Round Tables. A discussion with NHS stakeholders.

Rome, november 13, 2019
The Healthcare System and the management of complexity: sustainability, plurality of platforms and their interactions

The healthcare system can become ever more efficient and effective if it manages to generate processes that involve all interested stakeholders. In the 2019 Report "The healthcare system and the management of complexity: sustainability, plurality of platforms and their interactions", we tried to research these aspects, going beyond the traditional vision.

The conception of healthcare as an "ecosystem" that includes stakeholders (pharmacies, schools, industries and so on) has aroused interest and delivered on concrete proposals, especially regarding training and the use of new technologies. Areas such as those of emergency, rehabilitation and oncology would in fact reap strong benefits from the integration of skills.

The debate highlighted both the critical aspects of the system and the opportunities offered by a more constructive relationship between operators and stakeholders. In particular, it highlighted how the current relationships with actualities that can be considered - in strictum sensu - , lateral with respect to the healthcare system, are very positive namely initiatives involving schools in teacher training and providing students with information, especially focusing on prevention.

Moreover, there certainly was no lack of comments on the importance of correct and reliable information in a world where internet searches are increasingly frequent, but largely provide answers of limited reliability, let alone coming across absolute fake news. The web is instead seen as an opportunity to facilitate relationships between the different components of the broader healthcare system.

Particular attention was dedicated to the transformations necessary to offer social and healthcare services to an ageing population, a phenomenon that will have an ever greater impact on system costs and quality with an increase in life expectancy often linked to more years in which people can live with chronic diseases. This theme is closely related to those of single people and single-parent families where only one parent, sometimes a grandparent, is left alone to care for young children. The social transformations that require attention and additional resources also include the need to offer assistance to foreigners, with whom it is often difficult to dialogue.

The perspectives of the national healthcare system were constantly in the background - a system that has undergone one of the most significant reforms of the last century, which however requires constant adaptation along with the spread of best practices, especially in hospitals. Furthermore, family doctors and paediatricians also require constant updating of skills and a constructive relationship with the other structures of the system.

The initial part of the meeting focused on illustrating the report's contents with the speeches of the President of Farmafactoring Foundation, Marco Rabuffi, the President of Censis, Giuseppe De Rita, the Scientific Director of Farmafactoring Foundation, Vincenzo Atella, the President of Cergas Elio Borgonovi, Bocconi University centre for the analysis and study of the healthcare system, Francesca Lecci, Coordinator of the Management Area of the same Cergas, and finally Francesco Maietta, Head of Social Policies of Censis.