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Viral Hepatitis Prevention Board Meeting Catania, November 7- 8. 2002. The Department of Prevention in the National Health System. Maria Grazia Pompa Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio. The institutional scenario.
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Viral Hepatitis Prevention Board Meeting Catania, November 7- 8. 2002 The Department of Prevention in the National Health System Maria Grazia Pompa Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio
The institutional scenario • Re-organisation of the National Health System (NHS) • Reform of the public administration • European Union • Federalism • Evolution of the specific laws
National Health System Open market of services in a settled and controlled system • Monopoly of Department of Prevention (DP) • Only the DP can lay out some services
Local Health Unit Director General Director Administrative Director Sanitary Social Services Manager Hospital District Department of Prevention Altri servizi…. Staff Breeding hygiene…... Hygiene and Public Health Manufacturing hygiene... sanità animale Foods and nutritional hygiene Prevention and safety in a job place * nei casi previsti dall'art. 3, comma 3,4 del D.Legisl. 502/92
Department of Prevention • Operative module of Local Health Unit • Economic and organising autonomy • Tutelage of the Public Health
Department of Prevention • Garantire la tutela della salute collettiva e fornire risposta unitaria ed efficace alla domanda di salute della popolazione attraverso strategie di : • Health promotion • Prevention of diseases • Quality of life
Department of Prevention • Promotion of action at environmental, human, animal level. • Objectives for the prevent the diseases and enhancing the quality of life • Liaisons with the other part of LHU and Hospitals
D. legislativo n. 502/1992 D. legislativo n. 229/1999, Art. 7- quinquies (coordinamento con le Agenzie regionali per l’ambiente) …..integrazione tra politiche sanitarie ed ambientali, con particolare riguardo alla sorveglianza epidemiologica e comunicazione del rischio
Department of Prevention Objective Health promotion Social equity RESEARCH Priorities Effectiveness/efficiency EBP
Department of Prevention characteristics Epidemiological knowledge Risk assessment Evidence-Based Prevention Co-operation with other social subjects
Department of Prevention characteristics COMMUNICATION
Department of Prevention characteristics QUALITY ASSURANCE Evaluation of: - outcomes - specialist
What kind of prevention??? Benefits versus losses PRIORITY Ethics/ Equality Evidence- -based prevention
What kind of prevention??? From control “bureaucratic model” ... …to programming a plan for prevention
Department of Prevention RE-ORIENTATING EPIDEMIOLOGY Preventive medicine Curative medicine COMMUNICATION QUALITY ASSURANCE
Department of Prevention Co-ordination Indicators Financing Ministry of Health