Fadoi, in Abruzzo 71% of Internal Medicines are overbooked

71% of medical departments Abruzzo's hospitals are currently overbooked and 85% report chronic staff shortages. This while approximately a quarter of hospitalizations could be avoided with better management of local health services and if only more prevention was done. This is the survey data conducted between March and April by Fadoi, the Federation of doctors hospital internists, who recalls how these departments are "those who assist almost half of the hospitalised, in especially elderly and chronic patients with comorbidities, patients who require increasingly complex treatments, which would require adequate supply of beds and staff". In internal medicine none of the operating units have a bed utilization rate less than 50% and none among 51 and 70%. But while 29% of the departments occupy between 70 and 100% of the available beds, 71% of which go to "overbooking", with more than 100% of the beds occupied. This then it means having patients assisted perhaps on a stretcher in corridor, with only one partition to ensure privacy. To sharpen all this is due to the lack of personnel, found in 85% of the cases. According to Fadoi, "on average one hospitalization out of four could be avoided with a more local assistance network "A similar argument applies to the lack of or lack of prevention, which, in the departments in question, are responsible for 29% of hospitalisations. Once discharged, patients go home in 71% of cases, with integrated home care, and in 29% of cases in a Rsa. The second part of the investigation is dedicated to the reform of the Territorial health: a mix of hope and skepticism emerges with respect to the operation of the new structures that will have to open its doors by June 2026 to avoid losing the two billions of the PNRR allocated specifically for these services. For the 71% of doctors will actually be able to use the new Community Houses reduce the number of hospitalizations, "but we will have to see how will be realized". Similar was the response given by 71% of the doctors versus community-run hospitals Nursing. No benefits from Community Homes and Hospitals for 14% of those interviewed. Between overcrowding in the departments and staff shortages, finally one should not be surprised if 14% of internists declare that they no longer find time to do research, while 86% do less than they would like. For the regional president of Fadoi, Angela Falco, with the "perennial overcrowding, which is added to a situation of chronic staff shortage, the negative impact on quality of assistance is inevitable. Overcrowding - he observes - both inappropriate visits to the Emergency Department contribute both the extension of the hospital stay of patients dischargeable due to the families' difficulty in taking charge of them".