Academic Journal
[Complex clinical scenarios and treatment plans: current limitations, regional disparities in access, and reform proposals].
| Τίτλος: | [Complex clinical scenarios and treatment plans: current limitations, regional disparities in access, and reform proposals]. |
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| Μεταγλωττισμένος Τίτλος: | Scenari clinici complessi e piani terapeutici: limiti attuali, disparità regionali di accesso e proposta di riforma. |
| Συγγραφείς: | Senni M; Dipartimento Cardiovascolare, ASST Papa Giovanni XXIII, Bergamo - Università degli Studi di Milano-Bicocca, Milano., Oliva F; Presidente Uscente dell'Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO)., Grimaldi M; Presidente dell'Associazione Nazionale Medici Cardiologi Ospedalieri (ANMCO)., Zito GB; Presidente delle Associazioni Regionali Cardiologi Ambulatoriali (ARCA)., Anelli F; Presidente della Federazione Nazionale degli Ordini dei Medici Chirurghi e degli Odontoiatri (FNOMCeO)., Gesualdo L; Presidente della Federazione Italiana delle Società Medico-Scientifiche (FISM)., Montano N; Presidente della Società Italiana di Medicina Interna (SIMI)., Dentali F; Presidente della Federazione delle Associazioni dei Dirigenti Ospedalieri Internisti (FADOI)., Sinagra G; Presidente Eletto della Società Italiana di Cardiologia (SIC)., Indolfi C; Presidente dell'Italian Federation of Cardiology (IFC)., Perrone Filardi P; Presidente della Società Italiana di Cardiologia (SIC). |
| Πηγή: | Giornale italiano di cardiologia (2006) [G Ital Cardiol (Rome)] 2026 Jan; Vol. 27 (1), pp. 28-33. |
| Τύπος έκδοσης: | English Abstract; Journal Article |
| Γλώσσα: | Italian |
| Στοιχεία περιοδικού: | Publisher: Il Pensiero Scientifico Editore Country of Publication: Italy NLM ID: 101263411 Publication Model: Print Cited Medium: Internet ISSN: 1972-6481 (Electronic) Linking ISSN: 18276806 NLM ISO Abbreviation: G Ital Cardiol (Rome) Subsets: MEDLINE |
| Imprint Name(s): | Publication: Roma : Il Pensiero Scientifico Editore Original Publication: Roma : CEPI-AIM Group, [2006]- |
| Ιατρικοί όροι (MeSH): | Health Services Accessibility*/legislation & jurisprudence , Health Services Accessibility*/trends , Metabolic Syndrome*/drug therapy , Regional Health Planning*/ethics , Regional Health Planning*/legislation & jurisprudence , Cardiovascular Agents*/administration & dosage , Sodium-Glucose Transporter 2 Inhibitors*/administration & dosage, Healthcare Disparities/trends ; Heart Failure/drug therapy ; Humans ; Health Care Reform ; Legislation, Drug ; Italy |
| Περίληψη: | Cardio-kidney-metabolic syndrome and heart failure remain complex clinical conditions with significant healthcare implications. While therapeutic plans were intended to ensure appropriate prescribing, they often represent bureaucratic barriers. Facilitating or removing such plans could enhance treatment timeliness, therapeutic continuity, and equitable access. This work also includes other widely used cardiovascular drugs such as direct oral anticoagulants, which remain under therapeutic plan requirements despite robust clinical experience and safety data. In light of the recent AIFA resolution of July 4, 2025, abolishing the therapeutic plan for sodium-glucose cotransporter 2 inhibitors, this paper considers such a decision as a major normative and operational breakthrough. The removal of this prescribing barrier reflects both the safety and manageability of these drugs and represents a potential model for broader regulatory simplifications. It is therefore believed that overcoming the prescribing barriers imposed by therapeutic plans is not only a clinical necessity but also an organizational and ethical imperative, in order to avoid delaying or limiting access to care. |
| Substance Nomenclature: | 0 (Cardiovascular Agents) 0 (Sodium-Glucose Transporter 2 Inhibitors) |
| Entry Date(s): | Date Created: 20251224 Date Completed: 20260424 Latest Revision: 20260424 |
| Update Code: | 20260424 |
| DOI: | 10.1714/4618.46267 |
| PMID: | 41441830 |
| Βάση Δεδομένων: | MEDLINE |
| ISSN: | 1972-6481 |
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| DOI: | 10.1714/4618.46267 |