The dilemma amongst quality and efficiency
Nine CCGs in UK are offering payment for keeping within targets the outpatient referrals and follow-ups, in light of a Pulse investigation. However, it is the inclusion of urgent cancer referrals that caused most controversy. After all, the Premier Cameron’s National Health Service aspire to save some tens of billions pounds by the end of 2020.
Though initiatives across the Channel can be a cumbersome precedent for the Italian NHS, actually, our way towards pertinence seems completely different. Lorenzin decree substantially aims at preventing citizens undergo unnecessary examinations experiencing side effects (eg, x-ray), as sometimes happens; by the way, it is quite obvious that if necessary examinations are denied, patients will take legal actions.
The situation in France is not as controversial, as explained by Serdar Dalkilic, vice-president of the European Federation of salaried doctors: «In WHO’s opinion, French National Healthcare System is one of the best: there are social security funds which finance 75% of national healthcare expenditure through shares withheld wages, while 11% of the expenditure is privately held». Despite this, the third-party payment system, acclaimed by French citizens with the 63% of favor, it scares doctors, worried about overload of administrative tasks, much more consults asked by patients and payment delays.