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Explore the impact of new governance on health policy decisions with Prof. Angelo Passaleva, Tuscany's VP. Learn how to steer challenges in the information era, enhance e-government in regional systems, and improve services for efficient health governance.
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How does new governance influence decision-making processes in health policy Prof. Angelo Passaleva V.President of Tuscany Regional Government Regional Councillor, responsible for Solidarity policies
Watching from the ‘governance’ bridge • How may we steer challenges of ‘Information era’? • How we do face e-government in a regional subsystem? • How to improve services making health government more efficient? • How to allow "communities-of-interest" to form and to act on a social and cultural shared ground? • How to manage interdependence allowing a scenery of cultural diversity?
A general overview on (health) steering E.U. WHITE PAPER (2001): policy making process must be closer to citizens - how to do it in health field? Ensuring citizens voice to be heard (and local communities effectively may be acting out) not undermining the leading roles Single citizen and communities-of-interest Government,management,professionals
Steering challenges of ‘e-health era’ • Focusing every scenery • Analyzing players roles and cross-relations • Detecting & using ‘new governance’ issues • Coupling rules & horizontal empowermentfacing the lack of perspective and coherence • Working with e-tools availables and conceivables both for citizens and public-private structures
A regional approach: “Tuscany model for e-health - 1” • Dealing with needs of an extra-aging population and the negative impact on financial resources to manage health system • Facing geographic, socio-economic and the new-born cultural divide • Thinking to socio-cultural richness of Tuscan asset • Facing outcome of global economical crisis and loss of growth in PIL and resources to spend in welfare • Coping with Constitutional Act change and italian way to devolution • Thinking to a new regional welfare system (peering health and social instances)
A regional approach: “Tuscany model for e-health - 2” A way to connect regional and local government through specially planned institutions: the AREE VASTE and the SOCIETA’ DELLA SALUTE system
A regional approach: “Tuscany model for e-health - 4” AREA VASTA NORD-OVEST REGIONAL E-HEALTH NETWORK ON START UP AREA VASTA CENTRO AREA VASTA SUD-EST AREA VASTA SUD-EST
A regional approach: “Tuscany model for e-health 5” AREA VASTA NORD-OVEST TOMORROW: COUPLING HEALTH EXPERTISE WITH LOCAL ORGANIZATION OF NEEDS AND RESOURCES THEROLE OF COMUNI IN THE SOCIETA’ DELLASALUTE REGIONAL E-HEALTH NETWORK AREA VASTA CENTRO AREA VASTA SUD-EST AREA VASTA SUD-EST
Syntesys: what does it mean for Tuscan health system? Oversizing strategies and tools for interconnection (public, private and mixed clusters of services; health professionals and voluntary services; tutelage institutions; different expectations of Tuscan citizens) overlapping mandatory rules of Regional Health Program withhorizontal issues of e-Toscana project for a new enabling asset ofinformation society specific actions, from new hospital architecture (and a new way to cope with financial costs) to fully personalized home care services supported by specialized telemedicine