Agreement, In Accordance With Article 9, Paragraph 2, Lett. C) Of August 28, 1997 Decretolegislativo, # 281, Between The Government, The Autonomous Regions And Leprovince Of Trento And Bolzano, The Provinces, Municipalities And Mountain Lecomunita On D...
Original Language Title: Accordo, ai sensi dell'articolo 9, comma 2, lett. c) del decretolegislativo 28 agosto 1997, n. 281, tra il Governo, le regioni e leprovince autonome di Trento e di Bolzano, le province, i comuni e lecomunita' montane sul documento recante: «Piano nazi...
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The JOINT CONFERENCE in today's sitting of October 30, 2014: See art. August 28, 1997, 9 of Legislative Decree No. 281 and, in particular, paragraph 2, point c), under which this Conference promotes and enshrines agreements between Government, regions, provinces, municipalities and mountain communities, in order to coordinate the exercise of their respective powers and together activities of common interest; Having regard to the letter of October 2, 2014, by which the Ministry of health has sent the outline agreement stated, with a note of 10 October and was released to the regions and the autonomous provinces of Trento and Bolzano and to the local authorities; Given that, during the technical meeting of October 16, 2014, were agreed improvements of the text, reflected in the final version that the Ministry of health has sent with a note of October 17, 2014 and that this secretariat has released on October 22, 2014; Having regard to the note of October 29, 2014, with which the Veneto region, Coordinator of the Health Committee, has informed the technical opinion in favour of the agreement in the above version of October 22, 2014; Acquired, in today's session of this Conference, the assent of the Government, the regions and autonomous provinces of Trento and Bolzano and of local governments with the recommendation-formalized by the Conference of regions and autonomous provinces with note on November 6, 2014-that the implementation of the plan be strengthened with additional operational tools, in order to ensure the organizational and managerial autonomy of regions and autonomous provinces;
Ratifies the agreement between the Government, the regions and autonomous provinces and local authorities, in the following terms: whereas: the Legislative Decree 502/92-«reorganization of health discipline in accordance with art. 1 October 23, 1992, law No. 421» and subsequent modifications and integrations, directs the actions of the national health service towards the principle of appropriateness and the identification of diagnostic and therapeutic guidelines;
in Europe it is estimated that the prevalence of dementia increases, in the same time period, from 1.6% in age class 65-69 years to 22.1% in that greater than 90 years in males and from 1% to 30.8% in women. The incidence rates for dementia vary from 2.4 per 1000 person years in age class 65-69 years up to 40.1 for 1000 years person in that greater than 90 years in the male population and from 2.5 to 81.7 respectively in the female population. Alzheimer's dementia represents, according to these estimates, approximately 60% of all dementias;
the dementias include a collection of diseases (Alzheimer's, vascular dementia, Lewy body disease, Frontotemporal, mixed forms, etc.) that have a major impact on social and health terms is why an increasing number of families are dramatically affected, because both require the activation of a qualified network of integrated health services and social care facilities. The dementias, also represent a major cause of disability. Given the progressive aging of the general population, these diseases are becoming, and always will be, a major problem in terms of public health;
the symptoms of dementia, caused by severe impairment of cognitive functions, and is characterized by a progressive disability whose clinical management and care is extremely complex. VA also noted that the clinical condition of the patient is usually characterized by the phenomenon of demented pluripatologia, which inevitably involves varying degrees of disability that you accompany somatic problems, psychiatric, social, ethical and medico-legal;
nationally there is a separate organization between different regions and sometimes even within individual regions and a marked variability in qualitative and quantitative offer of diagnosis and treatment services. Also often still insufficient integration and collaboration between hospitals, general practitioners (GPS), territorial services and integrated home care that are likely to result in a shortage in care and continuity of care. The reality is very varied, with secure areas of excellence alongside other where it is absolutely necessary to give quality;
the tasks of the entities members to perform the function of governance, Ministry, regions and autonomous provinces, local governments are based on different prerogatives and responsibility: set goals and strategies;
designing the structures of Government and control;
monitor and evaluate its functioning;
measuring and evaluating the degree of attainment of objectives, management schemes aimed at continuous improvement and able to intervene in the process to enhance certain performance;
in Italy there are many initiatives aimed at dementia but, despite efforts by administrations, associations and social and health workers, the management of the problem is still often dealt with in moments and with separate locations;
It was agreed 1. On the need to define and implement the national dementia plan», annex A), an integral part of this Act, understood as a global strategy for the promotion and improvement of the quality and appropriateness of interventions within the sector, assuming that, as in all chronic degenerative diseases in which the pharmacological approach is not decisive in changing its natural history, there should be a cohesive and comprehensive care paths According to a philosophy of integrated management of the disease. 2. the Government, the regions, the autonomous provinces and local authorities undertake to implement the national dementia Plan, divided into objectives and actions articulated in detail in the technical annex, for promotion and improvement of the quality and appropriateness of integrated interventions in the field of dementia. 3. actions, complementary and synergistic, shall be launched in conjunction with national, regional and local level. 4. the implementation by individual regions, autonomous provinces and local authorities of the actions made under the respective welfare programming and in compliance with the associated economic and financial programming, in reference to human resources, equipment and finance provided by law. 5. The actions covered by this plan does not have to derive new and more burden on public finances.
Rome, October 30, 2014 President: Lada Secretary: N
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