Abstract
In Italy, major initiatives to address chronic diseases
are relatively recent but relevant strategies are receiving
increasingly greater attention by policy-makers and
health care providers. However, as a consequence of the
increasing autonomy of regions, there is considerable
diversity with regard to the extent and quality of such
strategies across the country, or even across local health
authorities within regions, with many initiatives tending
to be located in the north of the country. In addition, as
in other countries, there is considerable fragmentation
between social (municipalities) and health care services
(local health agencies).
Recent initiatives have aimed to overcome these
challenges through implementing centrally planned and
target-driven coordination. Examples include diabetes,
for which there is a framework for initiatives of regional
and local authorities, which are responsible for adapting
the guidelines to their own specific organizational
and epidemiological features and to achieving the
targets agreed upon. This framework for diabetes was
confirmed by the 2010 national plan for prevention,
covering the period 2010–2012 and identifying
diabetes management as a priority for regional and local
authorities and which has been adopted by all regions.
Furthermore, a small number of regions and local
health agencies have cautiously introduced a number of
experimental initiatives on chronic diseases that are not
(yet) considered by national projects, mainly involving
specific formation of GPs – often promoted by scientific
organizations or pharmaceutical companies. Accordingly,
attempts to implement disease management can be
expected to spread slowly.
Lingua originale | English |
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Titolo della pubblicazione ospite | Assessing chronic disease management in European health systems. Country reports |
Pagine | 79-89 |
Numero di pagine | 11 |
Stato di pubblicazione | Pubblicato - 2015 |
Keywords
- Approaches
- Chronic disease
- Healthcare reforms