We tackle the rising cost of chronic diseases
Chronic diseases are constantly growing and their management requires a considerable commitment of resources and continuity of assistance with an approach of strong integration of T-H-T services (Territory - Hospital - Territory).
The integrated and synergistic management of the chronic patient in the different care settings helps to avoid:
- Emergency room / Operating Unit services inappropriate for already diagnosed chronic pathology.
- High costs of patients re-hospitalized due to side effects of therapy not promptly and / or adequately managed.
- Poor compliance of the patient / caregiver in the management of home therapy.
- Scarce and fragmented information about roles and responsibilities in the management of the disease.
The best care of the patient passes through a formalization and implementation of the related diagnostic therapeutic assistance path, which must meet the following prerequisites:
- guarantee an overall clinical-organizational approach that meets the requirements of the national regulatory and legislative framework
- be schematic and useful in optimizing clinical outcomes, minimizing non-functional costs, preventing the risks of malpractice
- ensure the measurability of the performance levels achieved
- be validated and accredited by scientific and institutional bodies
- act as a tool for communication with the primary stakeholders (Institutions, Strategic Management, Patient Associations, Active Citizenship) of the service standard guaranteed by the Healthcare System.
Since the implementation of the Gelli-Bianco Law, the trend of healthcare disputes has been increasing, thus making it vital to recover the doctor-patient trust relationship by working on risk prevention and on the doctor and patient interface. The application of Article 13 of the aforementioned Law has in fact meant that the involvement of clinicians is also extended to out-of-court negotiations, undertaken by health facilities, following their allegation of malpractice by patients or their relatives. The high percentage of civil and criminal proceedings that lead to an acquittal does not lessen the long and costly judicial process for healthcare professionals.
KKerubin, favouring the doctor-patient fiduciary relationship based on the constant monitoring of the patient's quality of life, supports healthcare personnel in being able to offer the best possible assistance, in line with the strategy of Healthcare Structures called upon to invest in Risk and Quality to make them into pillars of the health system.
The sustainability of the Healthcare System is increasingly called into question in response to external factors such as: the progressive aging of populations; the growing cost of innovation; the constant increase in demand from users; and a persistent inability to activate prevention strategies and waste reduction. Included among the waste should be inappropriate treatments, and distinguishing between prescriptive inappropriateness and inappropriateness linked to incorrect care settings. Concepts such as de-hospitalization and hospital-territory synergy are overcome by the need to identify specific professional profiles which, operating in different care settings, are able to combine quality and cost-effectiveness of performance. There are therefore important figures such as the care giver, the GP, the clinician (inpatient and outpatient clinic) and not least the patient themselves who must be supported in their active role as co-manager of the disease. Kerubin contributes to the computerized management of the various care settings, beginning with providing the patient with a tool capable of accurately assessing the level of service that the patient needs.