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HSA 3111-0W16 Group Project Italy's Health Care System

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Cody Brannon

on 13 November 2014

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Transcript of HSA 3111-0W16 Group Project Italy's Health Care System

History
Some healthcare centers were sponsored by the Catholic church.
Other centers were charitable institutions.
Network for preventative healthcare and public health.
Provisions for economic and social assistance for the needy and disabled.
7% of population uninsured during the mid 1970s.
National health service provides universal free coverage and has 3 levels: national, regional, local.
Current System
Numerous procedures are included in Italy's health care system including:

Tests
Medications
Surgeries
Doctor visits
Visits to specialists
Out-patient treatments
Dentist visits and procedures.
Positive Features
If you are employed in Italy, your employer must pay for your health insurance.

Having this in place, when you go to the doctor it is a free visit.
Italy's Health
Care System

Cody Brannon
Emenike Ude
Adriana Medina
Dilesha Clendinen
Malory Ruprecht

Italian Healthcare
Features:
-European Health Insurance card allows Italians to access healthcare for a low price or for free
-Covers pre-existing conditions
-Public health system is financed through taxes
Quality:
-Controlled by national and regional ministries
-Ensures essential levels of care are being administered
Fun Fact:
In Italy, it is required to have health insurance, without it you cannot have a permit to stay.
(2014). Italian health care system vs. the US health care system. Retrieved from http://www.lifeinitaly.com/lifestyle/medical-system
Healthcare in Italy. Retrieved from: http://www.allianzworldwidecare.com/healthcare-in-italy
Cicchetti, Americo; Donatini, Andrea; Maresso, Anna; Orzella, Letizia; Profili, Silvia; Scalzo, Alessandra. (2009). Italy Health System Review. Health Systems in Transition, Volume 2. Retrieved from: http://www.euro.who.int/__data/assets/pdf_file/0006/87225/E93666.pdf
European Association of Hospital Managers(2009). THE ITALIAN HEALTHCARE SYSTEM. Retrieved from http://www.eahm.eu.org/page/show/slug/the-italian-healthcare-system/category/italy
Steeves, Ann (2013). Health Costs and Healthcare in the US and Italy. Retrieved from http://unh.edu/healthyunh/blogs/2013/02/11/health-costs-and-healthcare-us-and-italy
The World Bank. Health expenditure, total (% of GDP). Retrieved from http://data.worldbank.org/indicator/SH.XPD.TOTL.ZS
Thomson, Sarah (2012). International Profiles of Health Care Systems, 2012. Retrieved from http://www.commonwealthfund.org/~/media/Files/Publications/Fund%20Report/2012/Nov/1645_Squires_intl_profiles_hlt_care_systems_2012.pdf
Jun, Miraya; Osborn Robin; Squires, David; Thomson, Sarah. (2013). International Profiles of Health Care Systems. Italy. Retrieved from: http://www.commonwealthfund.org/~/media/files/ publications/fund-report/2013/nov/1717_thomson_intl_profiles_hlt_care_sys_2013_v2.pdf and http://www.commonwealthfund.org/publications/fund-reports/2013/nov/international-profiles-of-health-care-systems
Siti, Ottimi. Italian National Health Service. Heathcare in Italy. Retrieved from: http://understandingitaly.com/profile-content/health.html
References
1922
-Royal Decree for free treatment of venereal diseases
1923
- Royal Decree allowing the right to hospital care for the needy and disabled
1926
- Centers of cancer research and diagnosis formed
1927
- Compulsory insurance for tuberculosis
1942-1943
-Social insurance institutions (National Institute for Civil Servants and the National Institute for Disease Control
1978
- National Health Service created
1992
- National Health Service Reform
Italy
vs
U.S
Negative Features
Some hospitals in Italy that are below-average hospitals, Because of this, Italians prefer to have private health insurance over the state health insurance to cover the costs of certain things such as being in the hospital, having surgeries performed, and to help avoid the long waiting lines that are very common with the state system.
How much of GDP is attributed to healthcare costs as of 2012? (World Bank)


Healthcare System Ranking in 2000
(World Healthcare Organization)

Italy
vs
U.S

Italy has a Universal Healthcare System funded through taxes.

All citizens and legal foreign residents have equal access to healthcare under the system.

Only 15% of residents have some form of private health insurance typically to cover things not covered through the government healthcare system.
Coverage
In the United States as of 2010:
• 56% are covered through private health insurance, mostly provided through employers.

• 27% are funded through public programs (Medicare and Medicaid).

• 16% are uninsured*

*The Patient Protection and Affordable care Act is projected to reduce this by 30 million by 2022

Italy
vs
U.S

Primary and impatient care is covered at the point of use.

Co-payment costs for outpatient care and private insurance is capped at 36 euros ($44,83).

Cost Sharing:
Features vary between healthcare programs, but most cover inpatient and outpatient hospital care as well as physician visits.

Co-payments vary through health insurance programs.


Cost Regulation
Payment rates for outpatient centers and hospitals are determined by each region, referencing the national rate.
Payment rates vary by facility because there is no government regulation on pricing.
Exemptions
The only people exempt from cost sharing related to their condition are:
• Prisoners
• Pregnant Women
• Those with chronic or rare diseases
• People with HIV

Uninsured and low income individuals typically receive care through free clinics, public hospitals, community health centers, and local health departments.

Prisoners receive free healthcare.

2nd
38th
9.2%
17.9%
Public Insurance
Pros
Cons
• In Italy, if you are employed, your employer pays for your healthcare

• Public insurance offers doctor visits and hospitalizations free of charge

• Long wait times for planned surgeries - can take months

• Quality of care by doctors and surgeons may be low

Private Insurance
Cons
• Allowed to choose your provider

• Competitive insurance companies give doctors and hospitals an incentive to provide increased level of quality care


• To avoid long waiting lists in hospitals, patients have to pay out of pocket to see a provider sooner

• Households with high incomes benefits are reduced to a minimum


Pros
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