DOCSLIB.ORG

HCN-Innovation BASILICATA with Notes

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
HCN-Innovation BASILICATA with Notes N.1 TheThe RegionalRegional HealthHealth InnovationInnovation LandascapeLandascape in Basilicata Region Giovanni De Costanzo, Carla Di Lorenzo, Giuseppina Giuzio Basilicata Region Department of Health, Emergency and Social policy “Innovation” Workshop, 30 May – 1 June 2007, Potsdam Basilicata - Brief Regional Profile N.2 Basilicata/I Indicators Basilicata Italy taly Population 595.727 57.851.000 1,03% Surface 9,90 301,4 3,28% Population 60,1 191,9 31,35% density 5,000- 20,001- 65,001- <5,000 >100,000 Totale 20,000 65,000 100,000 Municipalities Potenza 80 19 0 1 0 100 Matera 17 13 1 0 0 31 Age classes Male Female Total % total tot 97 32 1 1 0 131 0-14 age 44.311 41.590 85.901 14,46% Population (absolute values) Potenza 166,542 156,827 0 69,295 0 392,664 15-64 age 195.585 194.196 389.781 65,61% Matera 31,976 114,012 57,075 0 0 203,063 More than 65 age 51.755 66.649 118.404 19,93% tot 198,518 270,839 57,075 69,295 0 595,727 The National Health System N.3 Italian National Health Service (SSN) is a public system that guarantees the medical assistance to all the citizens without distinctions of gender, residence, age, income, job and religion . The health services is managed at different government levels – Central Level – Regional Level Financing The National Health Service is funded mainly through tax payers. Moreover, the ASLs (local authority health services) obtain funding from patients’ contributions and from some of the non -free services they offer. The Basilicata Region Health Fund for year 2007, is ca € 949,573,646 which represents 1,12% of the National Health Fund. The Regional Health System N.4 Regional health care institutions : – 5 AUSL, 2 A.O., 7 public hospitals and 1 private hospital with a total number of 2,272 beds for acute recoveries (15% DH) and with total number of hospitalized patients 112,352 (34% DH) in 2006. Workers : – about 10.000 including personnel employed directly by the regional HS and the national health service. Economic importance – The regional healthy system covers the 5,9% of the Gross Domestic Product (it’s the seven sector for contribution). A.S. USL 1 Venosa 98.779 inhabitants A.S. USL 2 Potenza A.S. USL 4 Matera 212.057 inhabitants 123.313 inhabitants A.S. USL 5 Montalbano J. 85.672 inhabitants A.S. USL 3 Lagonegro 76.143 inhabitants Basilicata – Health Innovation N.5 Main Innovations of the Basilicata Region Health Service The innovation components of regional health system could be div ided in two lines: 1. organisational innovation whose drivers are: – Problem-oriented: the most significant include the increase in chronic diseases, long-term conditions and ageing populations; – Political push: in response to the rise of chronic illness and ageing populations, the sanitary attendance has been moved from the hospital to the territory. All regions have been asked to reduce their beds for acute illness to 3.5 X 1000. This has changed the way with which the National Health fund is shared. percentage rate of FSN The percentage rate of the for Essential Levels od Assistence (LEA) National Health Fund assigned for services offered by the hospitals, has been 44% reduced from 55% of 2000 51% to 44% of 2007. 5% territory Prevention Hospital Basilicata – Health Innovation N.6 Main Innovations of the Basilicata Region Health Service The innovation components of regional health system could be div ided in two lines: 1. organisational innovation whose drivers are: – Problem-oriented: the most significant include the increase in chronic diseases, long-term conditions and ageing populations; – Political push: in response to the rise of chronic illness and ageing populations, the sanitary attendance has been moved from the hospital to the territory. All the regions have being asked to reduce their beds for acute illness to 3,5 X 1000. It Has changed the way with which the National Health fund is shared. 2. The technological innovation which drivers are: New Technological factors; Integration of health information systems (EHR/PHR); e-health services; Telemedicine & e -care. They often interacts between them Basilicata – Health Innovation N.7 Organizational innovation The National Health model migration from a Concentrated Hospital System to a Distributed Territorial System Through the introduction of innovating structures and services a s: ADI - Integrated Assistance at Home Health Places Regional Net of Palliative Care Basilicata – Health Innovation N.8 Organizational innovation The displacement of the sanitary assistance Hospital Territory a strong use of ICT In Order to shift the sanitary assistance and to guarantee the connection between Hospital and Territory, Basilicata Region is carrying out the so called Telemedicine project. The project aims to promote the dialogue between specia list doctors and the first aid team which is in charge of the caring of the patients at home. In order to support the correct management of this new service a nd organisational model, a new software has been developed. This facilitates the activities technology management and points out important indicators which help Basili cata Region to better program its future implementations Basilicata – Health Innovation N.9 Innovation connected with ICT Infrastructural context Basilicata WAN (Wide Area Networks) Link in optical fiber between regional Hospitals Basilicata – Health Innovation N. 10 Innovation connected with ICT Infrastructural context The Basilicata region’s health information system Radiology MMG Servizi Accesso Refertazione Pronto Soccorso Gestore Repository Laboratorio Amministrativo Repository Amministrativo CUP reports pharmacy Utente Reparto Sistema di Hospital reporting Cassa Fascicolo clinico Gestore Repository Clinico Repository Visita ADT Clinico (Dimissione / Specialistica Trasferimento) terapy ADT (Accettazione) Hospital Basilicata – Health Innovation N. 11 Innovation connected with ICT Infrastructural context The Basilicata region’s health information system E-health A B Centro Ospedaliero di eccellenza GPRS MMG, Guardia Medica e ADI Rete Regionale Ospedale Periferico Casa Paziente C Telemedicine Services of e-health on the Basilicata Region web site Basilicata – Case study N. 12 CASE STUDY BASILICATA REGION Telemedicine for IMA Technological innovation technological component ICT + organizational component Realizations ICT BASILICATA REGION Realizations executively “Connection territory -hospital for management of the cardiological emergency in course of acute infarct of the myocardium ” HCN-Innovation Potsdam 30 may 2007 CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 13 The Case study has connected to the application of the Telemedicine within the “coronary emergency” the cardiovascular diseases represent the first cause of death i n the western world (every year in Italy around 150.000 persons are struck by myocardial attack – IMA. In Basilicata this number is around 700 and the 50% around, of p atients stroked by IMA dies before reaching the hospital structure. Objectives “ Connection between Territory/Hospital for the management of the cardiological emergencies in progress of acute myocardial attack ” • To reduce, with the help of the ICT technologies and with the in troduction of new organizational models on the territory, this percentage t hrough the implementation of the diagnosis before reaching the hospital . • To offer to the patient, struck by acute myocardial attack, a p rompt and efficient treatment related to the characteristics of the patien t and the place in which the event is verified. CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 14 Organizational innovation From an organizational point of view it needs: to coordinate the Coronary Care Unit (CCU) located on the territ ory with the main operational unit of emergency urgency regional network of coronary emergency founded on a model HUB -SPOKE Model HUB -SPOKE CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 15 Organizational innovation From an technological point of view it needs: to use the broadband connection, already present in the hospital structures and 118 (emergency service), for the transmission of the layout ECG (Electrocardiogram) and for its clinical rapport (Figure 1). Figure 1 CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 16 RESULTS Improving and making the net compact and effective. Diminish the negative impact represented by the peculiar geographical features of our Region (distances, road conditions, mountainous, etc.). CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 17 How does it happen? 1. Ambulances ( 118 - service of emergency urgency) need to be equipped with an electrocardiogram system of transmission, ECG with 12 derivations useful to transmit the layout via infrastructure WLAN of the Region. Alternatively, where the signal doesn’t reach certain areas, GSM telephone can be used : the layout transmission will get in time to the Unit dept. Structure of the Regional CCU into a Hub & Spoke model 118 Operational Central 118 Hub Hospital Spoke Hospital … the best reperfusion treatment in the temporal, clinical and organizational context…. Guidelines AMI STE ACC/AHA 2004 CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 18 2. The operator of the 118 Unit, on the basis of an operational protocol (Figure 3), joins in conversation through the video conference system (through broadband)with the CCU Cardiologist who will get the layout and will be able to propose the possible therapy on site. PROTOCOLLO OPERATIVO cl. Killip > 1 primo contatto medico: PA < 100 mmHg, FC > 100 b/min, - pre-Ospedaliero Conferma ECG calcolo età > 75 anni 118 (Telemedicina) di STEMI del Rischio ↑ST≥ 6 der. Alto Basso Esordio <3h tempi della PTCA PTCA in 60’ brevi (o C.I. alla th.lisi) lunghi TROMBOLISI Esordio >3h (entro 30’) PTCA in 90’ farmaci (ASA, UFE) trasporto diretto contenimento dei tempi Centro Hub PTCA (+/- facilitata) +/- prontamente Figure 3 CASE STUDY – BASILICATA REGION: Telemedicine for IMA N. 19 ADVANTAGES 1. reduction of mortality of patients affected by IMA; 2. reduction of pre -hospital intervention time; 3. to diagnose IMA and to level patients correctly; 4.
Load more

Recommended publications
  • Puglia, Basilicata & Calabria
    ©Lonely Planet Publications Pty Ltd Puglia, Basilicata & Calabria Why Go? Southern Italy is the land of the mezzogiorno – the midday Bari ............................. 707 sun – which sums up the Mediterranean climate and the Promontorio del languid pace of life. From the heel to the toe of Italy’s boot, Gargano ......................714 the landscape reflects the individuality of its people. Basili- Isole Tremiti ............... 720 cata is a crush of mountains and rolling hills with a dazzling Valle d’Itria ..................721 stretch of coastline. Calabria is Italy’s wildest area with fine Lecce .......................... 726 beaches and a mountainous landscape with peaks frequent- ly crowned by ruined castles. Puglia is the sophisticate of Brindisi ........................731 the south with charming seaside villages along its 800km of Matera ........................ 740 coastline, lush flat farmlands, thick forests and olive groves. Maratea ...................... 748 The south’s violent history of successive invasions and Cosenza ......................751 economic hardship has forged a fiercely proud people and Parco Nazionale influenced its distinctive culture and cuisine. A hotter, edg- della Sila..................... 753 ier place than the urbane north of Italy, this is an area that Parco Nazionale still feels like it has secret places to explore, although you dell’Aspromonte ........ 759 will need your own wheels (and some Italian) if you plan to seriously sidestep from the beaten track. Reggio di Calabria ..... 759 Best Places
    [Show full text]
  • State Intervention and Economic Growth in Southern Italy: the Rise and Fall of the «Cassa Per Il Mezzogiorno» (1950-1986)
    Munich Personal RePEc Archive State intervention and economic growth in Southern Italy: the rise and fall of the «Cassa per il Mezzogiorno» (1950-1986) Felice, Emanuele and Lepore, Amedeo Università “G. D’Annunzio” Chieti-Pescara, Second University of Naples 11 February 2016 Online at https://mpra.ub.uni-muenchen.de/69466/ MPRA Paper No. 69466, posted 11 Feb 2016 21:07 UTC 1 Emanuele Felicea Amedeo Leporeb State intervention and economic growth in Southern Italy: the rise and fall of the «Cassa per il Mezzogiorno» (1950-1986) Abstract In the second half of the twentieth century, the Italian government carried out a massive regional policy in southern Italy, through the State-owned agency «Cassa per il Mezzogiorno» (1950-1986). The article reconstructs the activities of the Cassa, by taking ad- vantage of its yearly reports. The agency was effective in the first two decades, thanks to substantial technical autonomy and, in the 1960s, to a strong focus on industrial develop- ment; however, since the 1970s it progressively became an instrument of waste and misalloc- ation. Below this broad picture, we find important differences at the regional level, and signi- ficant correspondence between the quality of state intervention and the regional patterns of GDP and productivity. Keywords: Southern Italy, regional development, State intervention, industrialization, con- vergence. JEL codes: N14, N24, N44, N94. a Emanuele Felice is associate professor of Applied Economics at the University “G. D’Annunzio” Chieti-Pesca- ra, Department of Philosophical, Pedagogical and Economic-Quantitative Sciences, Pescara, Italy. He published extensively on Italy’s regional inequality ad long-run economic growth.
    [Show full text]
  • Read in English
    Chef Luigi Diotaiuti "For over 44 years, I have provided the distinctive, dignified, authentic cooking of Italy‐food so simple, pure and sparkling fresh that it nourishes your body and embraces your soul.” Chef Luigi Diotaiuti Award winning Chef/Restaurateur Luigi Diotaiuti was dubbed “The Ambassador of Italian Cuisine” by the Federation of Italian Cooks in Florence, Italy in 2018. The owner of Washington DC’s Al Tiramisu (named one of “the 50 Top Italian Restaurants in the World 2019” by www.50topItaly.it) has been a celebrity favorite for decades. The certified Sommelier and television personality is also known for promoting culinary traditions on the verge of extinction in the United States, Italy, and around the globe. Born, raised, and educated in Basilicata, Italy, Chef Luigi trained at some of the world’s most prestigious locations before opening Washington DC’s “most authentic” Italian restaurant twenty‐four years ago. His current culinary pursuits and consistent media presence in the United States and Italy enable him to enjoy notability and distinction in both countries. In 2017, he was named “Ambassador of Basilicata’s Cuisine in the World” by The Federation of Italian Cooks. Chef Luigi received the “La Toque” award by The National Area Concierge Association at The Basilica of the National Shrine of the Immaculate Conception in Washington, DC in 2018. Born on a farm near Lagonegro, Basilicata, Chef Luigi’s farm to table roots created the foundation for his current culinary philosophy. He is a distinguished alumnus at the culinary school in Maratea, where he often returns as a keynote speaker.
    [Show full text]
  • Concorso Ordinario Prospetto Aggregazioni Territoriali ALLEGATO
    Concorso ordinario 1 Prospetto aggregazioni territoriali ALLEGATO 2 Regioni responsabili della procedura concorsuale e dove si svolgono le prove Regioni destinatarie delle domande e oggetto di aggregazione A001 - ARTE E IMMAGINE NELLA SCUOLA SECONDARIADI I GRADO CAMPANIA BASILICATA CALABRIA MOLISE PUGLIA SICILIA LAZIO ABRUZZO MARCHE UMBRIA A002 - DESIGN MET.OREF.PIET.DUREGEMME CAMPANIA CALABRIA EMILIA ROMAGNA FRIULI VENEZIA GIULIA LAZIO MARCHE SARDEGNA TOSCANA A003 - DESIGN DELLA CERAMICA CAMPANIA CALABRIA A005 - DESIGN DEL TESSUTOE DELLA MODA CAMPANIA PUGLIA SICILIA PIEMONTE FRIULI VENEZIA GIULIA TOSCANA LAZIO SARDEGNA A007 - DISCIPLINE AUDIOVISIVE LOMBARDIA FRIULI VENEZIA GIULIA LIGURIA PIEMONTE VENETO MARCHE LAZIO SARDEGNA TOSCANA UMBRIA PUGLIA BASILICATA SICILIA A008 - DISCIP GEOM, ARCH, ARRED, SCENOTEC LAZIO ABRUZZO MARCHE SARDEGNA TOSCANA UMBRIA Concorso ordinario 2 Prospetto aggregazioni territoriali ALLEGATO 2 Regioni responsabili della procedura concorsuale e dove si svolgono le prove Regioni destinatarie delle domande e oggetto di aggregazione A008 - DISCIP GEOM, ARCH, ARRED, SCENOTEC LOMBARDIA EMILIA ROMAGNA FRIULI VENEZIA GIULIA LIGURIA PIEMONTE VENETO SICILIA BASILICATA CAMPANIA PUGLIA A009 - DISCIP GRAFICHE, PITTORICHE,SCENOG LOMBARDIA EMILIA ROMAGNA LIGURIA PIEMONTE VENETO SICILIA CAMPANIA TOSCANA LAZIO SARDEGNA UMBRIA A010 - DISCIPLINE GRAFICO-PUBBLICITARIE CAMPANIA CALABRIA PUGLIA LAZIO ABRUZZO MARCHE SARDEGNA TOSCANA UMBRIA LOMBARDIA EMILIA ROMAGNA FRIULI VENEZIA GIULIA LIGURIA PIEMONTE A011 - DISCIPLINE LETTERARIEE
    [Show full text]
  • The Italian Gender Gap Index
    A Service of Leibniz-Informationszentrum econstor Wirtschaft Leibniz Information Centre Make Your Publications Visible. zbw for Economics Bozzano, Monica Working Paper Assessing Gender Inequality among Italian Regions: The Italian Gender Gap Index Quaderni di Dipartimento, No. 174 Provided in Cooperation with: University of Pavia, Department of Economics and Quantitative Methods (EPMQ) Suggested Citation: Bozzano, Monica (2012) : Assessing Gender Inequality among Italian Regions: The Italian Gender Gap Index, Quaderni di Dipartimento, No. 174, Università degli Studi di Pavia, Dipartimento di Economia Politica e Metodi Quantitativi (EPMQ), Pavia This Version is available at: http://hdl.handle.net/10419/95285 Standard-Nutzungsbedingungen: Terms of use: Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Documents in EconStor may be saved and copied for your Zwecken und zum Privatgebrauch gespeichert und kopiert werden. personal and scholarly purposes. Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle You are not to copy documents for public or commercial Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich purposes, to exhibit the documents publicly, to make them machen, vertreiben oder anderweitig nutzen. publicly available on the internet, or to distribute or otherwise use the documents in public. Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, If the documents have been made available under an Open gelten abweichend
    [Show full text]
  • Matera (Basilicata, Southern Italy): a European Model of Reuse, Sustainability and Resilience
    Advances in Economics and Business 4(1): 26-36, 2016 http://www.hrpub.org DOI: 10.13189/aeb.2016.040104 Matera (Basilicata, Southern Italy): A European Model of Reuse, Sustainability and Resilience Marcello Bernardo*, Francesco De Pascale Department of Languages and Educational Sciences, University of Calabria, Italy Copyright © 2016 by authors, all rights reserved. Authors agree that this article remains permanently open access under the terms of the Creative Commons Attribution License 4.0 International License Abstract Europe is facing a severe crisis: old certainties you could see, from above, a white church. It was Santa are crumbling and traditional ways of working are showing Maria de Idris, and it looked like as if it was stuck into the signs of profound weakness. The first challenge, perhaps the ground. These inverted cones, these funnels, are locally most important, is to manage an advanced economy to known as “Sassi” [litt: “stones”]. Their shape reminded me generate not only economic value, but also social justice and of what, while at school, we imagined Dante's Inferno environmental quality. The second major issue is to promote might have looked like. The narrow space between the the adoption by civil society and institutions of an “ethos” facades and the slope accommodated roads, which serve as within which citizens could plan, produce and co-create their basements for those who come out from the top floor cities, cultivating a new and more rich democratic awareness. houses, and as roofs for those below. Looking up, I could Thirdly, it is about creating a climate of openness that finally see the whole of Matera as a slanting wall.
    [Show full text]
  • 41 EMPLOYMENT and REGIONAL DEVELOPMENT in ITALY GUISAN, M. Carmen ([email protected]) AGUAYO, Eva ([email protected] University of Sa
    Applied Econometrics and International Development. AEEADE. Vol. 2-1 (2002) EMPLOYMENT AND REGIONAL DEVELOPMENT IN ITALY GUISAN, M. Carmen ([email protected]) AGUAYO, Eva ([email protected] University of Santiago de Compostela (Spain) Abstract We present an interregional econometric model for Value- Added and Employment in 20 Italian regions, which has into account the effects of several factors of development such as industry, tourism and public sector activities. We also analyse the evolution of employment in Italy during the period 1960-2000, in comparison with EU, as well as the regional distribution of employment and development by sector in the period 1985-98. The main conclusions point to the convenience of fostering the rate of employment, which is below EU average and shows an stagnation in comparison with Ireland and other EU countries, specially in the less industrialized regions. This article is part of a research project on regional economics of EU countries. JEL classification: C5, C51, E24, J2, O18, O52, R23 Key words: Employment in Italy, Italian Regional Development, Regional Econometric Models, European Regions, Regional Tourism 1. Introduction Although Italy has experienced a high increase of non- agrarian employment and development during the 20th century, and has a level of Income per capita very similar to European Union average, the country has experience, as well as France, Spain, and another countries with a high level of agrarian activity at the middle of that century, an important reduction in agrarian employment. 41 Guisan, M.C. and Aguayo, E. Employment and Regional Development in Italy As a consequence of the diminution of agrarian employment and other features of Italian economy, regional employment rates vary among Northern and Southern regions, and the Italian economy as a whole has an average rate of total employment per one thousand inhabitants below EU average.
    [Show full text]
  • Basilicata Menu Della Cena
    FESTA REGIONALE BASILICATA MENU DELLA CENA ANTIPASTI CARPACCIO DI MELANZANE 9 !inly sliced grilled eggplant topped with marinated roasted bell peppers and Kalamata olives; served with goat cheese and crispy capers PASTA LAGANE E CECI ALLA LUCANA 16 House made eggless pasta with broccoli rabe, garbanzo beans, oven dried Italian cherry tomatoes, garlic, pepperoncini and Grana Padano cheese SECONDI BATTUTA DI POLLO ALL’ AGLIO E LIMONE 18 Pounded and grilled double chicken breast with lemon, olive oil and roasted garlic; served with roasted Yukon Gold potatoes and peperonata or NASELLO AL FORNO 22 Wild sea bass "llet sautéed with tomatoes, Trebbiano wine, basil and garlic; served with sautéed spinach and mashed potatoes DOLCI TORTA ALLO ZABAIONE 8 Sponge cake soaked in Marsala wine and layered with zabaione-mascarpone cream, edged with toasted almonds and topped with chocolate shavings 19486_basilicata.indd 1 5/8/14 9:51 AM BASILICATA Less commonly travelled than many regions in Italy, Basilicata is a sight best discovered than shown. Forming the instep of the Italian “boot” and touching two seas, Basilicata o!ers forest-covered mountains dotted with charmingly small villages with welcoming people. Vast and picturesque mountain lakes complete this serene picture. With agriculture such a valuable part of Basilicata’s tradition and economy, the aroma that envelope you are varied and of-the-earth. Citrus and olive groves, vineyards and peppers- both sweet and spicy, infuse the air with a perfume that de"nes the region’s rustic calm. Bold and fragrant, the cuisine of Basilicata is based on what the people grow themselves, with hearty potatoes, peppers, and tomatoes at the center of most recipes.
    [Show full text]
  • Briefing Italian Non-Dom Tax Legislation: Recent Developments February 2019
    BRIEFING ITALIAN NON - DOM TAX LEGISLATION: RECENT DEVELOPMENTS FEBRUARY 2019 ● FROM 1 JANUARY 2019, A NEW OPTIONAL TAX REGIME WILL BE APPLICABLE FOR INDIVIDUALS RECEIVING FOREIGN PENSIONS AND MOVING THEIR TAX RESIDENCE TO SOUTHERN ITALY. On 1 January 2019, the Italian Budget Law introduced a new tax regime for foreign pensioners moving to Italy. This briefing note aims to provide a brief analysis of the main tax changes introduced. The new tax regime “THE TAX REGIME APPLIES Art. No. 1, paragraph No. 273-274 of Law No. 145/2018 (i.e. the 2019 Italian FOR UP TO SIX YEARS Budget Law) introduced into D.P.R. 917/1986 (the Italian Income Tax Code or ”ITC”) FROM THE FIRST FISCAL Art. 24-ter, implementing a new optional tax regime1 applicable from 1 January 2019 for individuals: YEAR FOR WHICH THE ELECTION IS MADE.” ● receiving foreign pensions; and ● moving their tax residence from a foreign country to a municipality with no more than 20,000 inhabitants located in Southern Italy2. Under this new regime, all foreign income3 within the scope of the new regime will be taxed at a 7% flat rate in each fiscal year to which the election applies. 1 As part of the “Non-Dom” Tax regime under art. 24-bis of ITC. 2 Paragraph no. 1 of the new art. 24-ter of ITC requires the individual to move their tax residence to one of the following Italian regions: Sicily, Calabria, Sardinia, Campania, Basilicata, Abruzzo, Molise and Puglia. 3 The new regime is not limited to pension income but applies to other foreign income.
    [Show full text]
  • The Geography of Italian Pasta
    The Geography of Italian Pasta David Alexander University of Massachusetts, Amherst Pasta is as much an institution as a food in Italy, where it has made a significant contribution to national culture. Its historical geography is one of strong regional variations based on climate, social factors, and diffusion patterns. These are considered herein; a taxonomy of pasta types is presented and illustrated in a series of maps that show regional variations. The classification scheme divides pasta into eight classes based on morphology and, where appropriate, filling. These include the spaghetti and tubular families, pasta shells, ribbon forms, short pasta, very small or “micro- pasta” types, the ravioli family of filled pasta, and the dumpling family, which includes gnocchi. Three patterns of dif- fusion of pasta types are identified: by sea, usually from the Mezzogiorno and Sicily, locally through adjacent regions, and outwards from the main centers of adoption. Many dry pasta forms are native to the south and center of Italy, while filled pasta of the ravioli family predominates north of the Apennines. Changes in the geography of pasta are re- viewed and analyzed in terms of the modern duality of culture and commercialism. Key Words: pasta, Italy, cultural geography, regional geography. Meglio ch’a panza schiatta ca ’a roba resta. peasant’s meal of a rustic vegetable soup (pultes) Better that the belly burst than food be left on that contained thick strips of dried laganæ. But the table. Apicius, in De Re Coquinaria, gave careful in- —Neapolitan proverb structions on the preparation of moist laganæ and therein lies the distinction between fresh Introduction: A Brief Historical pasta, made with eggs and flour, which became Geography of Pasta a rich person’s dish, and dried pasta, without eggs, which was the food of the common man egend has it that when Marco Polo returned (Milioni 1998).
    [Show full text]
  • Case Study Basilicata
    EVALUATION OF THE MAIN ACHIEVEMENTS OF COHESION POLICY PROGRAMMES AND PROJECTS OVER THE LONGER TERM IN 15 SELECTED REGIONS (FROM 1989-1993 PROGRAMMING PERIOD TO THE PRESENT) (2011.CE.16.B.AT.015) CASE STUDY BASILICATA Simona Milio and Laura Todaro 31 May 2013 European Policies Research Centre University of Strathclyde Graham Hills Building 40 George Street Glasgow G1 1QE United Kingdom Tel: +44-141-548 3339 Fax: +44-141-548 4898 E-mail: [email protected] [email protected] http://www.eprc.strath.ac.uk/eprc/ The University of Strathclyde is a charitable body, registered in Scotland, number SC01526 Evaluation of the main achievements of Cohesion policy programmes and projects over the longer term in 15 selected regions: Basilicata Case Study PREFACE This report presents the Case Study for Basilicata as part of the study ‘Evaluation of the Main Achievements of Cohesion Policy Programmes over the Longer Term in 15 Selected Regions (from 1989-1993 programming period to the present)’ which is being managed by the European Policies Research Centre and London School of Economics. The research was mainly conducted over the period December 2011 to May 2012, and supplemented with additional material over the following months. The Case Study has been drafted by Dr Simona Milio and Ms Laura Todaro, LSE. The authors are grateful to a considerable number of individuals in the Basilicata and national government bodies who participated in the study and provided valuable insights as well as assistance in tracking down other interviewees. LSE i EPRC Evaluation of the main achievements of Cohesion policy programmes and projects over the longer term in 15 selected regions: Basilicata Case Study LSE ii EPRC Evaluation of the main achievements of Cohesion policy programmes and projects over the longer term in 15 selected regions: Basilicata Case Study Contents EXECUTIVE SUMMARY ....................................................................................
    [Show full text]
  • CLUB PERFORMANCE DYNAMICS at ITALIAN REGIONAL LEVEL BRIDA, Juan Gabriel* Garrido, Nicolas, MUREDDU, Francesco Abstract
    Regional and Sectoral Economic Studies Vol. 14-1 (2014) CLUB PERFORMANCE DYNAMICS AT ITALIAN REGIONAL LEVEL BRIDA, Juan Gabriel* GARRIDo, Nicolas, MUREDDU, Francesco Abstract. This paper analyzes the dynamic economic performance of the Italian regions during the period 1970-2004. The performance is given by the transitions between regimes defined by the level and the growth rates of per capita GDP. Using the concept of economic regime, we introduce a notion of distance between the dynamical paths of the Italian regions. Afterwards, a Minimal Spanning Tree and a Hierarchical Tree are constructed from time series in order to assess the existence of groups of regions sharing similar economic performance. Two main clusters are identified, representing high performance and low performance regions, alongside other two small clusters displaying regions with similar dynamic behaviour. The high performance cluster comprises mainly regions from the north, showing the presence of agglomeration externalities. Turning to the evolution of clusters, we see a similar path until 1975, after which the two groups start to slightly diverge. Studying the evolution of each cluster’s diameter we find substantial convergence within the two groups. Splitting the sample into two periods (1975-1993 and 1994-2005) the hypothesis of two performance clubs is confirmed. The club shift of some regions hints a strong effect on regional economic dynamics of the Italian 1994 crisis. The final analysis of the distance between the two clusters show that in the first period (1975-1993) the distance between the two group was constant, while in the second one (1994-2005) it has increased Keywords: economic convergence; economic dualism, hierarchical clustering JEL classification: C14; C24; L83 1.
    [Show full text]