Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging

Universal Health Coverage (UHC) is a set of principles adopted by the World Health Organization (WHO) aimed to guarantee access to primary care for the entire world population through a range of essential health services without neglecting the diagnostic aspect. Italy is one of the signatory states,...

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Main Authors: Pietro Cappabianca, Gaetano Maria Russo, Umberto Atripaldi, Luigi Gallo, Maria Paola Rocco, Giovanni Pasceri, Michele A. A. Karaboue, Silvia Angioi, Salvatore Cappabianca, Alfonso Reginelli
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Medical Sciences
Subjects:
Online Access:https://www.mdpi.com/2076-3271/9/4/61
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author Pietro Cappabianca
Gaetano Maria Russo
Umberto Atripaldi
Luigi Gallo
Maria Paola Rocco
Giovanni Pasceri
Michele A. A. Karaboue
Silvia Angioi
Salvatore Cappabianca
Alfonso Reginelli
author_facet Pietro Cappabianca
Gaetano Maria Russo
Umberto Atripaldi
Luigi Gallo
Maria Paola Rocco
Giovanni Pasceri
Michele A. A. Karaboue
Silvia Angioi
Salvatore Cappabianca
Alfonso Reginelli
author_sort Pietro Cappabianca
collection DOAJ
description Universal Health Coverage (UHC) is a set of principles adopted by the World Health Organization (WHO) aimed to guarantee access to primary care for the entire world population through a range of essential health services without neglecting the diagnostic aspect. Italy is one of the signatory states, which means that diagnostic services should be appropriated and exigible throughout the national territory equally. Our research analyzed and identified the main criticalities in terms of age, territorial distribution, and technological and health appropriateness of installed Computed Tomography (CT) needed to meet the principles of UHC. Data analyzed in our study were published by Assobiomedica at the end of 2016 and by COCIR, which included and investigated the installed fleet of diagnostic equipment in the Italian sanitary system and in various European countries. The 6th point of the Alma Ata Declaration defines the concept of “primary health care”, which includes the importance of the diagnostic phase in the Italian health care system to provide Essential Levels of Assistance (LEA). It is clear from our studies that the technology at the national level is not adequate to satisfy the UHC principles or the European criteria, with negative effects on the diagnostic standards and on advanced screenings. This study conducted on the installed CTs in Italy at the end of 2016 confirms the persistence of progressive aging that has been recorded for several years in the health facilities of the country and suggests incentive policies for the replacement of obsolete equipment, which represent a form of investment rather than a cost, due to the nature of the expenditure itself, one-off and amortizable over time.
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spelling doaj.art-7889ea9f330741caa60011c119748cbf2023-11-23T09:29:33ZengMDPI AGMedical Sciences2076-32712021-09-01946110.3390/medsci9040061Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic ImagingPietro Cappabianca0Gaetano Maria Russo1Umberto Atripaldi2Luigi Gallo3Maria Paola Rocco4Giovanni Pasceri5Michele A. A. Karaboue6Silvia Angioi7Salvatore Cappabianca8Alfonso Reginelli9Centro Interdipartimentale di Ricerche Neurologiche, Università degli Studi della Campania “Luigi Vanvitelli”, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyFacoltà di Medicina e Chirurgia, Università Vita-Salute San Raffaele, 20132 Milano, ItalySezione Medicina Legale, Dipartimento Medicina Sperimentale “L. Vanvitelli”, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Scienze Politiche “Jean Monnet”, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyDipartimento di Medicina di Precisione, Università degli Studi della Campania Luigi Vanvitelli, 80121 Napoli, ItalyUniversal Health Coverage (UHC) is a set of principles adopted by the World Health Organization (WHO) aimed to guarantee access to primary care for the entire world population through a range of essential health services without neglecting the diagnostic aspect. Italy is one of the signatory states, which means that diagnostic services should be appropriated and exigible throughout the national territory equally. Our research analyzed and identified the main criticalities in terms of age, territorial distribution, and technological and health appropriateness of installed Computed Tomography (CT) needed to meet the principles of UHC. Data analyzed in our study were published by Assobiomedica at the end of 2016 and by COCIR, which included and investigated the installed fleet of diagnostic equipment in the Italian sanitary system and in various European countries. The 6th point of the Alma Ata Declaration defines the concept of “primary health care”, which includes the importance of the diagnostic phase in the Italian health care system to provide Essential Levels of Assistance (LEA). It is clear from our studies that the technology at the national level is not adequate to satisfy the UHC principles or the European criteria, with negative effects on the diagnostic standards and on advanced screenings. This study conducted on the installed CTs in Italy at the end of 2016 confirms the persistence of progressive aging that has been recorded for several years in the health facilities of the country and suggests incentive policies for the replacement of obsolete equipment, which represent a form of investment rather than a cost, due to the nature of the expenditure itself, one-off and amortizable over time.https://www.mdpi.com/2076-3271/9/4/61diagnostic imaginginstalled CT fleetradiologyUHC
spellingShingle Pietro Cappabianca
Gaetano Maria Russo
Umberto Atripaldi
Luigi Gallo
Maria Paola Rocco
Giovanni Pasceri
Michele A. A. Karaboue
Silvia Angioi
Salvatore Cappabianca
Alfonso Reginelli
Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
Medical Sciences
diagnostic imaging
installed CT fleet
radiology
UHC
title Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
title_full Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
title_fullStr Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
title_full_unstemmed Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
title_short Universal Access to Advanced Imaging and Healthcare Protection: UHC and Diagnostic Imaging
title_sort universal access to advanced imaging and healthcare protection uhc and diagnostic imaging
topic diagnostic imaging
installed CT fleet
radiology
UHC
url https://www.mdpi.com/2076-3271/9/4/61
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