Severe regional disparities and overworked healthcare staff jeopardize the 90% coverage goal by 2028
A right still denied to two out of three Italians
On the occasion of the National Day of Relief, May 25, the numbers are alarming: only 33% of patients with chronic and incurable conditions receive the palliative care they need. This is far below the target set by Law 197/2022, which aims for 90% coverage by 2028. Despite a growing trend, the system remains fragmented and unequal.
A divided Italy: the North advances, the South struggles
In Trentino, over 70% of patients receive care. Veneto follows with 55%, and Lombardy and Emilia Romagnaexceed 40%. But Sardinia, Calabria, Campania, and Marche are lagging behind, with coverage below 9%. President Mattarella has called for action to ensure territorial equality in healthcare services.
The overlooked role of the Third Sector
The Italian Federation of Palliative Care (FCP) warns: the Third Sector, despite its strong community presence and expertise, is not fully involved in planning local care networks. According to FCP President Tania Piccione, this is a missed opportunity in regions that need support the most. Including nonprofit organizations in healthcare policy is not optional — it’s necessary.
Caring for the carers: the burnout crisis
With increasing demand and inadequate resources, healthcare professionals face excessive workloads, staff shortages, and a lack of psychological support. The Italian Society for Palliative Care (SICP) highlights that 40–60% of caregiver stress stems from organizational issues. Without change, the risk of burnout threatens the very quality of care being provided.
A race against time for 2028
Reaching 90% coverage by 2028 is still possible, but only with urgent action. Investment in under-served regions, full engagement of the Third Sector, and prioritization of staff wellbeing are essential. This is not just a healthcare challenge — it’s a question of human dignity and equity.
FAQ
What is the National Day of Relief?
It is an Italian awareness day promoting relief from suffering for patients with incurable diseases.
What is palliative care?
It’s medical care focused on improving the quality of life for people with chronic or incurable illnesses.
What is Italy’s current coverage rate for palliative care?
It stands at 33% nationally.
What is the target for 2028?
To reach 90% coverage nationwide.
Which regions are leading in coverage?
Trentino, Veneto, Lombardy, and Emilia Romagna.
Why is there a territorial gap?
Because of regional disparities in healthcare organization and service provision.
What role does the Third Sector play?
It provides local support through nonprofits but is underused in care planning.
Are healthcare workers given psychological support?
In most services, no. This lack impacts their wellbeing and performance.
What are the effects of staff burnout?
It lowers the quality of care and increases turnover and emotional strain.
How can the situation be improved?
By increasing funding, involving the Third Sector, and supporting healthcare staff structurally.
Leave a Reply