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Report on the Health Status of Country Ministero della Salute Direzione Generale del Sistema Informativo e Statistico Sanitario Report on the Health Status of Country 2011 The Report on the Health Status of Country (Relazione sullo Stato Sanitario del Paese, RSSP) meets the requirement of producing a periodic report to Parliament, and conse- quently to citizens, on the state of health of the population and the implementation of health policies. The RSSP was introduced by the law of December 23, 1978, no. 833 and was subsequent- ly identified by the legislative decree (D.Lgs.) of December 30, 1992, no. 502 and succes- sive amendments, as an instrument of evaluation for the process of implementation of the National Health Plan. The 2006-2008 National Health Plan outlined the characteristics of the “Reporting Sys- tem”, represented by the production of: ■ a short-term Report produced annually and capable of satisfying the regulatory re- quirements, consisting of summary documents of a mainly political and institution- al kind as well as documents with technical and economic analyses; ■ a triennial Report, produced in tandem with the expiry date of the Health Plan and capable of highlighting the level of achievement of the Plan objectives, returning da- ta, where possible, to the various Regions to try to build regional profiles for com- parative purposes and to enable the emergence of typical group behaviours of Re- gions to be noted and used for future in-depth examination; ■ documents on specific themes, in particular such as the Ministry of Health Jour- nals, a publishing series of information and training intended to share the criteria of appropriateness of the Healthcare system in Italy. The Report on the Health Status of Country 2011, by nature short-term, does not address the entire health system in its complex articulation of queries, stipulations and responses, but presents the main results achieved in 2011 in reference to the development priorities and system strategies shared between the State and the Regions. The 2011 Report is divided into three sections which illustrate: ■ the context relating to the state of health of the Country and the governance of the Healthcare system; ■ interventions on the part of both central and regional levels, aimed at the implemen- tation of the priorities for achievement of health goals; ■ the quality of the system and the satisfaction of citizens, the human, financial and technological resources, as well as the monitoring, verification and appropriateness of the Essential Levels of Health Care. The process of preparing the report is supported by an Editorial Board whose members are selected by the Minister of Health, with the task of direction and selection of themes, for which the individual Authors provide their own contribution. An Editorial Committee works in connection with the Editorial Board, whose coordination is entrusted to the Di- rectorate General for Health Information and Statistical System. Ministero della salute Issued by Direzione Generale del Sistema Informativo e Statistico Sanitario Editorial production: Direzione Generale della Comunicazione e delle relazioni istituzionali Via Giorgio Ribotta, 5 – 00144 Roma – www.salute.gov.it; www.rssp.salute.gov.it Editorial and graphic consultancy: Springer Healthcare Italia Srl Publishing: Centro stampa del Ministero della salute Editorial Board Supervisor Giovanni Simonetti President Section I of the National Health Council Full Professor of Radiodiagnostics – University of Rome “Tor Vergata” Director of Department of Diagnostics for Imaging, Molecu- lar Imaging, Interventional Radiology and Radiotherapy – Polyclinic of the University of Rome “Tor Vergata” Members Guido Carpani President of Office Giovanni Leonardi Acting Vice-President of Office Director-General of the Health Professions and Human Re- sources in the National Health Service (SSN) Antonio Fortino Head of the Minister’s Technical Secretariat Rita Angela Dragonetti Deputy Head Legislative Office Alberto Bobbio Ministerial Spokesperson and Head of Press Office Francesco Taroni Ministerial Adviser for Research Claudio De Giuli Ministerial Adviser for the Pharmaceutical Sector Claudio Mastrocola Ministerial Adviser for National Health Service (SSN) per- sonnel policies Filippo Palumbo Head of Department for Planning and Organisation of the National Health Service (SSN) Francesco Bevere Director General of Health Planning Rossana Ugenti Director General of Health Information and Statistical Sys- tem Marcella Marletta Director General of Medical Devices, Pharmaceutical Ser- vices and Safety in Healthcare Fabrizio Oleari Head of Department of Public Health and Innovation Giuseppe Ruocco Director General for Prevention Massimo Casciello Director General of Health and Biomedical Research and Su- pervision of National Health Bodies and Institutions Daniela Rodorigo Director General for European and International Relations Maria Linetti Director General of Communication and Institutional Rela- tions Editorial Board Romano Marabelli Head of Department of Veterinary Public Health, Food Safe- ty and National Boards for Health Protection Gaetana Ferri Director General of Animal Health and Veterinary Drugs Silvio Borrello Director General of Hygiene, Food Safety and Nutrition Giuseppe Viggiano Director General of National Boards for Health Protection Giuseppe Celotto Director General of General Office for Resources, Organisa- tion and Budget Enrico Garaci President of the National Health Council President of the National Institute for Health Monica Bettoni Director General of the National Institute for Health Alberto Zangrillo President Section II of the National Health Council Full Professor of Anaesthesia Director Department of Anaesthesia and Recovery, San Raf- faele Hospital, Milan Gualtiero Walter Ricciardi President Section III of the National Health Council Full Professor of Hygiene Director Institute of Hygiene and School of Specialisation in Hygiene and Preventive Medicine, Sacro Cuore Catholic Uni- versity of Rome Massimo Castagnaro President Section IV of the National Health Council Full Professor of General Pathology Dean of the Faculty of Veterinary Medicine, University of Padua President of the Italian Association for Veterinary Patholo- gies Alberto Albertini President Section V of the National Health Council Massimo Fini President of the Scientific Committee of the National Centre for Disease Prevention and Control – CCM Scientific Director of the IRCCS San Raffaele Pisana, Rome Mauro Moroni Vice President of the National Commission for AIDS Preven- tion Full Professor of Infectious Diseases, University Hospital “Luigi Sacco”, University of Milan Barbara Ensoli Vice President of the National Commission for AIDS Preven- tion Director of the National AIDS Centre, National Institute for Health Alessandro Nanni Costa Director of the National Transplant Centre, National Insti- tute for Health Giuliano Grazzini Director of the National Blood Centre, National Institute for Health IV Editorial Board Concetta Mirisola Director General of the National Institute for Health, Migra- tion and Poverty – INMP Fulvio Moirano Director General of the National Agency for Regional Health Services – AgeNaS Giovanni Bissoni President of the National Agency for Regional Health Ser- vices – AgeNaS Luca Pani Director General of the Italian Medicines Agency – AIFA Sergio Pecorelli President of the Council of Administration of the Italian Medicines Agency – AIFA V Editorial Committee Coordinator Cristina Tamburini Directorate General for Health Information and Statistical System Members Claudia Biffoli Directorate General for Health Information and Statistical System Lidia Di Minco Directorate General for Health Information and Statistical System Rosaria Boldrini Directorate General for Health Information and Statistical System Manuela Cocchi Directorate General for Health Information and Statistical System Miriam Di Cesare Directorate General for Health Information and Statistical System Maria Teresa Loretucci Department for Planning and Organisation of the National Health Service (SSN) Anna Camera Vice-President of Office Silvia Arcà Directorate General for Health Planning Annamaria Donato Directorate General for Medical Devices, Pharmaceutical Services and Safety in Healthcare Santina Amicone Directorate General for Health Professions and Human Re- sources in the National Health Service (SSN) Sabrina Ziliardi Department of Public Health and Innovation Directorate General for Prevention Novella Luciani Directorate General for Health and Biomedical Research and Supervision of National Health Bodies and Institutions Gaetano Guglielmi Directorate General for Health and Biomedical Research and Supervision of National Health Bodies and Institutions Pasqualino Rossi Directorate General for European and International Rela- tions Massimo Aquili Directorate General for Communication and Institutional Relations Francesco Schiavone Directorate General for Communication and Institutional Relations Editorial Committee Marco Ianniello Department of Veterinary Public Health, Food Safety and National Boards for Health Protection Francesca Calvetti Department of Veterinary Public Health, Food Safety and National Boards for Health Protection Clara Ventre Directorate General for Animal Health and Veterinary Drugs Angelica Maggio Directorate General for Hygiene, Food Safety and Nutrition Ida Poni Directorate General for Hygiene, Food Safety and Nutrition Stefania Dalfrà Directorate General for Hygiene, Food Safety and Nutrition Alba
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