**Significant Shortfall in Healthcare Training: 157 Million Training Gap for Nurses and Family Doctors** This title highlights the core focus of the article, emphasizing the critical training shortages in healthcare personnel, which include nurses, drug

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L’Aquila – Keep the heavy deficit of healthcare for only 24.4 million euros already in December, compared to the 128 million trend, and to go active in 2026 and 2027, thanks to a renovation and savings plan by well over 157 million in the three -year health expenditure, and then adding additional tax revenues from the Irpef, and also the cuts to the ordinary budget.

An unrealizable dream or objective within reach? The dilemma is the dilamma, also in the Augustan break, the Abruzzo policy, but in any case this is what has put the Abruzzo region governed by over six years by the center -right of Marco Marsilio of Fdi, in the Operational Plan approved in the Council and presented on 10 July at the interministerial monitoring table in Rome, which is now considering it, in view of the next September meeting.

Among the most full-bodied voices, illustrated below in detail, the imposition of a 2% cut of the historical expenditure for the four ASLs, equal to 48 million (13 million to be paid by the ASL Teramo, 15.5 million to the ASL of Lanciano-Vasto-Chieti, 16 million for the Sulmona ASL-Avezzano-L’Aquila, 4 million to the ASL of Pescara), and still savings for 21.5 million in the supply of the drugs, and 8.2 million for the prescriptive appropriateness of the same, 5.1 million from the rationalization of the supplies of medical devices, 12.6 million from the expenditure of the affiliated clinics, 8 million from the discounted revision of the supplementary agreements with the general practitioners and pediatricians of free choice.

If the center -right is keen to underline that the staff will not be touched and that the plan will guarantee the current levels of health service, for the oppositions and part of the unions instead, inevitably to pay this maneuver tears and blood will be citizens and users, given that the level of services will inevitably be compromised.

In the photograph of the status quo, in the same document, the 2025 deficit is quantified, as a trend at the end of December to 128 million euros for 2025, to 83.6 million for 2026 ea
75.4 million for 2027.

But with the savings provided by the Plan, and with the additional resources from regional budget destined for health of 103 million euros, or the tax revenues increased thanks to the Irpef investigation for income exceeding 28 thousand euros, it will descend into the threshold of the safe security of a liabilities of only 24.6 million in 2025, and then it will even be in profit in 2026 for 20.2 million and in 2027 in profit of 28.4 million.

“Impossible” has already affirmed the group leader of the Democratic Party, and former councilor for health, Silvio Paolucciwhich following an access to the documents has made it known, to say, that the report of Abruzzo health expenditure already on June 3, the operating costs of the ASL, not only did not decrease with a return plan already put in place before the presentation of the operational plan in July – but increased by 4th million euros.

On the contrary, the Councilor for Health, Nicoletta Verì He had assured that the Conti are improving, and the 2025 tendential has already dropped to 90 million.

Net of the ballet of figures, and waiting for official and updated data, we therefore see what it provides, point by point. The great plan of savings of health expenditure until late 2027.

“Rationalizing the approved investment programs” will have to bring 30 million, reads the document, “in this three -year planning deed, a maximum annual amount of investments to be made with the operating account for the ASLs, equal to 10 million, has been defined by the regional service. Furthermore, the individual ASLs have proposed the reduction of investments with contributions in the operating account in the rationalization plans aimed at respecting the reduction of 2% of the operating costs required by the Region It also commits to covering part of the investments made by the ASL in the operating account with the FSC residual funds “.

Then there is the “optimization of the procedures for the supply of drugs”, from the value of 21.5 million euros of savings, through “an efficient management of the timing of the tenders and the collaboration with other regions or central clients. To respect the supply deadlines,” there is a close collaboration between local healthcare companies, the regional health department and the area of ​​the single station), in order to identify the drugs). priority for races and those expiring of patent to be renegotiated quickly “.

Still it is expected to “encourage the use of biosimilant drugs at a smaller price”, for 1.5 million euros, with a “periodic update of the list of expired biological drugs, together with the relative acquisition prices, in order to precisely define the prescription objectives. This update will be carried out on the basis of the patent deadlines of the individual drugs. Parallel, a continuous monitoring of the daily doses will be implemented (DDD) of biological drugs in expired patent, compared to the total of the same active ingredient, to evaluate the progress of the prescriptions and adherence to the set objectives “.

Always worth the pharmaceutical expenditure, there is the objective aimed at “improving prescriptive appropriateness”, especially for the most expenditure therapeutic categories and greater risk of inappropriateness with an expected saving of 8.2 million.

The document reads that “a structured monitoring and verification system will be activated, aimed at evaluating the achievement of the set objectives and to guarantee a more rational and effective use of pharmaceutical resources”.

The “process of rationalization of the supply of devices”, for 5.1 million euros, “with the use of medical devices, based on the estimate of the needs and on the selection of clinically effective but more sustainable solutions, also targeted. In the heart department the use of less expensive alternative devices has been favored, while in the service department the use of in vitrous diagnostic devices according to appropriateness devices was reviewed. Furthermore, the consumption of active implantable devices and the management of the related stocks are also optimized “.

We come to the heaviest item, the “Plans of rationalization of the expenditure”, by the ASL for 48 million, with the aim of complying with the 2% reduction of the operating costs required by the Region.

“These plans provide for interventions on different expenditure areas, with a widespread and coordinated action. Among the main measures adopted, the renegotiation of the existing contracts, the temporary merger of services, the remodeling of maintenance interventions. Further reductions of costs on the services will be generated by the award of the new AreaCom races”.

Furthermore, with reference to the costs for IT assistance services, “a strong reduction in costs for the GSA has been foreseen, as starting from 2026, most of the IT contracts currently active at the competent regional department, for which the cessation or alternative funding sources or sources of financing” will necessarily be provided.

Following the measure “Periodic update of purchasing programming”, for 13.2 million and another 12.6 million will have to come from the “improvement of prescriptive appropriateness”, especially “for the therapeutic categories at greater spending and greater risk of inappropriateness”, an intervention “aimed at containing the affiliated pharmaceutical expenditure”, with continuous monitoring.

Then there is the measure “approval of the regional supplementary agreements of general medicine and pediatrics of free choice”, with a value of 8 million euros, or by proceeding with the conclusion of the signing of the agreements that can generate “a containment of the resources intended for the current agreements, through a careful negotiation that limits the incentives for the actual welfare needs, linked to specific activities and services”.

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