Veneto Region, Italy: health system review
AbstractThe Health Systems in Transition (HiT) profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. This HiT is one of the first to be written on a subnational level of government and focuses on the Veneto Region of northern Italy. HiTs examine different approaches to the organization, financing and delivery of health services and the role of the main actors in health systems; describe the institutional framework, process, content and implementation of health and health care policies; and highlight challenges and areas that require more in-depth analysis. The Veneto Region is one of Italy’s richest regions and the health of its resident population compares favourably with other regions in Italy. Life expectancy for both men and women, now at 79.1 and 85.2 years, respectively, is slightly higher than the national average, while mortality rates are comparable to national ones. The major causes of death are cardiovascular diseases and tumours. Under Italy’s National Health Service, the organization and provision of health care is a regional responsibility and regions must provide a nationally defined (with regional input) basic health benefit package to all of their citizens; extra services may be provided if budgets allow. Health care is mainly financed by earmarked central and regional taxes, with regions receiving their allocated share of resources from the National Health Fund. Historically, health budget deficits have been a major problem in most Italian regions, but since the early 2000s the introduction of efficiency measures and tighter procedures on financial management have contributed to a significant decrease in the Veneto Region’s health budget deficit. The health system is governed by the Veneto Region government (Giunta) via the Departments of Health and Social Services, which receive technical support from a single General Management Secretariat. Health care is provided by 21 local health and social care units, 2 hospital enterprises, 2 national hospitals for scientific research and private accredited providers. Major national health reform legislation in the 1990s started the process of regionalization of the health system and the introduction of managerial methods and quasi-market mechanisms into the National Health Service, a process that has been consolidated since the early 2000s under the framework of fiscal federalism. Future challenges for the Veneto Region include the sustainable provision of the basic health benefit package; the adaptation of services to meet changes in demand, particularly those associated with the ageing population and the incidence of chronic diseases; and the ever-present problem of keeping the regional health budget balanced.
Toniolo, F; Mantoan, D and Maresso, A & European Observatory on Health Systems and Policies. (2012). Veneto Region, Italy: health system review. World Health Organization. Regional Office for Europe. https://apps.who.int/iris/handle/10665/330322
Health Systems in Transition;vol. 14, n. 1
MetadataShow full item record
Showing items related by title and subject
Donatini, Andrea; Rico, Ana; D' Ambrosio, Maria Guiseppina; Lo Scalzo, Alessandra; Orzella, Letizia; Cicchetti, Americo; Cetani, Teresa; World Health Organization. Regional Office for Europe; European Observatory on Health Care Systems (Copenhagen : WHO Regional Office for Europe, 2001)
Lo Scalzo, A; Donatini, A; Orzella, L; Cicchetti, A; Profili, S and Maresso, A; European Observatory on Health Systems and Policies (World Health Organization. Regional Office for Europe, 2009)The HiT profiles are country-based reports that provide a detailed description of a health system and of policy initiatives in progress or under development. HiTs examine different approaches to the organization, fi ...
Information management for improving relevance and efficiency in the health sector : a framework for the development of health information systems, report of a consultation, Sorrento, Italy, 21-25 March 1993 / Roderick Neame and Charles Boelen Neame, Roderick; Boelen, Charles; World Health Organization. Division of Development of Human Resources for Health (World Health OrganizationWorld Health Organization, 1995)The need for health care reform is widely recognized worldwide, but such reform must be based on knowledge and understanding of health situations, among others. All who have a stake in reform must have access to the same ...