Transcript Luigi Bertinato - European Health Forum Gastein

European Health Forum, Gastein
1st-4th October, 2003
REGIONAL CO-OPERATION
IN HEALTH CARE SERVICES
A Prospective Collaboration between the Veneto
Region, Italy and Timiş County, Romania.
Dana Paica, Timis Region
Luigi Bertinato, Veneto Region
Introduction
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The process of political decentralization in Europe from the national
level moves alongside the important enlargement of the European
Union.
Twenty-five per cent of European Countries have a population of
less than 5 million inhabitants which corresponds to many of the
average sized European Regions.
Health care services differ widely among European Regions
Decentralized Member States have an important role in anticipating
solutions for the collaboration of the National Health Care systems
in the future enlarged Europe.
This highlights an urgent need for health system re-organization in
new EU Member States
We hereby present the current co-operation underway between the
Veneto Region and the Timiş County Region, Romania in adapting
health care systems to E.U. standards
Romania: within the context of EU enlargement
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Romania is one of ten
new countries invited
in December 2002 to
join the EU by 2007
Problems of joining
the EURO, migration,
agriculture and
harmonizing and
improving Health Care
Services to conform
with EU Standards.
Reasons for collaboration from a dual persepctive:
The Veneto Region & the Timis Region
Population size:
Veneto
Timis
4.5M
682,409
Surface Area(km2):24,840
8,697
The Veneto: Background of the
Collaboration
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Following the Romanian Revolution of the late 1980s,
and democratic reform of the early 1990s Italian
businesses have invested heavily in Romania
Over 7,000 Italian businesses have transferred their
operations to Romania, 4,000 of which from the
Veneto Region alone
The strongest component of the Veneto economy
consists of small and medium-sized family-owned
companies which produce high-quality consumer
goods such as clothing, furniture, kitchen equipment,
eye-wear and white goods.
Over 15,000 Italians, predominantly from the Veneto
Region, currently live and work in Timiş County
Timis: Background of the
Collaboration
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Timis County has a strong and diversified economy
characterised by a highly skilled work force
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It is based mainly on the service industries – based mainly
in Timisoara - accounting for 64% of the County’s economy
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The Regional Authorities in Timisoara have committed
themselves strongly to joining the European Union
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They are therefore willing to adapt their current health
systems to meet European standards
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As of this year, the Romanian Authorities have started a
process of decentralizing their national health system to the
Regions
Veneto Regional Ministry & Timis County Public
Health Care Systems : comparative data
Veneto Region
Population size
approx.4.5 million
Surface Area km2
24,840 km2
n. hospitals
74 public+25 private
n. health districts
73
n. medical units
n/a
n. health centres
n/a
Total n. medical
57,365
practitioners
Total n. physicians
approx. 7,515
Total n. nurses
approx. 25,699
Life expectancy*
79
Child Mortality rate*
6
(x1000)
*As of 2002, source: UNICEF 2002 Report
Timis County
682,409
8,697 km2
16
34
193
4
n/a
2,552
4,056
70
19
Selected areas for health sector co-operation
initiatives between the Veneto & Timis Regions:
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to assist the Timis Region in a process of decentralization from
the National Health System in Romania to the Regions;
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to assist in the development of a Regional Ministry of Health in
Timis, both at a political and a technical level;
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to establish a comparison between public health strategies in
the following areas: health prevention, screening, and
epidemiological data collection on the main pathologies;
to introduce to the Timis Region new standards for training
health personnel in line with standards currently in use in the
Veneto;
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to promote a partnership for European Projects;
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to link the Timis Region to the European Network.
Members of the Region Health Network - 2003
Armenia
Austria
Belgium
Bulgaria
Czech Republic
Germany
Hungary
Israel
Italy
Lithuania
Norway
Poland
Portugal
Romania
Russia
Spain
Sweden
Switzerland
United Kingdom
Sunik
Carinthia
Flemish Community
Varna
Usti
Silesia-Moravia
Lower Saxony
North Rhine-Westphalia
Bács Kiskun
Györ Moson Sopron
Szabolcs-Szatmár
Northern Region
Emilia-Romagna
Sicily
P.A. Bolzano
Veneto
Kaunas
Rogaland
Silesia
Madeira
Timis (new)
Vologda
Catalonia
Valencia
Västra Götaland
Östergötland
Ticino
North West England
Northern Ireland
Wales
Selected Areas for Collaboration
in 2004
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Project I: To set up a surveillance system
of the major communicable & chronic
diseases in the Timis Region;
Project II: A research study on the health
of Timis adolescents (aged 11,13,15
years) using the WHO protocol “Health
Behaviour in School Aged Children”;
Project II: Evaluation of the impact of the
re-orientation of social services for
abandoned and orphaned children;
Conclusions
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European Co-operation between Regions is
no longer an isolated experience among
political entities, at either the national or
regional levels, but becomes a necessity for
the future of an enlarged Europe.
The Regions are in the frontline in the
health sector for anticipating methods of
collaboration between European States in an
enlarged Europe.