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The Department of Prevention in the National Health System Maria Grazia Pompa Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio Viral.

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Presentation on theme: "The Department of Prevention in the National Health System Maria Grazia Pompa Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio Viral."— Presentation transcript:

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2 The Department of Prevention in the National Health System Maria Grazia Pompa Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio Viral Hepatitis Prevention Board Meeting Catania, November

3 4 Re-organisation of the National Health System (NHS) 4 Reform of the public administration 4 European Union 4 Federalism The institutional scenario 4 Evolution of the specific laws

4 Only the DP can lay out some services National Health System Open market of services in a settled and controlled system Monopoly of Department of Prevention (DP)

5 Local Health Unit Director General Director AdministrativeDirector Sanitary Social Services Manager Hospital Department of Prevention District Staff Hygiene and Public Health sanità animale Manufacturing hygiene... Breeding hygiene…... Altri servizi…. * nei casi previsti dall'art. 3, comma 3,4 del D.Legisl. 502/92 Prevention and safety in a job place Foods and nutritional hygiene

6 4 Tutelage of the Public Health 4 Operative module of Local Health Unit 4 Economic and organising autonomy Department of Prevention

7 Garantire la tutela della salute collettiva e fornire risposta unitaria ed efficace alla domanda di salute della popolazione attraverso strategie di : F Health promotion F Prevention of diseases F Quality of life Department of Prevention

8 8 Liaisons with the other part of LHU and Hospitals 8 Promotion of action at environmental, human, animal level. 8 Objectives for the prevent the diseases and enhancing the quality of life Department of Prevention

9 D. legislativo n. 229/1999, Art. 7- quinquies (coordinamento con le Agenzie regionali per lambiente) …..integrazione tra politiche sanitarie ed ambientali, con particolare riguardo alla sorveglianza epidemiologica e comunicazione del rischio D. legislativo n. 502/1992

10 Department of Prevention Objective Health promotion Social equity Priorities Effectiveness/efficiency EBP RESEARCH

11 Department of Prevention characteristics Risk assessment Evidence-Based Prevention Co-operation with other social subjects Epidemiological knowledge

12 COMMUNICATION Department of Prevention characteristics

13 Department of Prevention characteristics QUALITY ASSURANCE Evaluation of: - outcomes - specialist

14 What kind of prevention??? Ethics/ Equality Benefits versus losses PRIORITY Evidence- -based prevention

15 From control bureaucratic model... …to programming a plan for prevention What kind of prevention???

16 Department of Prevention RE-ORIENTATING EPIDEMIOLOGY COMMUNICATION QUALITY ASSURANCE Preventive medicine Curative medicine

17 Department of Prevention Ministry of Health Co-ordinationIndicatorsFinancing


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