6533b82bfe1ef96bd128e1ab

RESEARCH PRODUCT

White Paper of Italian Gastroenterology: Delivery of services for digestive diseases in Italy: Weaknesses and strengths

Giovanni FerriniAntonietta BiancoPaolo RavelliMichele CicalaAurora BortoliRenato CannizzaroPiero LeoEmanuele MeroniPaolo SpolaoreGianni GattoManola LisieroFilippo AntoniniAngelo ZulloAntonio BalzanoSabrina BianchiEmanuele ScafatoGiancarlo SpinziLucio AmitranoLuca FrulloniRenzo GullottaEugenio BrunelliO. TriossiItalo SorrentiniMario MariniDiego FregonesePaolo BorroDanilo BadialiGiovanni SansoèR. CupponeEnrico CorazziariLuciana FramarinL.m. MontalbanoP. BrosoloT. FedericiGianni TestinoAlessandro SumberazAttilio SolinasA. SalmiRenato MarinL. BuriIvo BoskovskiItalo StroppaIvano LorenziniGiovanni Di MatteoSalvatore CucchiaraIlaria TarantinoCesare HassanNicola MuscatielloGiovanni M. ClaarStefano BellentaniLuca BarresiFrancesco GuardascioneMario Del PianoMario AngelicoLuigi VilardoPaolo Usai-sattaLuigi PasqualeG. ScarpullaSantino MarchiRoberto PenaginiVincenzo GalloLuigi FamiliariFrancesco CupellaLivio CipollettaEgiziano PeruzziGianfranco Delle FaveSalvatore AdamoLuca ElliS. CrottaMaurizio ZilliAntonio CilonaBastianello GermanàFrancesco PalloneLeonardo TammaroP. FracassoFabio PaceGiovanni De PretisAlfredo Di LeoPietro FamiliariGiorgio FrosiniGiuseppe MilazzoMaria Teresa BardellaMichele Di CilloFausto ChiloviEnrico CilibertoFloriano RosinaAlessandro ZambelliFranco BazzoliMaria RendinaFrancesco RidolfiFranco RadaelliMassimo ConioMassimiliano BiaginiMassimo BelliniClaudio De AngelisMaria Caterina ParodiGuido CostamagnaPietro FusaroliGioacchino LeandroPier Alberto TestoniPiero LorigaOrnella AncaraniGiacomo GermaniFabio FarinatiGiancarlo CalettiSergio MoriniCarlo GemmeAntonio BenedettiAdriano LauriGianmarco FavaMauro BorzioMario TrainaMarcello IngrossoAmuso MGiampiero MacarriRosa FilibertiA. MarinoCinzia QuondamcarloFrancesco BortoluzziL. PiazziRaffaele MantaSalvatore De StefanoRita ConigliaroMichele De BoniAndrea EderleClara VirgilioMarco SonciniMario CottoneG.c. SturnioloAnna KohnMaurizia Rossana BrunettoMatteo NeriElisabetta BuscariniNicola D'imperioGennaro D'amicoPatrizia BurraAntonio CraxìS. PeraltaAlessandro NataliGiuseppe Del FaveroGiovanni ActisAndrea NucciDario ConteStefano FagiuoliSanto MonastraFabrizio Magnolfi

subject

MaleGastrointestinal DiseasesTreatment outcomeDiseasesMedical careGastroenterologyCancer; Digestive diseases; Emergency; Gastroenterology; Gastrointestinal bleeding; Hospital discharge record; Hospital stay; Mortality; Adolescent; Adult; Aged; Aged 80 and over; Child; Child Preschool; Emergencies; Female; Gastroenterology; Gastrointestinal Diseases; Gastrointestinal Hemorrhage; Health Planning; Health Services; Health Services Needs and Demand; Hospital Mortality; Hospital Units; Humans; Incidence; Infant; Infant Newborn; Italy; Length of Stay; Male; Middle Aged; Prevalence; Societies Medical; Treatment Outcome; Young AdultHealth servicesWhite paperDigestive diseaseitaly80 and overPrevalenceMedicineCancer; Digestive diseases; Emergency; Gastroenterology; Gastrointestinal bleeding; Hospital discharge record; Hospital stay; Mortality; Adolescent; Adult; Aged; Aged 80 and over; Child; Child Preschool; Emergencies; Female; Gastroenterology; Gastrointestinal Diseases; Gastrointestinal Hemorrhage; Health Planning; Health Services; Health Services Needs and Demand; Hospital Mortality; Hospital Units; Humans; Incidence; Infant; Infant Newborn; Italy; Length of Stay; Male; Middle Aged; Prevalence; Societies Medical; Treatment Outcome; Young Adult; Hepatology; GastroenterologyHospital MortalityChildSocieties MedicalCancerAged 80 and overSettore MED/12 - GastroenterologiaHospital stayIncidenceIncidence (epidemiology)GastroenterologyHealth ServicesMiddle AgedDigestive diseases Emergency Gastroenterology Gastrointestinal bleeding Hospital discharge record Hospital stay MortalityTreatment OutcomeChild PreschoolFemaleChristian ministryGastrointestinal HemorrhageHospital UnitsHospital discharge recordAdultgastroenterology; Diseases; italymedicine.medical_specialtyAdolescentYoung AdultCase mix indexMedicalInternal medicineHumansCancer Digestive diseases Emergency Gastroenterology Gastrointestinal bleeding Hospital discharge record Hospital stay MortalityMortalityPreschoolGastrointestinal bleedingAgedHealth Services Needs and DemandHepatologybusiness.industryInfant NewbornInfantLength of StayHepatologyNewbornHealth PlanningEmergencyDigestive diseasesEmergenciesSocietiesbusiness

description

In 2011 the three major Italian gastroenterological scientific societies (AIGO, the Italian Society of Hospital Gastroenterologists and Endoscopists; SIED, the Italian Society of Endoscopy; SIGE, the Italian Society of Gastroenterology) prepared their official document aimed at analysing medical care for digestive diseases in Italy, on the basis of national and regional data (Health Ministry and Lombardia, Veneto, Emilia-Romagna databases) and to make proposals for planning of care. Digestive diseases were the first or second cause of hospitalizations in Italy in 1999–2009, with more than 1,500,000 admissions/year; however only 5–9% of these admissions was in specialized Gastroenterology units. Reported data show a better outcome in Gastroenterology Units than in non-specialized units: shorter average length of stay, in particular for admissions with ICD-9-CM codes proxying for emergency conditions (6.7 days versus 8.4 days); better case mix (higher average diagnosis-related groups weight in Gastroenterology Units: 1 vs 0.97 in Internal Medicine units and 0.76 in Surgery units); lower inappropriateness of admissions (16–25% versus 29–87%); lower in-hospital mortality in urgent admissions (2.2% versus 5.1%); for patients with urgent admissions due to gastrointestinnal haemorrhage, in-hospital mortality was 2.3% in Gastroenterology units versus 4.0% in others. The present document summarizes the scientific societies’ official report, which constitutes the “White paper of Italian Gastroenterology”

yearjournalcountryeditionlanguage
2014-01-01Digestive and Liver Disease
https://doi.org/10.1016/j.dld.2014.02.019