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| Agenzia Regionale di Sanità | |
|---|---|
| Name | Agenzia Regionale di Sanità |
| Native name | Agenzia Regionale di Sanità |
| Leader title | Direttore |
Agenzia Regionale di Sanità is a regional health agency operating within the public administration framework of an Italian Regione to coordinate sanità planning, surveillance, and evaluation. It interfaces with national bodies such as the Ministero della Salute, regional councils like the Consiglio regionale, and international institutions such as the Istituto Superiore di Sanità, the Organizzazione Mondiale della Sanità, and the Unione Europea. The agency works alongside local entities including Azienda sanitaria locale, university hospitals such as Policlinico, research centres like the Istituto di Ricerca, and professional associations including Federazione Nazionale degli Ordini dei Medici to implement regional health policies.
The agency emerged amid reforms influenced by milestones like the Riforma sanitaria del 1978 and subsequent legislative acts culminating in frameworks comparable to Legge 502/1992 and D.lgs. 502/1992. Its formation followed precedents from institutions such as the Istituto Superiore di Sanità and administrative reorganizations seen in regions like Lombardia, Lazio, Campania, Sicilia, and Veneto. Early collaborations involved entities such as the Servizio Sanitario Nazionale, regional administrations exemplified by the Giunta regionale, and academic partners including the Università degli Studi di Milano, Università degli Studi di Roma "La Sapienza", Università degli Studi di Napoli Federico II, Università degli Studi di Palermo, and Università degli Studi di Padova. Key historical interactions referenced national plans like the Piano Sanitario Nazionale and European initiatives such as programmes coordinated by the Commissione Europea and the Organizzazione per la Cooperazione e lo Sviluppo Economico.
Legal authority derives from regional statutes akin to documents adopted by the Consiglio regionale and is shaped by national laws including instruments comparable to Testo unico and rulings of the Consiglio di Stato. The agency’s organizational model echoes structures seen in public bodies such as the Agenzia Italiana del Farmaco and regulatory bodies like the Istituto Superiore di Sanità and is subject to oversight from authorities including the Ministero dell'Economia e delle Finanze when budgetary matters interact with regional statutes. Its internal divisions often mirror departments found in major institutions like Azienda Ospedaliera, Centri per la prevenzione, and research units akin to Istituto Nazionale per le Malattie Infettive "Lazzaro Spallanzani".
The agency conducts epidemiological surveillance comparable to activities by the Istituto Superiore di Sanità, coordinates screening programmes similar to initiatives in Regioni with organized screening, manages health technology assessment practices paralleling the Agenzia Italiana del Farmaco, and supports emergency preparedness in alignment with protocols from Protezione Civile and Ministero della Salute. It provides technical support for Piano sanitario regionale implementation, performs health impact assessments used by institutions such as Istituto Nazionale di Statistica (ISTAT), and engages in training collaborations with academic centres like Scuola Superiore Sant'Anna and Università Cattolica del Sacro Cuore. The agency liaises with professional bodies including the Federazione Nazionale degli Ordini dei Medici and the Federazione Nazionale degli Ordini degli Psicologi and with hospital networks such as Azienda Ospedaliero-Universitaria.
Governance typically involves a board or director appointed under procedures influenced by regional presidents like those of Regione Lombardia and by regional councils such as the Consiglio regionale del Lazio. Leadership roles interact with national figures and institutions exemplified by the Ministero della Salute, the Istituto Superiore di Sanità, and regional executive branches like the Giunta regionale. Directors often have backgrounds connected to academic institutions including Università degli Studi di Bologna, Università degli Studi di Torino, and Università degli Studi di Firenze or to public health institutes such as the Istituto Superiore di Sanità and Istituto Nazionale per le Malattie Infettive "Lazzaro Spallanzani". Advisory committees may include representatives from organisations like ANCI and trade associations such as Confederazione Italiana Agricoltori when cross-sectoral impacts arise.
Programs encompass vaccination campaigns coordinated with the Ministero della Salute and integrated with national immunisation schedules, screening initiatives similar to ones in Regione Veneto and Regione Toscana, chronic disease management projects aligning with AGENAS methodologies, and mental health services linked to regional Azienda sanitaria locale networks. Services include surveillance of infectious diseases referencing protocols from the Istituto Superiore di Sanità, occupational health collaborations with INAIL, maternal and child health programmes involving entities like Istituto degli Innocenti, and coordination with emergency medical services such as regional 118 systems and hospital emergency departments like those in Policlinico Sant'Orsola and Ospedale Maggiore Policlinico.
Funding streams come from regional budget allocations approved by the Consiglio regionale, co-financing through national transfers from the Ministero dell'Economia e delle Finanze and the Ministero della Salute, and occasional project grants from the Commissione Europea and agencies such as the Fondo Sociale Europeo. Fiscal oversight references institutions like the Corte dei Conti and auditing mechanisms used by bodies similar to the Ragioneria Generale dello Stato. Financial management practices echo those in public agencies such as the Agenzia Italiana del Farmaco and regional health trusts like Azienda sanitaria locale entities.
Performance measurement employs indicators aligned with the Piano Sanitario Nazionale and benchmarking exercises comparable to reports by AGENAS and the Istituto Superiore di Sanità, and it is subject to audits from the Corte dei Conti and scrutiny by regional watchdogs including the Consiglio regionale and regional ombudsman offices. Transparency obligations mirror disclosure requirements observed in public administrations overseen by the Autorità Nazionale Anticorruzione and data reporting standards similar to those maintained by ISTAT. External evaluations may involve collaborations with universities such as Università Bocconi and research institutes like Istituto Europeo di Oncologia.
Category:Public health agencies of Italy