Template-type: ReDIF-Article 1.0 Author-Name: Gianluca Busilacchi Title: Editoriale Abstract: Classification-JEL: Keywords: Note: Pages:5-9 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50127&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003001 Number: 1 Template-type: ReDIF-Article 1.0 Author-Name: Gianluca Busilacchi Title: Sonetti Sanitari di Gioacchino Belli Abstract: Classification-JEL: Keywords: Note: Pages:10-13 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50128&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003002 Number: 2 Template-type: ReDIF-Article 1.0 Author-Name: Walter Ricciardi Author-Name: Silvia Longhi Author-Name: Antonio Giulio de Belvis Author-Name: Roberto Falvo Author-Name: Tiziana Sabetta Author-Name: Andrea Silenzi Author-Name: Pessina Eugenio Anessi Title: Scelte di spesa e trend epidemiologici: un modello di simulazione Abstract: The Report Salute Italia 2028 aims at estimating the health needs of the Italian population by 2028 as a planning tool that can be used in the decision making process. The development of forecasts, trends and scenarios is helpful in identifying the actions to be taken with an evidence-based approach, in order to try to align the health services supply with the emerging health needs. The analysis is based on a set of indicators recognized at the national and international level. Most data derive from the Italian Observatory Healthcare Report and statistical models have been used to estimate future trends. An effort was made to develop a methodology able to link the trends emerged to the economic-financial and supply perspective. The report highlights which will be the peculiar needs of the Italian population and the main critical situations in the span time considered. Core indicators have been selected and analyzed regarding the following areas: demographic scenario, burden of disease (tumors, cardiovascular and infectious diseases, diabetes), institutional framework and health care expenditure. The financial crisis in Italy can affect substantially the crucial sector of the health care. The spending review process should avoid horizontal policies that can reduce the health expenditure in the short term, but resulting in the long term in a reduction of the health services covered and, thus, of the health status of the population. Classification-JEL: Keywords: Note: Pages:14-25 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50129&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003003 Number: 3 Template-type: ReDIF-Article 1.0 Author-Name: Nerina Dirindin Author-Name: Chiara Rivoiro Title: Efficienza ed equit? nelle scelte della sanit? pubblica italiana: universalismo, federalismo e livelli essenziali di assistenza Abstract: In 2005, the member states of Who encouraged countries to develop health financing systems with universal coverage. In 2011, the United Nations Conference noted that countries with best health status are those with some form of universal coverage. The article explores the link between universalism and economic crisis in Italy, the ongoing process in countries that do not have a welfare system and discusses the three dimensions of universalism according to the approach proposed by the Who Classification-JEL: Keywords: Note: Pages:26-38 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50130&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003004 Number: 4 Template-type: ReDIF-Article 1.0 Author-Name: Francesco Di Stanislao Title: La valutazione della performance nel sistema sanitario Abstract: Nowadays, the evaluation of the performance in the healthcare system is needed to guide policy-makers and to make clear the results to the citizens. In this work, the international, national and regional experiences are outlined. Among the national experiences, we have described the monitoring system of the Essential Levels of Assistance (LEA), the Outcomes National Program (PNE) and the new National System of Quality Assessment under development. Moreover, we have described the features of performance evaluation of health regional systems Classification-JEL: Keywords: Note: Pages:39-57 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50131&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003005 Number: 5 Template-type: ReDIF-Article 1.0 Author-Name: Walter Ricciardi Author-Name: Antonio Giulio de Belvis Author-Name: Tiziana Sabetta Author-Name: Andrea Silenzi Title: Effetti della crisi sulla salute e sull?accesso ai servizi nelle regioni italiane Abstract: The Italian Observatory Healthcare Report (IOHR - 9th edition) collects comparable data on health status and quality of healthcare services throughout Italy and supply policy makers with a set of indicators validated at international level in order to help them in the decision making process. The present IOHR aims to describe quality of healthcare and the effects of the economic crisis on health. The report realizes a benchmarking activity and indicators selected are analyzed according to: meaning, feasibility and quality, comparability and reliability. Each indicator is validated by a panel of public health experts in terms of meaning, pattern, validity and limits; graphic representations and recommendations for decision makers are included and a peer reviewing is performed for quality assessment. Indicators on population dynamics, survival, cardiovascular diseases, cancer, infectious diseases show that the overall health status of Italians is good, nevertheless, changes in lifestyles, diet and healthcare supply are evident and out of pocket expenses are growing as well as anti-depressant drugs consumption and suicides. Regional differences are constant and economic crisis might increase inequalities. The IOHR describes the overall health status in Italy as good, nevertheless, the effects of economic crisis on health are already visible: it is necessary to stimulate the provision of preventive services and ad hoc social and health policies in order to prevent citizens to become ill and reduce differences between geographical macro-areas, regions and gender that are widening Classification-JEL: Keywords: Note: Pages:58-69 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50132&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003006 Number: 6 Template-type: ReDIF-Article 1.0 Author-Name: Gianluca Busilacchi Title: Lo stato di salute percepito e la soddisfazione dei bisogni di cura: la situazione italiana in europa dall?indagine EU-SILC Abstract: Usually the analysis of European health systems is based on health supply, rather than demand. And even when data regarding health demand are available, the focus is on health consumption rather than real needs. For the first time the EU-SILC survey provides a set of data concerning the "self-perception of health" of the European citizens. The article analyses these data, showing the main features of this issue in Europe and Italy Classification-JEL: Keywords: Note: Pages:70-88 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50133&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003007 Number: 7 Template-type: ReDIF-Article 1.0 Author-Name: Giuseppe Zuccatelli Author-Name: Claudio Maria Maffei Title: Come cambia l?assistenza agli anziani non autosufficienti nelle marche: alcuni spunti di riflessione Abstract: The aim of the paper is to describe the Long-term Care system of the Marche Region and to identify main challenges to ensure its sustainability in times of economic recession. Using administrative routine data of hospital discharges, the paper analyses possible reforms of the hospital networks in the Marche Region by identifying those "potentially inappropriate" hospital stays which could be shifted to alternative institutions, such as the so-called "intermediate care institutions". Before concluding with some final remarks, the role and the support of the informal caregivers are discussed. It is presented the care model of "Up-Tech", an intervention research project recently funded by the Ministry of Welfare aiming at supporting the family caregivers of Alzheimer Patient through a multi-component intervention, entailing the use of case manager social workers, preventive nurse visit and new Information and Communication Technologies. Classification-JEL: Keywords: Note: Pages:89-102 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50134&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003008 Number: 8 Template-type: ReDIF-Article 1.0 Author-Name: Franco Pesaresi Author-Name: Fabio Ragaini Title: L'integrazione socio-sanitaria nelle marche: modello e stato di attuazione Abstract: The article describes the organizational model of the social and health services chosen by Marche Region both at regional and local level. At regional level the planning function prevails, while locally the prevailing function is based on management. The article also gives an analysis of the implementation state of the social-health integration?s regional system. Classification-JEL: Keywords: Note: Pages:103-120 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50135&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003009 Number: 9 Template-type: ReDIF-Article 1.0 Author-Name: Servizio sanit? Regione Marche Author-Name: Angela Genova Author-Name: Patrizia Carletti Title: Il sistema sanitario marchigiano Abstract: Classification-JEL: Keywords: Note: Pages:121-130 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50136&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003010 Number: 10 Template-type: ReDIF-Article 1.0 Author-Name: Almerino Mezzolani Author-Name: Antonio Benedetti Author-Name: Marco Marzioni Author-Name: Fulvio Moirano Author-Name: Roberto Ghiselli Title: Commenti Abstract: Classification-JEL: Keywords: Note: Pages:131-141 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50137&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003011 Number: 11 Template-type: ReDIF-Article 1.0 Author-Name: Luca Salvati Title: Ambiente, sviluppo, crisi: il mediterraneo urbano a un bivio Abstract: Through a critical review of the recent literature, the present study discusses on the essential nature of the phenomenon, on its dynamics and effects on socioeconomic and ecological systems with a focus on Northern Mediterranean cities. The analysis has mainly focused on the comprehension of the "Mediterranean urban ideal" and how the cities of the region are shaped by certain behaviours and practices of the population. Urban diffusion appears as a dynamic outcome of synergic geo-economic and socio-cultural characteristics. Adopting a comparative approach based on paradigmatic case studies is essential for debating on a multifaceted phenomenon like urban expansion in southern Europe. Classification-JEL: Keywords: Note: Pages:142-147 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50138&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003012 Number: 12 Template-type: ReDIF-Article 1.0 Author-Name: Nicola Matteucci Author-Name: Paolo Seri Title: Crisi e declino nella manifattura italiana: note per l?agenda di ricerca e la politica industriale Abstract: La durezza della crisi economica e la velocit? di sfaldamento della base manifatturiera del paese, cos? come emergono dai dati sul reddito pro-capite e la produttivit?, travalicano ormai il portato euristico acquisito da categorie analitiche quali "crisi strutturale", "ristrutturazione industriale" o "delocalizzazione produttiva". Allo stesso tempo, il termine di "declino" richiede una disambiguazione. Per la prima volta dal secondo dopoguerra, i fattori di globalizzazione economica e le dinamiche geopolitiche, impattando sugli irrisolti elementi di fragilit? del sistema produttivo nazionale, possono innescare esiti di declino industriali auto-cumulativi e non reversibili. Inoltre, l?esame di alcuni dei caratteri del modello di specializzazione italiano e delle dinamiche di generazione e diffusione tecnologica (R&S e ICT) non evidenziano gli auspicabili segnali di cambiamento; questa pericolosa stasi ? poi rafforzata dal protratto impasse del quadro socio-politico e dall?assenza di politiche industriali coraggiose. Il presente contributo, nel riflettere su questi fenomeni "epocali", ripercorre alcune questioni irrisolte sul modello di sviluppo italiano, con l?ambizione di rimettere il tema del declino socio-economico e culturale del paese al centro dell?agenda di ricerca e della politica industriale. Classification-JEL: Keywords: Note: Pages:148-160 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50139&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003013 Number: 13 Template-type: ReDIF-Article 1.0 Author-Name: Cristina Scuderi Title: Fondazioni bancarie e nuova economia della cultura di M.M. Tosolini Abstract: Classification-JEL: Keywords: Note: Pages:161-163 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50140&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003014 Number: 14 Template-type: ReDIF-Article 1.0 Author-Name: Comitato di Redazione Title: Gli autori Abstract: Classification-JEL: Keywords: Note: Pages:164-165 Volume: 2012/3 Year: 2012 Issue:3 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=50141&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:pripri:v:html10.3280/PRI2012-003015 Number: 15