The Department of Prevention

in the National Health SystemMaria Grazia Pompa

Communicable Diseases Unit Agenzia Sanità Pubblica - Regione Lazio

Viral Hepatitis Prevention Board MeetingCatania, November 7- 8. 2002

Re-organisation of the National Health System (NHS)

Reform of the public administration

European Union

Federalism

The institutional scenario

Evolution of the specific laws

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)

Local Health Unit

Director General

Director Administrative Director Sanitary Social Services Manager

Hospital Departmentof

Prevention

District

Staff

Hygiene andPublic Health

sanità animale

Manufacturing hygiene...

Breeding hygiene…...

Altri servizi….

* nei casi previsti dall'art. 3, comma 3,4 del D.Legisl. 502/92

Preventionand safety

in a job place

Foods and nutritional

hygiene

Tutelage of the Public Health

Operative module of Local Health Unit

Economic and organising autonomy

Department of Prevention

Garantire la tutela della salute collettiva e fornire risposta unitaria ed efficace alla domanda di salute della popolazione attraverso strategie di :

Health promotion

Prevention of diseases

Quality of life

Department of Prevention

Liaisons with the other part of LHU and Hospitals

Promotion of action at environmental, human, animal level.

Objectives for the prevent the diseases and enhancing the quality of life

Department of Prevention

D. legislativo n. 229/1999, Art. 7- quinquies (coordinamento con le Agenzie regionali per

l’ambiente)

…..integrazione tra politiche sanitarie ed

ambientali, con particolare riguardo alla

sorveglianza epidemiologica e

comunicazione del rischio

D. legislativo n. 502/1992

Department of Prevention

Objective

Health promotion

Social equity

Priorities

Effectiveness/efficiency

EBP

RESEARCH

Department of Preventioncharacteristics

Risk assessment

Evidence-Based Prevention

Co-operation with other social subjects

Epidemiological knowledge

COMMUNICATION

Department of Preventioncharacteristics

Department of Preventioncharacteristics

QUALITY ASSURANCE

Evaluation of:

- outcomes

- specialist

What kind of prevention???

Ethics/Equality

Benefitsversus lossesPRIORITY

Evidence--based

prevention

From control

“bureaucratic model” ...

…to programming a plan

for prevention

What kind of prevention???

Department of PreventionRE-ORIENTATING

EPIDEMIOLOGY

COMMUNICATION

QUALITY ASSURANCE

Preventivemedicine

Curativemedicine

Department of Prevention

Ministry of Health

Co-ordination Indicators Financing