Consumismo Sanitario, Disease Mongering: esmpio Nativity
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° Sessione “Disease Mongering”Negoziare con i cittadini patti di salute etici ed efficaci, richiamando gli abusi, vigilando sull’appropriatezza delle prestazioni e denunciando apertamente il disease mongering, ovvero tutte quelle strategie che puntano ad aumentare il numero dei malati e di malattie con il solo scopo di allargare il mercato della salute.Modera e conclude Antonio Bonaldi Intervengono: Gianfranco Domenighetti, Alberto DonzelliGuido Marinoni, Alberto Ferrando
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www.apel-pediatri.org
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La NONMalattia
-Passiva : si segue la corrente senza alcun vantaggio per sé e per il pz.
-Attiva: si “vende una malattia” per guadagno (DISEASE MONGERING)
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ALLORA FACCIAMO TANTI ESAMI AI SANI
DA LEGGERE:http://www.apel-pediatri.it/Materiale/Archivio%20discussioni/Caccia%20ai%20bambini.doc
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L’iniziativa desta dubbi e qualche preoccupazione in quanto uno dei problemi in aumento nell'assistenza pediatrica è l’accesso non motivato ai servizi sanitari e l'esuberante richiesta di visite per falsi problemi con pressanti richieste di esami superflui o terapie inappropriate indotte da criteri di medicina difensiva, a cui non sempre il medico riesce a sottrarsi.
Suscita forti perplessità mettere in piazza l’offerta “gratuita” di visite specialistiche ai bambini, auto prescritta dai genitori, in un paese ove esiste la Pediatria di Famiglia che quotidianamente svolge, nell'ambito del rapporto fiduciario, un ruolo assistenziale capillarmente offerto sulla base delle necessità di salute poste giorno per giorno dalla famiglia. Il progetto Nativity in pratica bypassa
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QUESTI PROBLEMI CHI LI AFFRONTA???NON rendono economicamenteRiguardano tutti!!!
IGNORIAMO O SPERIAMO CHE NON CI TOCCHNO?
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Rapporto sullo stato di salute• Nel rapporto vengono segnalati, fra gli
altri, i seguenti problemi:– la mortalità nella fascia di età 15-24 anni– due problemi di salute emergenti:• asma• obesità
–una priorità assoluta:la salute mentale e in generale la sofferenza psico-sociale
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Etica della responsabilità del Medico Ragionare in termini di insieme e di complessità (Visione Sistemica) Trasparenza e Conflitto di interesse Professione/Impresa Sistema : alleanza con il cittadino (Slow Medicine) Il Medico attore o comparsa? (FINIREMO IN FRANCHISING?)
PROBLEMI DA AFFRONTARE
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“…….does not believe the
available data support a
significant public health
benefit from using the 12-lead
ECG as a universal screening
tool”.www.apel-pediatri.org
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Neonato e profilassi con vitamina K
Dott. Alberto FerrandoPediatra di famiglia
•Presidente della sezione ligure della SIP•Presidente della Federazione Regionale ligure dei Medici Chirurghi e Odontoiatri
Imperia 12 gennaio 2005
Un esempio di qualche anno fa
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Konakion (farmaco)1 flacone da 2,5 ml: 1,24 €20 mg/ml2 gocce alla settimanaClasse A
1 ml= 20 gocce1 flacone è sufficiente per 12 settimaneCosto totale = 1,24 €
Vita K (parafarmaco)1 flacone da 10 ml: 7,50 €200 mcg/ml10 gocce b.i.d.Classe C
1 ml = 20 gocce1 flacone = 10 giorni90 giorni = 10 flaconiCosto totale = 75 €
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EBM 1: Evidence Based MedicineEBM 2: Emotional Based MedicineEBM 3: Economic Based Medicine
www.apel-pediatri.org