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Italy (Bolzano) / Health / Ministry of Health-National Health Plan 2011 - 2013

IT22_IT0_Ministry of Health-National Health Plan 2011 - 2013_2011

Name of the country Italy (Bolzano)
Sector Health
Name of the document (original) Ministero della Salute - Piano Sanitario Nazionale 2011 - 2013
Name of the document (English) Ministry of Health-National Health Plan 2011 - 2013
Administrative level National
Type of the document Plan
Year of adoption 2011
Foreseen duration 2013
Sector Health
Territorial unit (NUTS/LAU) IT0
Authority Ministry of Health
Availability in English No
Legally binding Legally binding
SGI coverage SSGI
Integration as a concept Yes
Integration elements
Adm. levels
Fin. sources
Description synergic action by the central Government and the Regions and Autonomous Provinces, which must also involve other participants, such as - among others - the scientific institutions and associations of producers and consumers New resources made available by the State remain bound to the fundamental objectives of improvement of the national health service, identified jointly by the State and the Regions Participation of European funding health care and research, constitutes a real added value both cultural and scientific for the Italian health system stressed the desire to give certainty of resources to the NHS on a multi-year framework, confirming a growth trend of funding compatible with existing financial programming of the country financial responsibility of the Regions Region may enable investment programs financed with both its budgetary resources and with state resources The Ministry of Health has reserved special funds for co-financing of specific regional programs for the implementation of the NHP projects
Major objectives 1. improving the National Health Service
2. Ensure continuity of care
3. Globality of health cover
4. Investment in new technologies, computer and information system
5. Fair treatment and access to services through the maximum simplification
6. Protection and care of the most vulnerable people (disabled people, elderly, psychiatric disorders, people with addiction)
7. Spread of palliative care and therapy to relieve pain;
8. A more efficient management of health services (eliminating waiting lists, "priority corridors" for chronicity) (p. 8)
Short Summary The National Plan of Health Services inlcudes the principles of public responsibbility for the protection of the community's health and rights of the person; gratuitousness of care within the limits established by law; globality of health cover as defined by the essential level of care. Evoution of the National Health Service. Strategies and aims. Assesment of the National Health System and monitoring the national health plan.
It is therefore a macro tool addressing the planning of health which includes agreements, plans, prgrams, coordination elements as well as integration and synergies between these elements. Furthermore, it should guarantee a uniform application of the objectives at the national leval as well as considering the needs of the specific local territory (p. 2)
The development of the system inorporates the promotion of "implementation of the basic level, with particular regards the social and health care and the network of long-term care, active prevention, the reorganization of primary care, rehabilitation, promotion of a real clinical governance and which sees that the various players in the system are directly involved and empowered (p. 7). This can be realised through integrating variouse factors such as continuing education, clinical risk management, audits, medicine based on evidence, clinical guidelines and care pathways, handling complaints and disputes, communication and documentation management, research and development , evaluation of the results, the multidisciplinary collaboration, the involvement of patients, as well as the correct and transparent information and personnel management (p. 7).
The economic sustainability of the national health system must be guaranteed through a system of multilevel governance (national, regional and agencies) capable of ensuring a constant balance between the performance of the system and the system of funding. This balance must be maintained in a highly dynamic evolutionary context of regional and national health systems and must reconcile the requirements for effectiveness with those of efficiency, through compliance with defined criteria of costs in "sphere of relations of the State-Regions.
The State guarantees the essential level of care and the regions have the responsibility for effective application in its territor.
With the approval of the allocation of financial resources of the National Health Service for the year 2010 ended a complex phase of economic-financial planning and regulation of the NHS that was open with the decree law no. 112/2008, converted into Law no. 133/2008, art. 79, n. 1a, which it states that "for the years 2010 and 2011 access to additional financing from the state arising from the provisions of paragraph 1, compared to the level of funding provided for the year 2009, is subject to the signing of a specific agreement between the State, regions and autonomous provinces of Trento and Bolzano (...)"
1.3. Governance: It is necessary to reinforce the system of multilevel governance (national, regional and agencies involved) it is their role to define the basic guidelines, ensure compliance in actual behaviors and ensure a reasonalbe degree of accountability towards institutional actors and citizens) (p. 13)
1.4. The Italian National Health Service, as also noted by the WHO and the OECD, is characterized internationally for the main points of distinction: universal health care responsiveness, accessibility to citizens' services, large pharmaceutical coverage under the NHS, life expectancy in good health at birth, networks for the conduct of organ transplants, free child care, diffusion of diagnostic high-tech, high levels of vaccination coverage. In the face of these strengths they will also point out the following criticality of the system (p. 13).
The National Health Plan includes the actions for the development of the national health service (checks on environmental determinants (p. 23); for health and safety at work (p. 24); public health veterinary and animal welfare (p. 26); food sfety and nutrition (p. 28))
Moreover in point 4.2 p. 76 it takes account of the information and communication technology.
To this end, this plan gives priority, in the scope of the financing provided in the special program of investment in health, referred to art. 20 of Law 67/1988, the redevelopment of the hospital network, with the conversion of small hospitals and their transformation in the new modells of territorial offer developed by the regions taking into account national programming directions.
The transformation of small hospitals must be initiated simultaneously: to the full functioning of the network of emergency-urgency; the development of the home care system; the availability of residential structures, in particular for the rehabilitation and for the frail elderly.
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