"observatory" the month of April 2004
from several parts in different places, protest, vibrant and confident, opposing the plan to reorganize hospital wanted by the Region Apulia, in fact, led the closure of several hospitals, one of the best known Terlizzi to the news.
impossible not to agree and sympathize with those who were given the political sensitivity to organize dissent and protest against a decision senseless and cruel "best companies". The center has played on this occasion, the clothes (in fact, abandoned for too long) of a array of popular opposition that finally takes account of the specific problems of those who, every day, you see stolen rights and purchasing power of wages and salaries of those who have to "tighten their belts" to the end of the month (if they have a ' stable employment) or who does not even tighten the strap. Where is the miracle that Berlusconi has so much "charm" voters?
The plan of reorganization and rationalization of hospital services. This version was smuggled in and, at low doses, administered to those who would passively accept such choices, at least according to the schedules of the general regional and local corporals, hired from time to time, to explain to the troops as it is.
Here, however, I will not lead to further political arguments that have full dignity and importance, because many have already done and much better than me. I would rather keep in the shadow of some considerations coming to the essence of human nature. By this I mean that, again, foolish decision to close hospitals, reducing them to representatives of the pale of the social and quality that have always played, completely ignores the human dimension that, when suffering due to illness, becomes the safe level of priority.
In essence, those who make such choices, cutting with a hatchet and skills areas, it is certainly totally ignorant about certain aspects that have to do with the person (other than the Rights) agreement in whole. Let the case of a patient who, forced by this "plan of reorganization hospital", should go to the nearby town, maybe "only" fifteen miles to get treatment. What will live beyond the "physiological traumatic" of a hospital? In all likelihood, will also have a sense of being outside the social, cultural and environmental. This will lead to absolute delay in the healing process may be necessary because of proven scientific research on the Accession emotional and "affection" but, in the face of so much physical distance, scarce. The patient may also feel even more alone, more abandoned to their disease because relatives can not visit him easily, because the nurses do not speak his dialect, as heard talk about a country that is not his, dramatically because he could live a kind of "anthropological isolation."
This scenario (very plausible) is of opposite sign the more modern concept of medicine also understood as "counseling" and "listening" to the patient, as well summarized by Professor Fabio Folgheraiter, University of Trento: " If a person is in difficulty, the best way to come to her aid is not to tell her what to do (paying attention to the intellectual content of that board, that it really makes sense to the situation) but rather to help them to understand their situation and to handle the problem alone and taking full responsibility of individual choices. "In short, the full empowerment of patients and attention to choices. This process, which in itself is "therapeutic", it seems to me to be demolished rather than a corporate approach to health, where the patient is only one digit resident in an area cut off from certain logic and penalized. As a patient will never be the star of a therapeutic course, led by a doctor, of course, if forced to a territory that does not belong?
To avoid misunderstandings, I should clarify that these comments refer to those diseases that have so far been treated at local hospitals and not to those who could not be followed (because there were no departments specialist) and for which, however, were addressed to other hospitals. Today, in the municipalities at a disadvantage by the plan of reorganization, however, we are forced to "go out" for appendicitis or a fracture, and even to be born. There is no choice, so where is the possibility for a person, " handle the problem alone and taking full responsibility of individual choices ?
These choices, to the detriment of public health, are of opposite sign to new concepts in management of health care: home care Integrated (ADI), Home hospitalization, home health care and day hospital . Who has made you may not know them and this would be serious, but it would be even more if she knew. Ignorance, alleged or real, play with the skin (and not just psychological) of those who, already in a difficult situation (otherwise they should be in the hospital) will be forced to live further difficulties arising from the remoteness and isolation from their environment culture and society.
The corporatization, the rationalization of these services (which may be treated as so-called "personal services") leads, straight, to the denial of suffering as such, as if everything could be cured only because there is some doctor who will turn around. Unfortunately not, maybe it was. Rather, it is true that the "healing" also stems from a "holding company" (in the sense of psychological environment of acceptance and limit suffering) that is built mainly from relatives and those who can "take a leap" to go to hospital find the sick person. You know, doctors and nurses, already so deeply committed, are carrying only a small part in this task, as they are overburdened by the workload of the aisle. Your choice should be oriented towards integration, health and social care, including aspects of and treat those take care of and not to their division. Cut, sew and to prescribe antibiotics only or, rather, to offer the sick can also be heard and seen, according to agreed rules and within the canons of humana pietas?
At the annual general meeting of the World Medical Association, which was held in Helsinki in early September, was presented to an international study on doctor-patient relationship, which has shown that, in all countries, this particular human relationship still has a central position, however, placing it second in importance, after that with family . Already, after the one with the family !
the rulers of this region (and to all who have supported them politically) seems to do nothing to the relationship with family members. Maybe they do not know, and here it is said that more clearly, it is this relationship that supports the therapeutic interventions of the medical intervention. Our leaders, regional and local knowledge to balance budgets and accounts (maybe), but I doubt that poses the question of who in the hospital, anxiously waiting for a family member, friend goes to visit him. It will be said, for pure spirit of contradiction, that today the media are quick, maybe. But try telling that to a senior who wants to tell his wife admitted to loving care, as far as he can.
attention to the person, that's what was missing. Enhance human dignity would be enough to avoid this unnecessary waste of resources and the consequent harm.
policy of the old school or neo-humanism? What refers to as sickness and suffering? "
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