Six Drivers to Face the XXI Century Challenges and Build the New Healthcare System: “La Salute in Movimento” Manifesto

Abstract

The aging of the population, the burden of chronic diseases, possible new pandemics are among the challenges for healthcare in the XXI century. To face them, technological innovations and the national recovery and resilience plan within the European Union can represent opportunities to implement changes and renovate the current healthcare system in Italy, in an effort to guarantee equal access to health services. Considering such scenario, a panel of Italian experts gathered in a multidisciplinary Think Tank to discuss possible design of concepts at the basis of a new healthcare system. These ideas were summarized in a manifesto with six drivers for change: vision, governance, competence, intelligence, humanity and relationship. Each driver was linked to an action to actively move toward a new healthcare system based on trust between science, citizens and institutions.

Evaluation of massive education in prison health: a perspective of health care for the person deprived of freedom in Brazil

“…In order to evaluate the effectiveness of health education, it should be recognized that the education-health dyad constitutes an epistemic field of significant relevance for public health policy formulation ( 29 , 65 , 66 ). Hence, examining and analyzing such dimensions in the context of the SUS workforce and their effects on health services and public health are indispensable steps to assess the resilience of work processes–i.e., of professional practice–and, therefore, health system resilience ( 1 , 32 , 37 , 41 , 67 , 68 ). In addition to purely examining the field of health education, which considers quality aspects of training, content, course, and educational model, it is necessary to take into account its context, i.e., the impacts of this education on health services ( 69 , 70 ).…”