2. Service Delivery
Physician education and workforce
Mental health care
Long-term care and social supports
Hospitals
After-hours care
Primary care
Administrative mechanisms for direct patient payments to provide
4. Strengths ,weakness and challenges of current workforce
planning system
• A national regulatory system that includes a
yearly review of health workforce criteria.
• At a state and national level, there is a well-
organized participation of stakeholders
Strengths of current workforce planning system Weakness of current workforce planning system
• Quotas on the number of students enrolled each
year
• Numerus clauses are the only policy decisions that
can be taken
• There is no standard approach for measuring
regional and national health workforce needs
Challenges with current system
• Doctors outnumber nurses by a factor of two, while
nurses outnumber doctors by a factor of four.
• Impact of Medical Migration
• Between 2001 and 2018, the total number of workers
employed in Italian national health service hospitals and
facilities (Servizio Sanitario Nazionale - SSN) declined
dramatically.
5. VACCINE
Until 2016, childhood vaccine rates fall short of the WHO's 95
percent target for protecting the population from the transmission
of a number of diseases. Communicable disorders are on the
increase as a result of decreased public understanding and
maternal confidence in the vaccine's advantages.
After being higher than the EU average, just marginally more than
half of people aged 65 and over were vaccinated against influenza
in 2017, much less than the WHO's recommended target of 75%.
Over the past decade, the percentage of older people who have
been vaccinated has reduced, partially due to the dissemination of
disinformation and misperception.
6. Product
• In medical device industry, Italy was standing at 4th position with market cap of
around 10 bn USD
• Medical product manufacturers in Italy are traditionally small to mid-sized
enterprises
• The Italian industry is advanced, and it places a premium on cutting-edge, high-
quality medical technology. The right products will be high-tech but low-cost, and
they will offer good healthcare results.
• the comparatively poor Euro tends to face a price problem. In addition, that
healthcare prices and budget cuts have prompted the Italian government, which is
the largest consumer of medical equipment, to prioritise price when making
purchases
7. Technology:
There are three aspects of Italy's approach to healthcare IT,
especially e-Health. Both are based on the following:
• Techno-infrastructural criteria on a national scale (the
New National Healthcare Information System).
• e-Health Board, whose mission is to harmonise state and
national policies and implementation while ensuring that
they are compliant with European Union standards.
• Considerations of a semantic kind. The overarching aim of
the e-Health initiative is to increase the quality and
effectiveness of healthcare Ensure appropriate quality of
healthcare coverage and improve the overall efficiency of
the Italian healthcare system.
8. Healthcare information system
National-scale techno-infrastructural requirements (the New
National Healthcare Information System)
To ensure that regional and national policies and execution
are in line with the European Union, the e-Health Board was
created
Semantic considerations
9. Financing of Italian healthcare system
▪ Italy’s healthcare system has
accounted 8.7% of its GDP from
2016 to2019, the total GDP in
2019 was 2 lakh crore USD
▪ National health fund (health
budget of the State) was
approximately € 110billion for
the year 2014.
10. GOVERNANCE:
▪ First bullet point here
▪ Second bullet point here
▪ Third bullet point here
Local Leve
ASLs Public hospitals
private licensed
hospitals
Regional level
Legislative Executive Technical Support
Central level
Department of
Quality
Department of
Innovation:
Department of
Prevention and
Communication:
Department of
Veterinary Care
and Food Safety:
11. HEALTH CARE SYSTEM INDIA VS ITALY
Benchmark India Italy
Population 135 crore 6 crore
GDP size (nominal)2020 $3.202 trillion $1.989 trillion
Nominal Per Capita Income (2020 estimates) $2,338 $32,947
Health care expenditure (%of GDP), WHO data 3.65% 9%
Density of medical doctor per 10000 person 7 40
Total Hospitals 23852 (2018) 1063 (2017)
Health expenditure per Capita, PPP (Annual) $241 $3427
Total coronavirus cases 1024 97,689
Deaths due to coronavirus 27 10,779
Total recovered cases 95 13,030
Active coronavirus cases 902 73,880
Severely critical cases 0 3906
Total cases per million population 0.7 1,616
Deaths per million 0.02 178
First corona case reported 29 January 2020 29 January 2020
12. By group 4
Kanak Mishra
Ritam Bar
Prashant Naidu
Akash Kumar Keshri
Nishnat Tripathi
THANK YOU
