Chapter 2

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Figure 3 – Pharmaceutics expenditure in R&S years 1990-2004 25000 20000 15000 10000 5000 0 Source: Association of category EFPIA 1990 1995 2000 2004 5.3.3 The pharmaceutical industry in Italy The active pharmaceutical firms in Italy are 351 in 2005, distributed almost anywhere in the territory (table 2): a greater prevalence is in Lombardia (168 unities) and in Lazio (78 unities). The employees of the pharmaceutical sector are 74.000 in constant growth; in 2005 the occupation has grown of 1%. A remarkable amount of the employees, 8,15% equal to 6.030 unities, are busy in activity of research, against an average of the industry of 1%. The expenditure in R&S in 2005 has been of € 1.070 mils., equal to 10,1% of the total expenditure in R&S of the Italian industrial sector. Figure 4 – Expenditure for R&S in Italy years 1980-2005 1200 1000 800 600 400 200 0 1980 1981 Source : Farmaindustria 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 Europe (Mil. €) Usa (Mil. €) Japan (Mil. €) 1994 1995 Expenditures R & S (Mil. € ) [273] 1996 1997 1998 1999 2000 2001 2002 2003 CEIS Health Report 2006 2004 2005
CEIS Health Report 2006 Table 2 – Unity local and busy in the Italian pharmaceutical sector year 2005 Region Region Total Number Local Unity % on the tot unity local Total number centers in search % n° centers in search / n° unity local In comparison with 2004 the expenditure in research is grown of 6,5% confirming the positive trend of the last years (+17% from 2003), definitely superior to the Italian average growth (+5,2). The contribution in gross fixed investments of the pharmaceutical sector (table 3) is equal to € 990 mils. with an increase of 5% in comparison with 2004 (total Italy +2,1%); the investment for employee is esteemed in € 13.400. As already said, in 2005 the general commercial balance of the Italian pharmaceutical sector (figure 5) records a negative sale of € 1,3 mlds., but in comparison with 2004 there is an improvement of € 536 mils. Its general exports (drugs plus active principles) are increased of 15,30% (€ 1.478 mils.), as also the importations (8,18% equal to € 942 mils.). 5.3.4 The sector of the medical devices Immediately after the pharmaceutical sector, in dimensional terms comes the medical device. The two sectors share some fundamental elements, that is the vocation to the innovation of the research and the strong regulation, notwithstanding their different peculiarity. In the last years the interest toward the sector of the medical device has increased in corre- [274] Total number % on the tot employees occ. in the in the sector sector Total number employees in search % occ of search / occ of the sector Abruzzo 5 1,37% 1 20,00% 634 0,86% 130 20,50% Basilicata - - - - - - - - Calabria - - - - - - - - Campania 10 2,75% 1 10,00% 608 0,82% 45 7,40% Emilia Romagna 19 5,22% 5 26,32% 3.567 4,82% 355 9,95% Friuli Venezia Giulia 3 0,82% 2 66,67% 370 0,50% 16 4,32% Lazio 78 21,43% 17 21,79% 17.280 23,35% 1.033 5,98% Liguria 11 3,02% 3 27,27% 389 0,53% 22 5,66% Lombardia 168 46,15% 31 18,45% 33.705 45,55% 2.798 8,30% Marche 3 0,82% 2 66,67% 1.201 1,62% 35 2,91% Molise - - - - - - - - Piemonte 19 5,22% 1 5,26% 1.716 2,32% 75 4,37% Puglia 4 1,10% - - 315 0,43% - - Sardegna - - - - - - - - Sicilia 6 1,65% 3 50,00% 1.019 1,38% 137 13,44% Toscana 28 7,69% 9 32,14% 7.119 9,62% 575 8,08% Trentino Alto Adige 2 0,55% - - 160 0,22% - - Umbria - - - - - - - - Valle D'Aosta - - - - - - - Veneto 8 2,20% 2 25,00% 5.917 8,00% 809 13,67% Totale Italia 364 100,00% 77 21,15% 74.000 100,00% 6.030 8,15% Source: Farmindustria
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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 % 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 1.6 - The r
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CEIS Health Report 2006 the Primary
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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 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
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Vaginal childbirth Some synthesis i
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Politiche sanitarie, marzo-aprile.
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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
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