San Raffaele: “We do not carry out home visits for € 450, only diagnostic tests cost a lot”

“The telemedicine service of the IRCCS San Raffaele Hospital was implemented well before the health emergency for Covid-19 and was created with the aim of bringing the hospital to the patients’ homes to maintain continuity of care and provide opportunity for those who cannot travel to ask for a consultation with the hospital specialists. In just a few months, over 20,000 patients have signed up for the service that makes specialists available for 43 clinical specialties. Last October, telemedicine was also extended to the Covid emergency with a service that provides not only the video visit, but also the possible diagnostic assistance at home for patients positive for the Covid-19 test “. So at the HuffPost the “San Raffaele” hospital in Milan replies to the controversy that arose after the spread of the rates of the health care and home diagnostics service made available to the structure.

Telephone or video consultation via the Telemedicine platform and, based on the doctor’s assessment, request at home for the execution of diagnostic tests: chest x-ray, blood tests, saturation and subsequent teleconsultation to discuss the results: these are the services provided by structure that – we read on site of the hospital – “guarantees full support to subjects in compulsory isolation”.

The “San Raffaele” continues to the Huffpost: “Basically, with a lower cost than a normal paid visit to the hospital, the patient can request a video visit with a Covid specialist doctor and based on the evaluation, if he considers it , request the execution of diagnostic tests at home. Born as a service initially dedicated to solvency activities, today telemedicine is being tested as regards integration with the National Health Service (SSN) ”.

For patients who decide to rely on the doctors of the Milanese facility, the procedure provides for a first medical consultation which can be by telephone or video necessary to “frame the state of health of the patient positive for Covid-19” at a price of 90 euros. After this first step, if “the doctor deems it appropriate to carry out diagnostic tests to ascertain the patient’s health, the latter can book the Home Diagnostics package at the price of 450 euros”. The service includes: blood sampling, chest X-ray, saturation measurement and medical consultation with final report.

The service sparked controversy. Attilio Galmozzi, a doctor at the Crema hospital also spoke on the issue: “The business on Covid, no. I beg you. Save that at least. I hope this latest indecent affront ends tomorrow morning, ”he wrote on Facebook. Many citizens have also underlined how the services offered by private health structures bring out the gaps in the regional public health service.

One aspect, that of the critical issues related to home care provided by public health, also underlined by the regional councilor Pd Matteo Piloni, who wrote on Facebook: “Are you positive at Covid and in isolation? Are the Usca not working as they should? Don’t worry, the private person will take care of it – we read – if Ats or your doctor does not call you or do not answer, San Raffaele will take care of it. With a video or telephone consultation for 90 euros and, if the doctor deems it, with 450 euros for a diagnostic service at home. The public trudges and the private gets fat ”.

According to the data released at the end of October and reported byActed, only 46 Usca (special assistance continuity units) would be activated in Lombardy compared to the 200 planned. These realities, made up of young doctors on the basis of a decree law of March, should have constituted a barrier against a possible second wave of Covid avoiding the overcrowding of hospitals.

The Agi underlines that none of the Lombard provinces has a number of teams approaching that expected in the past months. Regional sources specify that the calls to establish the Usca would not have been successful due to a lack of doctors according to the objectives set.

Below, the full reply of the IRCCS San Raffaele to the controversy over the service offered:

The telemedicine service of the IRCCS San Raffaele Hospital was implemented well before the health emergency for Covid 19 and was created with the aim of bringing the hospital to the patients’ homes to maintain continuity of care and give the opportunity to those who cannot travel to ask for a consultation with the hospital specialists.

In just a few months, over 20,000 patients have signed up for the service that makes specialists available for 43 clinical specialties.

Last October, telemedicine was also extended to the Covid emergency with a service that provides not only the video visit, but also the possible diagnostic assistance at home for patients positive for the Covid-19 test.

Basically, with a lower cost than a normal paid visit to the hospital, the patient can request a video visit with a Covid specialist doctor and, based on the evaluation, if he considers it, request the diagnostic tests at home. : Chest x-ray, blood tests, saturation and subsequent teleconsultation to discuss the results. (The cost of the online video visit is 90 euros while the package of diagnostic tests at home is 450 euros). Then, if the patient’s condition requires clinical investigation, the patient is referred to the symptomatic pauci clinic with the National Health Service. If, on the other hand, the patient is considered to be in severe conditions, the 118 service is advised.

Born as a service initially dedicated to solvency activities, today telemedicine is in the test phase as regards integration with the National Health Service (SSN).

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