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Italy (Bolzano) / Health / Provincial law 5 march 2001, n.7. Reordering of the provincial health service.

IT23_ITD10_Provincial law 5 march 2001, n.7. Reordering of the provincial health service._2001

Name of the country Italy (Bolzano)
Sector Health
Name of the document (original) Legge provinciale 5 marzo 2001, n.7. Riordinamento del servizio sanitario provinciale
Name of the document (English) Provincial law 5 march 2001, n.7. Reordering of the provincial health service.
Administrative level Provincial/Bolzano
Type of the document Legislation
Year of adoption 2001
Foreseen duration Unlimited
Sector Health
Territorial unit (NUTS/LAU) ITD10
Authority Provincal Council
Availability in English No
Legally binding Legally binding
SGI coverage SSGI
Integration as a concept Yes
Integration elements
Actors
Policies
Adm. levels
Fin. sources
Others
Description Collaboration between the Province, Provincial Health Department, private Health Institutions, Nursing and rehabilitation staff and staff of public welfare and charities Measures for digital and computerized renewal of the country health service The health Authority is internally divided into four health districts Funding for the national health service is guaranteed by the national health fund, which is entered in the estimates of the country, and possibly by additional deployments that are charged to the state budget, as well as all other income of the medical structures operating in South Tyrol
Major objectives Guarantee full quality of the health service
Short Summary The Province has the objective to guarantee full quality of the health service. The provincial council is in charge of planning, directing, monitoring and supervising the health service (health plan, medical service, operating license for private health institutions, tariffs, contributions, financial means, education and training, etc.). The Provincial administration assigns medical service consultants.
The provincial epidemiological supervision office is in charge of analyzing the quality and efficiency of the service.
The provincial council has implemented measures for the digitalization of the provincial health service.
The Province foresees contract bound doctors in territorial units to improve the health security of the province. The Province can further provide general practitioners with the necessary facilities, contributions etc. in disadvantaged areas.
The medical service department is regulated by the principals and criteria of the Provincial Council. Its task is the coordination of all medical activities in the territorial districts, hospitals and other private and public health service providers. It is also in charge of implementing the provincial health plan.
The medical service is divided internally into 4 health districts, which are part of a peripheral unit (Bolzano, Merano, Bressanone, Brunico). These health districts are divided into further districts according to the catchment area.
The medical service is organized in two sectors: health and administration. The health sector consists of the hospitals and the service departments. The medical service has a specific monitoring and supervision system to guarantee the quality of the service.
The hospitals have to follow the provincial guidelines and the health plan, there are specific standards for bed occupancy rate whereby a specific number is foreseen for rehabilitation and long-term patients.
The Provincial Council is responsible for the following measures: budget estimate with the relevant operational program, changes and structure of the medical service, personnel changes, yearly program and plans.
The Provincial health service is financed by the provincial health fund (taxes, income of specific health service, state contributions, other incomes of health services regarding hygiene and health, etc.) These financial means are divided between the medical districts and the health districts (according to per capita).
The province is responsible for the direction, financial support, of health institutions as well as the monitoring and supervision of the quality of the health service. The Provincial Council is in charge of the provincial health plan. The plan regulates the coordination between different health and non-health services. It stays in force for 3 years.
The health service includes, uniform care standards, medical aftercare, treatment mucoviscidosi, reimbursement of the costs connected to the provincial health service.
The Province has a contribution system for the costs of the health system, which is regulated according to income and wealth of the patient who is resident in the Province of Bolzano. The Province also sets the amount for the hospital stay per day of a patient and the ambulance service.
The health service includes:
specialist medical ambulatory services, including rehabilitation, the instrumental diagnostic examinations and laboratory tests, and hospital stays. The Provincial Council sets the conditions for the service delivery according to the national and provincial guidelines.
The Provincial Council provides the regulation for eligibility and grants the permission of establishment of private health care services according to the Regional Law 1969/10.
The Provincial committee for planning the health service is a consultative organ and mainly in charge of the health plan. It has a term of 3 years.
The Provincial rescue service "White Cross" and the Italian "Red Cross" are responsible for the rescue transport and sick people’s transport.
To guarantee the quality of the health service the medical service agencies can collaborate with public and private legal persons.
The territorial health information system is responsible for the coordination of information between the Provincial health institutions.
the Provincial Council grants contributions and subsidies for the health service.
Interviews: ST must comply with national, health laws, a network of collaboration between the health structures, good distribution and collaboration between the municipalities, rotation of night and weekend shifts of general practitioners. Division of tasks which were once part of general practitioner (e.g. integrated house visits) now also done by the social services. Already intermunicipal collaboration as there are the social health districts. The provincial Law 2001/7 (Art.4) refers to health care for disadvantaged areas, yet there is no clear definition on "disadvantaged areas". In future more telemedicine and structures were more young doctors work together, as not able to finance own ambulance.
Centralised/decentralised Decentralised
Governance model
Public services
Concession
Public-private partnership
Co-operative
Others private bodies
Comments
Measures Provincial Health Plan 2016-2020: Strenghening community-based health care through: design of the service provision considering the role of general practitioners as well as the free choice of pediatricians health and social care professionals/construction of hospital information systems/
Networking with the emergency area/Reorganization of the emergency care network and the call centers for the population/ Establishment of units for Care Management/ Coordination and better coordination of home nursing and home care/ Expansion of community-based rehabilitation in terms of domicile orientation and Shared Care Model/
Optimization of medical care for the residents of the old-age and retirement homes/ Expansion and improvement and modification of the supply network/Territorilal Office for support- and care offers/ Improving the care of cronic sick people/collaboration between health service, social service, education and service for integration into work
Type of finance
EU
Federal/national
State/cantonal/provincial
Regional
Local
No sources available.
Sources of finance
Private
Public
Stakeholders' list
Federal/national
State/provincial/departmental Provincial Council Provincial Department for health care Medical service (Sanitätsbetrieb) Provincial committee for planing the health service White Cross Red Cross
Regional
Inter-communal
Local Municipalities General Practitioner
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