Campania passes the essential levels of care test, but remains at the bottom of the Italian healthcare system. It is compliant under the new guarantee system, like only twelve other regions and autonomous provinces, but ranks thirteenth out of twenty-one in the national ranking of essential levels of care. This is confirmed by the latest available 2023 data, presented by Nino Cartabellotta, president of the Gimbe Foundation, during a hearing before the Senate Constitutional Affairs Committee on the bill on essential levels of care.
Campania's overall score stands at 206, well below the national average of 226 and far behind the leading regions. This result reflects a healthcare system capable of providing basic services, but still struggling with equity and overall quality of care. According to Gimbe, this gap risks becoming structural if the process of differentiated autonomy continues without corrective measures.
"The essential levels of services do not coincide with the essential levels of care, either in terms of legislation or substance," Cartabellotta emphasized to senators. "The government's decision to equalize them has the clear objective of accelerating the implementation of differentiated autonomy, which risks becoming a multiplier of inequalities." This move, according to the president of Gimbe, could legally solidify regional differences that are already unacceptable, further penalizing Southern Italy and increasing healthcare mobility toward the North.
Specifically, Campania is experiencing critical issues, especially in the area of prevention, where the gap with the most virtuous regions remains wide, but also highlights limitations in district and hospital care. This overall picture reveals a region struggling to meet the highest standards of the National Health Service, despite managing to remain above the minimum compliance threshold.
The message coming from the Senate is clear: without a rigorous and uniform definition of healthcare LEPs, the risk is that of consolidating a multi-tier system, in which place of residence continues to determine access to and quality of care.
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