Erika Malandra The MEP and former Welfare Councillor launches her proposal alternative to the reform in progress, defending the status of family white coats. At the center of the debate, an organizational model that wants to preserve the professional independence of specialists.
Self-employed GPs: payment for hours worked, Letizia Moratti's proposal
"Our proposal is clear," says Letizia Moratti in an exclusive interview, "to maintain the'autonomy of the general practitioners means guaranteeing flexibility, quality of service and that relationship of trust with the patient which is the heart of territorial medicine".
The breaking point with Minister Schillaci's project is clear: against the hypothesis of a totally state-run employment, Moratti proposes a hybrid model. The solution? Paying professionals no longer based on the number of patients, but on the hours worked. "Who would accept to practice in a mountain village with few patients?", the former councilor insists.
The real challenge is to modernise, not to cage. Digitalisation, functional aggregations between doctors and synergies between specialists are the watchwords of a project that aims to relieve the white coats from excessive bureaucratic burden.
The current inefficiencies, according to Moratti, do not derive from theautonomy of doctors, but from an obsolete organization and chronic staff shortages.
Independent GPs: Payment for hours worked in Moratti's proposal to relaunch territorial medicine
The solution comes through a complete rethinking of the system, not through a transformation that risks flattening medical professionalism.
An intervention that is proposed as a constructive alternative to the ministerial plan, with the aim of relaunching territorial medicine without distorting its essence.
In the background, a national health system that is struggling between unfinished reforms and limited resources. The Community Houses, which are so much talked about, risk remaining a mirage if not accompanied by a real strategy to relaunch territorial medicine. Moratti knows this well and in his project he inserts a crucial piece: assigning doctors, in the hours not dedicated to direct patients, to supplementary services such as home care or support at local health facilities. A model that looks at efficiency without losing the human touch, where the doctor is not a rigidly classified employee, but a dynamic resource at the service of the community.