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among whites and blacks,1979-1989”. MMWR; 41:889-891. ● Charlton et al. (1983).“Geographical variation in mortality from conditions amenable to medical intervention in England and Wales”, Lancet. ● Conti S, Masocco M, Vichi M (2005). “Evoluzione nel tempo e nella geografia della mortalità evitabile nelle città capoluogo di provincia: considerazioni riassuntive”. G E A; (suppl. 1):26-27. ● Dejian L, Hardy RJ (1999). “Potential gains in life expectancy or years of potential life lost: impact of competing risks of death”. International Journal of Epidemiology; 28(5): 894-98. ● Drummond MF, O’Brien BJ, Stoddart GL, Torrance GW (1997). “Methods for the Economic Evaluation of Health Care Programmes”, second edition, Oxford University Press. ● Gruppo di lavoro del Progetto Indicatori di salute per il territorio e per l’attività ospedaliera, Conti S, Greco D. “ERA – Epidemiologia e ricerca applicata: mortalità evitabile e contesto demografico per Usl”. Atlante 2006. Roma. ● Lery A, Vallin J (1975). “Un enfant qui meurt en bas age est souvent remplacé”. Economie et Statistique, Institut National de la Statistique et des Etudes Economiques; 63:27. ● Mariotti S, D’Errigo P, Mastroeni S, Freeman K (2003). “Years of life lost due to premature mortality in Italy”. European Journal of Epidemiology; 18(6):513-21. ● Morosini P, Palombo G (a cura di). “Variabilità nei Servizi Sanitari in Italia”. Capitolo 2: “Variabilità della mortalità evitabile in Italia” Conti S, Masocco M, Minelli G, Toccaceli V, Vichi M. Centro Scientifico Editore 2004, pag. 308. ● Pan American Health Organization. Area of health analysis and information systems (2003). “Life tables: a technique to summarize mortality and survival”. Epidemiological Bullettin; 24(4):6-10. ● Pan American Health Organization. Area of health analysis and information systems (2003). “Techniques for the measurement of the impact of mortality: Years of Potential Life Lost”. Epidemiological Bullettin; 24(2):1-4. ● Pressat R (1983). “L’analyse Démographique”. PUF, Paris. ● Romeder JM, McWhinnei JR (1977). “Potential years of life lost between age 1 and 70: an indicator of premature mortality for health planning”. International Journal of Epidemiology; 6(2):143-151. ● Simonato et al. (1998). “Avoidable Mortality in Europe 1955-1994: a plea for prevention”, Journal of Epidemiology and Community Health. ● World Health Organization. “Manual of the International Statistical Classification of Diseases, Injures and Causes of Death, based on the Ninth revision Conferente”. Geneva: WHO; 1975,1977. [269] CEIS Health Report 2006
CEIS Health Report 2006 5.3 - The pharmaceutical policies in Italy Mennini F.S. 1 , Polistena B. 1 , Ratti M. 1 , Spandonaro F. 1 5.3.1 Introduction The defence of health involves an increasing burden for the State, but it is often neglected that this expenditure produces an opportunity of growth for the economic system in its complex. There is not, in fact, any doubt that the demand of goods and services tied to the care of the health constitutes an element of development of the economies of the industrialized countries, in terms of growth, of occupation and competitiveness on the international markets (Di Tommaso M., Schweitzer S.O, 2000). For Confindustria, the importance of the “health sector” (manufacture of pharmaceutical, chemical and botanic products for medicinal uses; manufacture of surgical, orthopaedic instruments, of lenses and sight glasses; trade of pharmaceutical products, tools and sanitary instruments; trade to the detail of medicines, medicinal, instruments and therapeutic material; hospital services; out-patient performances) has progressively gone increasing within the national economic system: in 1996 its incidence on the GDP resulted equal to 4,9%, in 2004 it was attested to 5,6 (esteemed in € 73,5 Mlds.) in constant evaluation prices. In the period 1996-2004, the production and the added value of the sector have grown to about 4% annual middle rate. The present study wants to offer further elements of knowledge on the contribution given to the national economic system by the industrial sectors leading “the health sector” (pharmaceutical industry and industry of the medical services), both in terms of added value, and of contribution in terms of research and qualified occupation. 5.3.2 The pharmaceutical market The world pharmaceutics production in term of value ($ 565,4 mlds.) is grown of 10,8% in comparison with 2004. In 2005 the Italian pharmaceutical industry has recorded a sale of 19,6 mlds. , equals to 3,5% of the market, attesting itself to the 5th. place in the world ranking. The Usa, with a sales of $ 252,2 mlds. (quota of the 44,61% of the total one) is at the first place, followed by Japan ($ 60,3 mlds.), Germany ($ 31,8 mlds.), France ($ 30,3 mlds.). At the same level as Italy we find the United Kingdom ($ 19,5 mlds.) and to follow Spain ($ 14,9 30,3 mlds.) (figure 1). However we have to observe that the countries with the best commercial balance are Ireland (+15.414 ), Switzerland (+$ 11.290 mils.), Germany (+$ 7.427 mils.), France (+$ 5.851 mils.), Sweden (+$ 4.522 mils.). Instead a negative balance is determined for Italy (-$ 729 mils.), as well as for the Usa (-$ 13.874 mils.), Japan (-$ 3.505 mils.), Spain (-$ 2.915 mils.) (figure 2). 1 CEIS Sanità, Faculty of Economics, University of Rome “Tor Vergata”. [270]
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CEIS Health Report 2006 Management
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CEIS Health Report 2006 Management
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Index Report Presentation by Pagane
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1.6 - The Regional Primary Care Agr
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Chapter 3 - Efficiency 3.1 - The Ef
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3.8 - Private Health Insurance and
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Ceis - Sanità Report presentation
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Warning The figures in the volume f
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CEIS Health Report 2006 stantial, i
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CEIS Health Report 2006 If, therefo
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CEIS Health Report 2006 Cross-check
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CEIS Health Report 2006 over € 6.
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CEIS Health Report 2006 made; final
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CEIS Health Report 2006 Although th
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CEIS Health Report 2006 Aside from
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CEIS Health Report 2006 Regulations
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CEIS Health Report 2006 especially
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Chapter 1 Health expenditure and fu
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CEIS Health Report 2006 The questio
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CEIS Health Report 2006 Table 1 - T
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CEIS Health Report 2006 Figure 3 -
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CEIS Health Report 2006 ciated with
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CEIS Health Report 2006 ● OECD (2
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CEIS Health Report 2006 the phenome
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CEIS Health Report 2006 Table 3 - R
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CEIS Health Report 2006 The indicat
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CEIS Health Report 2006 References
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CEIS Health Report 2006 All the var
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CEIS Health Report 2006 Diagram 1 -
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CEIS Health Report 2006 1.4 - Pharm
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CEIS Health Report 2006 % Pharmaceu
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CEIS Health Report 2006 The second
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CEIS Health Report 2006 tion of res
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CEIS Health Report 2006 Table 4 - R
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CEIS Health Report 2006 The variati
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CEIS Health Report 2006 1.5 - The r
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CEIS Health Report 2006 southern Re
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CEIS Health Report 2006 1.5.5 Absor
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CEIS Health Report 2006 For day hos
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CEIS Health Report 2006 There is co
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CEIS Health Report 2006 1.6 - The r
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CEIS Health Report 2006 the Primary
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CEIS Health Report 2006 Table 1 - T
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CEIS Health Report 2006 • “phys
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CEIS Health Report 2006 1.7 - Evolu
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CEIS Health Report 2006 As can be o
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CEIS Health Report 2006 Another int
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CEIS Health Report 2006 Some signif
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CEIS Health Report 2006 1.7.5 Concl
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CEIS Health Report 2006 [114]
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Introduction Public deficit in the
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CEIS Health Report 2006 The cumulat
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CEIS Health Report 2006 tegies of i
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CEIS Health Report 2006 gest that t
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CEIS Health Report 2006 increase of
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CEIS Health Report 2006 increase in
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CEIS Health Report 2006 [130]
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CEIS Health Report 2006 It is also
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CEIS Health Report 2006 shifting be
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CEIS Health Report 2006 year (AIHW
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CEIS Health Report 2006 cost of the
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CEIS Health Report 2006 The Second
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CEIS Health Report 2006 2.5 - Imple
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CEIS Health Report 2006 2.5.3 Shift
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CEIS Health Report 2006 Table 1 - P
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CEIS Health Report 2006 and, conseq
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CEIS Health Report 2006 Grant whose
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CEIS Health Report 2006 Generally s
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CEIS Health Report 2006 Scheme for
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3.1 - The efficiency of Regional He
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Table 2 - LEA Financing REGIONS HOS
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• Campania, with strong financial
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[163] CEIS Health Report 2006
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hospital stays has reduced the aver
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treated varies greatly. The highest
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CMS = f(COST, CMP, PL, RC, DM , PME
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formance, implying an increase in a
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3.3 - The National Health System Ev
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3.3.3 Cooperation with the Regional
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the contract conditions are previou
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Consequentially, in order to avoid
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order through the MEPA) numbered 14
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3.4 - Strengthening the capacity fo
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for designing and governing organiz
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the hierarchical and management rol
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tions may appear and disappear, the
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lop, rather than a variable to be c
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units along business lines were unq
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cooperation to achieve the developm
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However, to manage a multi-site hos
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Figure 2 - AVS Strategy map • con
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cialties, but what sets them apart,
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nistically or quantitatively. Hence
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portant for healthcare industry, as
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tor is that General Managers usuall
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cation of the ABC and, in general,
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● Kaplan R, Norton D (1992), “T
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3.7 - The management of healthcare
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Table 1 - Pathway for st elevated a
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[217] CEIS Health Report 2006 Table
Page 218 and 219: Vaginal childbirth Some synthesis i
Page 220 and 221: Politiche sanitarie, marzo-aprile.
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Page 230 and 231: 4.1 - Equity in the italian healthc
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Page 252 and 253: 5.1 - The median age at death for m
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Page 266 and 267: 5.2.4 Comments The results of the a
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Page 274 and 275: Table 3 - Gross fixed investments i
Page 276 and 277: Table 4 - Share of medical device w
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Page 280 and 281: BOX 2: National Medical Device Clas
Page 282 and 283: maceutiche in Italia (1997-2001)”
Page 284 and 285: 5.4 - Mobility of italian patients
Page 286 and 287: Authority (ASL) will be charged for
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Page 296 and 297: ✔ DE POUVOURVILLE GÉRARD Researc
Page 298 and 299: ✔ MENNINI FRANCESCO SAVERIO Degre
Page 300: ✔ SCHWEIGER ARTURO Health Economi
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