NAPLES – The Campania healthcare system is facing an alarming statistic: according to Agenas's 2025 National Outcomes Program, 51 hospitals in the region have been failed for failing to meet quality care standards, the highest number in Italy.
However, there are some outstanding examples. The Federico II University Hospital in Naples is the only facility in Campania, out of 15 in Italy, to achieve a "very high level" in at least six evaluation areas. Other facilities stand out in specific areas: the Montevergine Nursing Home in the province of Avellino stands out in the cardiovascular system, while the San Giovanni di Dio e Ruggi D'Aragona Hospital in Salerno excels in the nervous system.
In oncology surgery, evaluated on seven indicators, 38 Campanian facilities achieved very high levels in at least four, including the National Cancer Institute in Naples and the Betania Evangelical Foundation. The latter also stood out for pregnancy and childbirth, while ten facilities stood out in the musculoskeletal area, particularly the Casa di Cura Pineta Grande in Castel Volturno.
However, the most significant issues are those of 51 facilities that recorded very low levels in the last two years of evaluation, showing deficiencies in the coding of clinical variables, in recording the date and time of interventions, and in adherence to process and outcome standards.
According to the report, the quality of care is improving overall, but the system remains marked by significant regional inequalities and a North-South divide, especially in the volume of complex oncological surgery, timely access to lifesaving procedures, and clinical appropriateness in the maternal and child care area.
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