Centro Interdipartimentale di Ricerche Neurologiche, Università degli Studi della Campania "Luigi Vanvitelli", 80121 Napoli, Italy.
Dipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, Italy.
Med Sci (Basel). 2021 Sep 27;9(4):61. doi: 10.3390/medsci9040061.
Universal Health Coverage (UHC) is a set of principles adopted by the World Health Organization (WHO) aimed to guarantee access to primary care for the entire world population through a range of essential health services without neglecting the diagnostic aspect. Italy is one of the signatory states, which means that diagnostic services should be appropriated and exigible throughout the national territory equally. Our research analyzed and identified the main criticalities in terms of age, territorial distribution, and technological and health appropriateness of installed Computed Tomography (CT) needed to meet the principles of UHC. Data analyzed in our study were published by Assobiomedica at the end of 2016 and by COCIR, which included and investigated the installed fleet of diagnostic equipment in the Italian sanitary system and in various European countries. The 6th point of the Alma Ata Declaration defines the concept of "primary health care", which includes the importance of the diagnostic phase in the Italian health care system to provide Essential Levels of Assistance (LEA). It is clear from our studies that the technology at the national level is not adequate to satisfy the UHC principles or the European criteria, with negative effects on the diagnostic standards and on advanced screenings. This study conducted on the installed CTs in Italy at the end of 2016 confirms the persistence of progressive aging that has been recorded for several years in the health facilities of the country and suggests incentive policies for the replacement of obsolete equipment, which represent a form of investment rather than a cost, due to the nature of the expenditure itself, one-off and amortizable over time.
全民健康覆盖 (UHC) 是世界卫生组织 (WHO) 采用的一系列原则，旨在通过一系列基本卫生服务保障全世界人口获得初级保健，而不忽视诊断方面。意大利是签署国之一，这意味着诊断服务应在整个国家领土内平等地得到适当和可要求的。我们的研究分析并确定了在年龄、地域分布以及为满足 UHC 原则所需的安装的计算机断层扫描 (CT) 的技术和卫生适宜性方面的主要问题。我们研究中分析的数据由 Assobiomedica 于 2016 年底发布，由 COCIR 发布，其中包括并调查了意大利卫生系统和欧洲各国安装的诊断设备舰队。《阿拉木图宣言》的第 6 点定义了“初级保健”的概念，其中包括诊断阶段在意大利医疗保健系统中的重要性，以提供基本援助水平 (LEA)。从我们的研究中可以清楚地看出，国家一级的技术不能满足 UHC 原则或欧洲标准，对诊断标准和高级筛查产生负面影响。本研究对 2016 年底意大利安装的 CT 进行了研究，证实了多年来该国卫生机构中记录的渐进式老化的持续存在，并提出了激励政策，以更换过时的设备，这是一种投资形式，而不是成本，因为支出本身是一次性的，随着时间的推移可以摊销。
