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How does new governance influence decision-making processes in health policy

How does new governance influence decision-making processes in health policy. Prof. Angelo Passaleva V.President of Tuscany Regional Government Regional Councillor, responsible for Solidarity policies. Watching from the ‘governance’ bridge. How may we steer challenges of ‘Information era’?

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How does new governance influence decision-making processes in health policy

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  1. How does new governance influence decision-making processes in health policy Prof. Angelo Passaleva V.President of Tuscany Regional Government Regional Councillor, responsible for Solidarity policies

  2. Watching from the ‘governance’ bridge • How may we steer challenges of ‘Information era’? • How we do face e-government in a regional subsystem? • How to improve services making health government more efficient? • How to allow "communities-of-interest" to form and to act on a social and cultural shared ground? • How to manage interdependence allowing a scenery of cultural diversity?

  3. A general overview on (health) steering E.U. WHITE PAPER (2001): policy making process must be closer to citizens - how to do it in health field? Ensuring citizens voice to be heard (and local communities effectively may be acting out) not undermining the leading roles Single citizen and communities-of-interest Government,management,professionals

  4. Steering challenges of ‘e-health era’ • Focusing every scenery • Analyzing players roles and cross-relations • Detecting & using ‘new governance’ issues • Coupling rules & horizontal empowermentfacing the lack of perspective and coherence • Working with e-tools availables and conceivables both for citizens and public-private structures

  5. A regional approach: “Tuscany model for e-health - 1” • Dealing with needs of an extra-aging population and the negative impact on financial resources to manage health system • Facing geographic, socio-economic and the new-born cultural divide • Thinking to socio-cultural richness of Tuscan asset • Facing outcome of global economical crisis and loss of growth in PIL and resources to spend in welfare • Coping with Constitutional Act change and italian way to devolution • Thinking to a new regional welfare system (peering health and social instances)

  6. A regional approach: “Tuscany model for e-health - 2” A way to connect regional and local government through specially planned institutions: the AREE VASTE and the SOCIETA’ DELLA SALUTE system

  7. A regional approach: “Tuscany model for e-health - 3” NOW

  8. A regional approach: “Tuscany model for e-health - 4” AREA VASTA NORD-OVEST REGIONAL E-HEALTH NETWORK ON START UP AREA VASTA CENTRO AREA VASTA SUD-EST AREA VASTA SUD-EST

  9. A regional approach: “Tuscany model for e-health 5” AREA VASTA NORD-OVEST TOMORROW: COUPLING HEALTH EXPERTISE WITH LOCAL ORGANIZATION OF NEEDS AND RESOURCES THEROLE OF COMUNI IN THE SOCIETA’ DELLASALUTE REGIONAL E-HEALTH NETWORK AREA VASTA CENTRO AREA VASTA SUD-EST AREA VASTA SUD-EST

  10. Syntesys: what does it mean for Tuscan health system? Oversizing strategies and tools for interconnection (public, private and mixed clusters of services; health professionals and voluntary services; tutelage institutions; different expectations of Tuscan citizens) overlapping mandatory rules of Regional Health Program withhorizontal issues of e-Toscana project for a new enabling asset ofinformation society specific actions, from new hospital architecture (and a new way to cope with financial costs) to fully personalized home care services supported by specialized telemedicine

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