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have carried out economic and statistic research on patient mobility from their territory, but the case study of Veneto Region is probably the most outstanding national and European example of efficiency. In fact, as you can see in table 7, Veneto is one of the few Italian Regions (the others are Emilia Romagna, Friuli V.G., and the Autonomous Provinces of Trento and Bolzano) that can proudly show a positive balance in the financial compensation of international patient mobility. In this case the credit comes from health services provided to EU citizens temporarily present on that Region, namely tourists (either short-term: 1/3 weeks, or long-term: beyond three months). The positive balance of patient mobility, in this case, did not happen by chance: Veneto Region has arranged health care supply to foreigners in such a way to meet the special requirements of this category. The Ministry for Health has lately approved a National Scheme aimed at shortening waiting lists (March 3rd 2006), which may be an instrument able to reverse the “export” trend. But, in spite of this, patient mobility from Italy does not seem likely to stop until Table 7 – Regional balance of patients mobility in 2003 [293] CEIS Health Report 2006 REGION Balance E111 Balance E112 Balance E111 + E112 Piemonte - 2.042.939,18 - 2.403.065,85 - 4.446.005,03 Valle d'Aosta 312.276,93 - 145.602,72 166.674,21 Lombardia - 2.001.997,48 - 3.129.286,16 - 5.131.283,64 P.A. Bolzano 5.909.018,06 - 1.339.378,83 4.569.639,23 P.A. Trento 1.117.373,08 - 310.064,00 807.309,08 Veneto 1.611.491,96 - 965.229,56 646.262,40 Friuli Venezia Giulia 314.933,95 - 585.863,92 - 270.929,97 Liguria - 547.834,15 - 1.282.066,65 - 1.829.900,80 Emilia Romagna 1.393.241,46 - 1.267.286,31 125.955,15 Toscana 1.208.190,48 - 1.300.359,80 - 92.169,32 Umbria 415.779,90 - 131.470,58 284.309,32 Marche - 104.629,47 - 557.633,60 - 662.263,07 Lazio - 1.855.784,38 - 2.870.328,96 - 4.726.113,34 Abruzzo - 23.393,87 - 797.114,21 - 820.508,08 Molise 115.131,94 - 317.859,27 - 202.727,33 Campania - 1.241.603,00 - 10.683.493,26 - 11.925.096,26 Puglia - 1.383.828,45 - 2.687.781,07 - 4.071.609,52 Basilicata - 139.341,58 - 178.920,19 - 318.261,77 Calabria - 665.889,26 - 1.459.619,60 - 2.125.508,86 Sicilia - 2.655.877,00 - 3.742.206,48 - 6.398.083,48 Sardegna - 240.605,51 - 692.073,26 - 932.678,77 Total - 506.285,57 - 36.846.704,28 - 37.352.989,85 Source: our processing on Ministry of Health data
CEIS Health Report 2006 strict measures are taken and practical policies are adopted with interventions aimed at improving the quality of the existing sanitary structures, especially in those Regions as Campania and Sicilia where passive mobility is particularly high. References ● Commissione Europea, “Seguito del processo di riflessione di alto livello sulla mobilità dei pazienti e sugli sviluppi dell’assistenza sanitaria nell’Unione europea”, 20 aprile, COM 2004, 301 definitivo. ● Den Exter A, “Patient mobility in the European union”, Erasmus University, Rotterdam, 2004. ● France G, “L’assistenza sanitaria all’estero: un’analisi economico-giuridica”, Tendenze Nuove, Fondazione Smith Kline, 1999. ● Ministero Della Salute, Direzione generale per i Rapporti con L’Unione Europea e per i Rapporti Internazionali, Ufficio II e VI, “Rendiconti Contabili e principali patologie relative all’assistenza sanitaria nell’Unione europea”, Roma, 2005. ● Parlamento Europeo, “Progetto di relazione sulla mobilità dei pazienti e sugli sviluppi delle cure sanitarie nell’Unione europea”, 20 dicembre 2004, 2148 (INI). ● Piscopo P, Muto M, Olivero A, Del Prete U, “La migrazione sanitaria dei pazienti residenti nella Regione Campania”, n. 5, settembre/ottobre 2001. ● Regione Abruzzo, “Rapporto sulla mobilità sanitaria 2001-2004”, Servizio Osservatorio Epidemiologico, Mobilità e controllo qualità, relazione sanitaria 2004. ● Rosenmöller M, Mckee M, Baeten R, “Patient mobility in the European Union”, World Health Organization, 2006. ● Rossi A, “I ricoveri all’estero dei cittadini bolognesi: entità e cause del fenomeno”, Difesa sociale, n. 79, 2001. [294]
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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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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 over € 6.
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CEIS Health Report 2006 Regulations
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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 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 tion of res
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CEIS Health Report 2006 Table 4 - R
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CEIS Health Report 2006 southern Re
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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 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 tegies of i
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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 Table 1 - P
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CEIS Health Report 2006 and, conseq
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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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dental work, the purchase or rental
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2. We might suppose that the state
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● OECD (2004), “Towards High -
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4.1 - Equity in the italian healthc
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Table 2 - Association indexes betwe
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4.1.5 Structure of health expenditu
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Table 9 - Regional distribution of
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strophic payments; moreover, the se
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● Doglia M, Spandonaro F, “Il p
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Page 296 and 297: ✔ DE POUVOURVILLE GÉRARD Researc
Page 298 and 299: ✔ MENNINI FRANCESCO SAVERIO Degre
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