LIBRI DI ALDO MORRONE

All’inizio del periodo pandemico, si e verificata una forte polarizzazione delle risorse sanitarie e dei professionisti verso la prevenzione della rapida diffusione del SARS-CoV-2, riducendo l’attenzione alle malattie croniche e alla cura oncologica, compromettendo cosi la continuita terapeutica e gli esiti dei trattamenti. In questo scenario avvincente e travolgente, gli IFO sono rimasti ancorati alla propria missione di fornire cure specialistiche ai pazienti oncologici, dermatologici e con malattie rare. Qui, si presenta una sintesi delle decisioni strategiche assunte e dei piani sviluppati per ridurre la diffusione del virus, mentre ci si sforzava di avvicinare l’ospedale ai pazienti. Si spera che questa esperienza possa servire da risorsa per informare i modelli di assistenza in caso di futuri focolai epidemiologici.

The paper presents a review of the transformation of social, legal and health care of the sick which will result from the recent Directive 2011/24/EU of the European Parliament on the application of patients’ rights in cross-border healthcare. The authors highlight the role played by the hospital through an analysis of hospital assistance to foreign persons. This leads to a project proposal that aims to enable direct routes for cross-border treatment, both within and external to the EU, and to enhance the excellence of the Lazio Region hospitals in attracting foreign patients and resources to the Regional Health Service.

A descriptive analysis of deliveries and induced abortions between 2000 and 2012 at San Camillo Forlanini Hospital in Rome has been performed. About 20% of deliveries and 50% of abortions concerned foreigners from countries at high migration levels. Comparing the characteristics between Italian and foreign women Authors point out a median age at first delivery higher for Italian women, even if recently both Italian and foreign women tend to have babies later. Caesarean sections are more frequent among Italian women. Deliveries among very young women are more common for foreigners and for less educated people. Different patterns seem to characterize induced abortions among Italian and foreign women. The former tend to be young and single the latter older and married. The results suggest the opportunity of carrying out educational intervention addressed especially to young foreign women.

The paper presents a review on the transformation of social, legal and health care related of sick people starting from the recent Directive 2011/24/EU of the European Parliament on Patients’ rights in cross-border healthcare. The authors highlight the portrait of the hospital through the analysis of the role played by the hospital assistance to foreign persons. This leads to the proposal of a project that aims to enable direct routes for transfontalier treatment, inside and outside the EU, and to enhance the excellence of the Lazio Region hospitals attracting foreign patients and resources to the Regional Health Service.

A descriptive analysis of deliveries and induced abortions between 2000 and 2012 at San Camillo Forlanini Hospital in Rome has been performed. About 20% of deliveries and 50% of abortions concerned foreigners from countries at high migration levels. Comparing the characteristics between Italian and foreign women Authors point out a median age at first delivery higher for Italian women, even if recently both Italian and foreign women tend to have babies later. Caesarean sections are more frequent among Italian women. Deliveries among very young women are more common for foreigners and for less educated people. Different patterns seem to characterize induced abortions among Italian and foreign women. The former tend to be young and single the latter older and married. The results suggest the opportunity of carrying out educational intervention addressed especially to young foreign women.

Foreign immigration in Italy is becoming a phenomenon more and more related to families, instead of being related to individuals as in the past. In Italy, immigrants are no more individual workers: they increasingly get married, they have children and they are often reached by their families coming from their native countries. In time, their health needs chanced. This should have produced changes in our National Health Care System, but it did not. It is necessary, for the future, to implement health care policies more aware of the weakest ranges of population, particularly more focused to families living in difficult socioeconomic and cultural conditions.