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Bienvenue au. Colloque co-organisé par. en partenariat avec. Introduction Thierry PHILIP Vice-président du Conseil régional Rhône-Alpes délégué à la santé et au sport. Introduction Luciano BRESCIANI Assesseur à la santé, Région Lombardie. REGIONE LOMBARDIA. Regional Healthcare Ministry.

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Bienvenue au

Bienvenue au

Colloque co-organisé par

en partenariat avec


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IntroductionThierry PHILIPVice-président du Conseil régional Rhône-Alpes délégué à la santé et au sport


Introduction luciano bresciani assesseur la sant r gion lombardie

IntroductionLuciano BRESCIANIAssesseur à la santé,Région Lombardie


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REGIONE LOMBARDIA

Regional Healthcare Ministry

Dr. Luciano A. Bresciani

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where are we ?

PSSR 2007 - 2009

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The Regional Healthcare System

  • 9.500.000 inhabitants

  • 75.000 healthcare professionals

  • 8.150 GPs e Pediatricians

  • 2.500 Pharmacies

  • 15 Provincial Health Units

  • 100 Health Districts

  • 17 I.R.C.C.S. (Healthcare, Research and Hospitalization Institutes)

  • 212 Hospitals

  • 745 Ambulatories

  • 138 Laboratories including radiology

  • 770 Shelters for elders and disable

  • 160.000 employees

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The Regional Healthcare System

  • 160 millions ambulatory treatments,

  • 2.5 millions hospitalization,

  • 62 millions pharmaceutical prescriptions

  • more than 10% of treatments provided to non-regional citizens, with spikes up to 50% in highly specialized treatments (above all in oncology)

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The Regional Healthcare System

Life and working healthcare environments

Active Mobility

Hospital healthcare

District healthcare

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Comparison National vs. Regional Indices

Case-mix Index per average hospitalization period Average cost per hospitalizationYearly per capita expenditure

Source: Ministero della salute, 2005.

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where are we going ?

PSSR 2007 - 2009

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two strategic

pathways

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System

Development

High Technology development

ICT; e-health

Regional Agency for Emergency

Participation of Stakeholders to Programming and Development Phases

Health Care Network Development

In Vertical and Horizontal Subsidiarity

Continuous Improvement of the Quality System

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System

Development

Health Care Network Development

in Vertical and Horizontal Subsidiarity

Continuous Improvement of the Quality System

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Prevalence of Health Care

Hospital

3° care level

Hospitals

Outpatient Dep

Rpa

RSA

Territorial

Structure

1°-2° care level

CAT

Territorial Assistance Centres

Home Care H 24

Home Assistance

Social Health Voucher

GP+PDT

Family

Socio-Healthcare prevalence

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The University

Regional System

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The Lombard University System

14

Macro

areas

of

research

117

Areas

Of

research

1364

products

of

research

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2

3

4

5

1

7

8

9

10

11

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12

26

27

17

6

31

28

29

30

32

20

21

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36

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25

19

22

33

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The Lombard University System

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The Regional Healthcare and University Regional Systems allied are qualified to create researches and new technology andvalidate the applications.

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System

Development

High Technology development

ICT; e-health

Continuous Improvement of the Quality System

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Development of High Technology: ICT; e-health

The interaction between industry and public and private

research funded with risk-capital must be enhanced and

developed in the frame of the regional healthcare

technology platform for targeting

the development of products for public utility,

and of processes and services with social

and economic high added value.

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Development of High Technology: ICT; e-health

With such a synergy, industry will be part of the regional

healthcare system and will be able to propose technology

development plan also exploiting licenses and patents and

the related marketing:

In this scenario SMEs will reinforce their position.

The regional healthcare system is committed to

actively take part to the technological development

through its platform in order to achieve public utility.

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The Regional Healthcare System is qualified by the effort to create prosperity and well-being, not only provision of treatments and funding of providers.

The Regional Healthcare Fund

gives added-value

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Exploding the alliances

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European MacroArea

For Technological Development

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European MacroArea

For Technological Development

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MacroArea

For Technological Transfer

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Budget

Main objectives can be listed as following:

  • Stabilization of payment time;

  • Payment policies homogenous at Regional level;

  • Monitoring of the expenditures by Provincial Health Units;

  • Monitoring of the costs for passive interests;

  • Rationalization of the financial flow of the Regional system.

Finlombarda

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?

An Healthcare System which is not only “expenditure”,

but also a tool for well-being and development, technology products and prosperity of the community

?

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Thank you

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IntroductionDr Jean DERRIENPrésident de l’Union Régionale des Médecins Libéraux Rhône-Alpes(URMLRA)


Introduction pr michel amiel pr sident d astrh@

IntroductionPr Michel AMIELPrésident d’ASTRH@


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