"Health and Welfare as a sustainable model in E. Romagna and Ravenna It 's the first synthesis confirmed by the speakers themselves of one of the meetings organized by the Circle "Thomas More." The meeting we are referring to took place on 28/02 / 2007 c / o Hall Berlinguer (Second District) with the presence of G. Varani (cons.reg. FI) and Emmanuel Giangrandi (Association of Health Prov.le ...) and an interested audience and purpose (present more than 80 people). Mirko De Carli : The health of our region in the identification of real criteria for good health, if and how much influence management decisions on policy directions, technical and organizational?
Emanuela Giangrandi : We must reaffirm a serious responsibility and awareness on health management through the centrality of man. It 'important to understand the health issue not only as a health issue, re-establishing the responsibilities of citizens. Necessary decisions are consistent with the impact that they might produce. Is certainly not easy to think in terms of health promotion. We must aim for a role of policy to promote health, through a meeting between technical choices and health needs. The goal is to make less and less influence on the health of the political system. Finally one of the key problems to be addressed is that of a health management often does not take into account the needs of citizens.
Gianni Varani : Health is the most important item of the regional budget and employs about 80% of the regional pension fund. Surely one of the crucial points of debate regarding the sustainability of the health system. To date, there is a stable system, a perfect picture. We need more resources as the budget deficit, the problem has arisen with regard to funding from dall'aziendalizzazione health and to date has never been reasoned in terms of lower-expenditure rationalization. Although funding is always increasing the financial difficulties remains: this is the unknown to face when it comes to health care system. Today it serves more subsidiarity in health, more private accredited public support, we must point to a serious health federalism in order to avoid the emergence of issues such as those of the unpopular tickets included in the 2007 Budget.
Mirko De Carli : In evaluating the quality of our health, taking account of waiting lists and shortage of beds, which parameters to take?
Emanuela Giangrandi : I do not think that one of the beds of the most efficient quality standards. Also exclude a priori quantitative parameters. The parameters may be more reliable: the quality of professional services more accessible, fair and equitable distribution in the territory of the same. The quality of health care offers the quality of "taking charge" or the ability of the system to interact with people. We need to seriously propose a new relationship between hospital and territory, the idea of \u200b\u200bcircularity in the system.
Gianni Varani : A response to the problem of waiting lists may be the involvement of private operators. In our political behavior we see this problem perceived by people as a certain injustice. In response to these difficulties our citizens are migrating to Emilia-Romagna Lombardia and Veneto where they have already successfully addressed the problem of waiting lists. Lombardy has accredited the private and the citizens are free to choose which contact through the medium of property tax credit. Need a new pact social exclusion, taking into account that the performance of health care funzioni9 compliance enforcement proceedings is not enough, because human error can always be there.
Mirko De Carli : Tickets and consumption of drugs: how to tackle the health gap in terms of representation?
Emanuela Giangrandi : In the pact signed by the current government health remains the objective of revenue. Surely there is no issue of federalism in health, but there are regional differences in terms of cost. I support a national health system, but I still need to take the threads of a debate on its territorial organization. I believe that the government erred by introducing the ticket for in the budget on outpatient services, although at present we are advancing proposals for review, such proposals on the cost of the ticket modulated performance. We must address the cost of citizens of their responsibility in the implementation and monitoring of the system.
Gianni Varani : The problem is rooted in the fact that we live in a country with two speeds. The way to reconcile these "two Italys" must be developed in terms of fairness: federalism as empowerment. We must go beyond the welfare state, asserting a new mix of state and private accredited.
