
Information
DOI: 10.3280/SES2021-002-S1009
ISSN: 1972-4845
KEYWORDS
- hospital beds, hospital care, Covid19, epidemiological transition, intensive care, primary care
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In this issue
- La società italiana e il servizio sanitario nella Pandemia : temi e ricerche
- Perturbante e performante : il lockdown indomestico
- Il lockdown come caso estremo di familismo : quali effetti sulla salute dei genitori che lavorano?
- Comunicare la pandemia tra relazioni sociali, norme e vita familiare : un'analisi quali-quantitativa degli articoli Ansa durante il lockdown
- Ho fatto il Covid : le voci dei guariti : una indagine empirica su vissuto sociale ed esperienza di malattia nell'Italia centrale
- Le persone in stato di vulnerabilità tra pandemia e lockdown : rappresentazioni di vita quotidiana
- E-prescribing : the rise of socio-tech-med micronetworks of care during the COVID-19 pandemic
- Vulnerability and resilience of the European health care systems in the face of the Covid-19 pandemic : a framework for the comparative analysis of problematic sentinel cases
- Has healthcare rationalisation been rationale? : hospital beds and Covid-19 in Italy
- Le cure primarie prima e dopo l'emergenza Covid-19 : dalle "Case della Salute" alle "Case della Comunità" : una riforma possibile?
- Covid-19 e rischi per il personale sanitario : il ruolo dei sistemi sanitari regionali
- Quale rilevanza dei modelli regolativi regionali? : la questione lombarda nella crisi sanitaria Covid-19
- Poveri di reddito, poveri di salute : la povertà sanitaria nelle Nove Italie
- Il ritiro sociale nei giovani italiani : una ricerca con professionisti della salute mentale
