STAKEHOLDERS CONSULTATION CONFERENCE

EUROPEAN INNOVATION PARTNERSHIP ON ACTIVE AND

HEALTHY AGEINGDG Sanco – DG Infso

DR. Fausto FELLI

PRESIDENT OF EQUITY IN HEALTH INSTITUTE

President of Italian Institute for Quality of Life

Coordinator of Italian Local Health Network to Produce Health on a Large Scale

Brussels 26 November 2010

EUROPE GDP PER HEAD

EUROPEAN POPULATION AT RISK OF POVERTY AFTER SOCIAL TRANSFERT 2008

Health Promotion, Healthy Ageing and Equity in

health: financing what, who,why and how.

Do we agree or not that the bottom up planning

is the only way to monitorize needs so being the

fluel for research,public health equity and

excellence through social consensus,

participation and control?

I’m a tree. Please, think me so.

The Model of Health Production on a Large Scale:1) Health self production, 2) Physical activity, 3) Nutrition, 4) Immunorehabilitation, 5) Communication, patient enpowerment and 5 level consensus engineering, 6) HTC,ICT,e-Health, Satellitar technologies, Genetics and Lifestyles, 7) GP innovative RBM

Local decisors framework : health,municipalities, school authorities, trades and associations , GP

3 Italian Regions ( Puglia, Lazio, Emilia Romagna ) + Toscana&Liguria

10 Local Health Authorities (FG, BAT, TA,BA,BR, LE, RME, RMD, BO, RN)

64 Municipalities MINISTRY of HEALTH DG Training and Human Resourches Unibo, Uniba, Uniroma 3 AGENAS (The National Agency for Health) Federsanita’ Anci (The National Agency of Municipalities) Dialogue with Eurohealthnet, EMA,Epha, Age Platform,

Euregha, EUMTA and others Expanding in other Countries : Slovenia, Croatia, Rumenia,

Bulgaria, Hungaria, UK, Greece, Malta, Latvia, Spain

Main obstacles/barriers encountered

CULTURAL OBSTACLES Health promotion and disease prevention are not only important in their

own right, but can significantly reduce future demand for treatments and care services : it seems that all depends ONLY from an internal budget rebalancing

METHODOLOGIC OBSTACLES Cuts of the costs without knowing the costs of the cuts. A caotic

mix of horizon scanning ,panorama scanning & tip of the shoes scanning does really occurs

ICT, HTA e-health don’t dialogue with the community (society + institutions) as « on a large scale  » end user and community doesn’t recognize them in budget planning

PRACTICAL OBSTACLES

The lack of experience in bottom up planning means the lack of consensus, participation and control . It means a decreased energy to defend and qualify budgets. It means to give poor people only what is available , not what it is necessary to reach at least dignity

How the Partnership can help in the main obstacles/barriers encountered

CULTURAL OBSTACLES Activating a debate on the % of GDP necessary to have a real PHS health

promotion and health care based on a large scale implementation. Starting a debate on an EUROPEAN PUBLIC HEALTH SYSTEM also to modernize budgets

METHODOLOGIC OBSTACLES Knowing the costs of the cuts. ICT, HTA e-health as tools of/for social innovation : health systems are not a

cost, but a big part of Common Good. To help Community to recognize needs as its own needs and put them in priority scale

PRACTICAL OBSTACLES Implementation of bottom up planning to improve consensus, participation and control . More involvement of Regions and local health Authorities in planning

health systems Financing Health Systems and Crisis : the moment of a better

understanding, a better explaining and clear proposals for actions

The European Public Health System

These smiles can make us understand what will be the most important public work of the future: producing health

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