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Long Life to the Women

Silvia Gatti

Long Life to the Women

The Reorganization of Early Detection of Breast Cancer in Bologna (2010 - 2016)

The work originates from the analysis of a concrete case study concerning the metropolitan area of the city of Bologna and the solutions adopted after 2010 by the local health authorities to address the problems of waiting lists (and the control of spending) for the individual services of early detection of breast cancer, essentially redirecting the services toward the screening of public health.

Pagine: 152

ISBN: 9788835169819

Edizione:1a edizione 2024

Codice editore: 10365.58

Informazioni sugli open access

The work originates from the analysis of a concrete case study concerning the metropolitan area of the city of Bologna and the solutions adopted after 2010 by the local health authorities to address the problems of waiting lists (and the control of spending) for the individual services of early detection of breast cancer, essentially redirecting the services toward the screening of public health.
The papers highlight the characteristics of this reorganization, the implications on the maintenance of the founding principles of the Italian National Health Service, specifically for equity, and the costs directly borne by women to pay for services previously offered. The control systems of the organization and provision of the services within the National Health Service are investigated and their effectiveness or inability to protect the founding principles are highlighted. Through the data (accessed as citizen in Generalized Civic Access) on the access to the mammographic services, the choices of women and how they have dealt with the reorganization of the offer in Bologna were studied up to 2016. The effect of this reorganization on the access to the mammographic services by women was compared with external shocks that occurred at the same time.
The book closes with a paper on the current role of the Italian National Recovery and Resilience Plan 2021-2026 and the National Health Equity Program 2021-2027 for women's health and in particular for the early detection of breast cancer.

Silvia Gatti, an economist who received her education from the Faculty of Economics at the University of Modena in the 1980s, is currently permanent assistant professor in Economic Policy at the University of Bologna, where she teaches Health Economics and Environmental Economics. She is a member of the American Economic Association, the Western Economic Association International and the American Association of Wine Economists.

Introduction
(The Context; The Beveridge Report of 1942 and the Establishment of the British National Health Service in 1948; The Origins of the Italian National Health Service; The Issue of Financing the National Health Service; Secondary Prevention; The Plan of the Work)
Maintaining Equity in the Italian National Health Service at the Time of the Measures for Reorganizing the Offerings of Outpatient Specialist Services
(Introduction; The Relevance of the Analysed Context and the Design of the Study; Part A. Case Study; The Origins; Characteristics of the Facilities Available as of September 2015 for Mammograms of Organised Screening and Spontaneous Access, According to the Information Provided by the Bologna Local Health Authority, "AUSL"; Waiting Times for Spontaneous Access to Mammograms for Early Cancer Detection; The Policy of the Bologna AUSL on the Spontaneous Access Waiting Lists for Mammograms for Early Detection of Breast Cancer; Remarks on the Policy of the Bologna AUSL on the Spontaneous Access Waiting Lists for Mammograms for the Early Detection of Breast Cancer; The Characteristics of Organised Screening for Early Detection of Breast Cancer in Emilia-Romagna and Bologna; The Possibilities for Access to the Services Formerly Offered Via Spontaneous Access and the New Costs: the Implications For Household Economic Well-Being and Finances; Part B: How Could This Happen?; The Case as an Experiment to Verify the Reliability of the Procedures in Place Today for the Protection of Equity in Italy; A Context Historically Focused on Social Cohesion and the Reduction of Inequalities; A Context Historically Mindful of Women's Health; But is Equity Assessed in the Italian National Healthcare System?; Emilia-Romagna: A Context of Strong Commitment in the Policies for Equity in Public Health; And Yet It Happened in Bologna; A Citizens' Health Protection Proposal; Conclusions)
Control Systems in the Italian National Health Service and the Maintaining of the Principles of Universality, Equality and Equity: Avoiding Discrimination and "Exit" Phenomena
(Introduction; Methods and Materials; Results; Discussion; Conclusions)
Universality, Equality and Equity in the Italian National Health Service: Highlighting Discrimination Phenomena in Accessing Health Services Using Institutional and Administrative Data
(Introduction; Highlighting Discrimination in Accessing Health Services Using Institutional Data; Highlighting Discrimination in Accessing Health Services Using Administrative Data; Methods and Materials; Results; Conclusions; Appendix 1; Appendix 2)
Individual Prevention and Organized Screening: a Reflection on Data of the Access of Early Detection of Breast Cancer in Emilia-Romagna, and in Bologna in Particular, After the Reorganization of the Offering
(Introduction; Methods and Materials; A Longitudinal Study; A Life Course; Results; Conclusions)
Maintaining the Secondary Prevention Against Breast Cancer for Women in Emilia-Romagna (IT) and External Social and Economic Shocks (2002-2016)
(Introduction; Methods and Materials; The Shocks; The Effects 1; The Effects 2; Conclusions)
The Italian National Recovery and Resilience Plan (NRRP) 2021-2026, the National Health Equity Program (PNES) 2021-2027, the Women, and Their Health
(Introduction; The Next Generation EU; The Next Generation EU: What Is Missing?; The National Recovery and Resilience Plan (NRRP) (and the National Health Equity Program (PNES)) for the Health; What the Italian National Health Service Has Done Since 2001; LEAs Monitoring; Will the Intervention Program Financed by the Next Generation EU and by the National Health Equity Program 2021-2027 Be Enough to Change the Prevention Situation for Women's Health in Italy and in the South in Particular?; ISS-PASSI Surveillance on Screenings for the Prevention of Cervical, Breast and Colorectal Cancer; Conclusions).

Collana: Economia - Ricerche - Open Access

Argomenti: Economia, economia aziendale

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