Viral Hepatitis Prevention Board Meeting
Catania, November 7- 8. 2002
The Department of Prevention
in the National Health System
Maria Grazia Pompa
Communicable Diseases Unit
Agenzia Sanità Pubblica - Regione Lazio
The institutional scenario
Re-organisation of the National Health System (NHS)
Reform of the public administration
European Union
Federalism
Evolution of the specific laws
National Health System
Open market of services
in a settled and controlled system
 Monopoly of Department of Prevention (DP)
 Only the DP
can lay out
some services
Local Health Unit
Director General
Director Administrative
Hospital
Director Sanitary
Social Services Manager
District
Department
of
Prevention
Altri servizi….
Breeding hygiene…...
Staff
Hygiene and
Public Health
Manufacturing hygiene...
sanità animale
Prevention
and safety
in a job place
Foods and
nutritional
hygiene
* nei casi previsti dall'art. 3, comma 3,4 del D.Legisl. 502/92
Department of Prevention
Operative module of Local Health Unit
Economic and organising autonomy
Tutelage of the Public Health
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
Promotion of action at environmental, human, animal
level.
Objectives for the prevent the diseases
enhancing the quality of life
Liaisons with the other part of LHU and Hospitals
and
D. legislativo n. 502/1992
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
Department of Prevention
Objective
RESEARCH
Health promotion
Social equity
Priorities
Effectiveness/efficiency
EBP
Department of Prevention
characteristics
Epidemiological knowledge
Risk assessment
Evidence-Based Prevention
Co-operation with other social subjects
Department of Prevention
characteristics
COMMUNICATION
Department of Prevention
characteristics
QUALITY ASSURANCE
Evaluation of:
- outcomes
- specialist
What kind of prevention???
PRIORITY
Evidence-based
prevention
Benefits
versus losses
Ethics/
Equality
What kind of prevention???
Department of Prevention
RE-ORIENTATING
EPIDEMIOLOGY
Preventive
medicine
COMMUNICATION
QUALITY ASSURANCE
Curative
medicine
Department of Prevention
Co-ordination
Indicators
Ministry of Health
Financing