5th patients' rights day - cittadinanzattiva president focus on risks

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    CONCLUSION AND

    CITIZENS

    RECOMMENDATIONS

    Alessio Terzi

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    Four issues:

    the general status of the rights;

    the situation in the different countries; the development of a European

    framework;

    an unfinished empowerment of users.

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    The general status of the rights no single right is fully implemented andthus

    respected;

    the worst result concern the respect ofpatients time, free choice and access tohealth care and treatments;

    mediocre behaviour of the rights to safety,

    quality and innovation

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    As already observed in 2007

    These results are connected to a

    crisis of the "European Social Model"

    insofar as concerns the universal right

    to health care and the consequential

    reduction of levels of protection.

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    PRES indexes IN THE COUNTRIES

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    The Situation in the differentcountries

    The comparison of countries

    highlights a decidedly broad field ofvariability, with a gap equal to around

    40% separating the best situation

    from the worst.This confirms that residence is still a

    powerfully discriminating factor.

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    Development of a European framework(A common culture in growing)

    a good physical accessibility of hospitals

    a fair implementation of the right to privacy and

    confidentiality; a good protection of the right to preventive

    measures;

    the spread presence of legislative indications

    regarding non discrimination and personalizedcare that take into account culture and religion,gender and age;

    other standards regarding safety, quality and carepersonalization present and complied in almost all

    the countries

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    An unfinished empowerment ofusers.

    Many countries, in the last years, haverecognized rights which can contribute to

    the training of an empowered user butthese same rights have unsatisfactoryscores.

    In general, citizens can be, in the best

    situations, the main objectof the attention,but they are not yet recognized assubjects able to participate in thegovernance.

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    The stake - the protection of the

    universality of health care systems

    requires a general effort in order to

    avoid that illness causes social

    exclusion, with:

    adequate resources and guarantees

    of protection of weak people

    proper supporting policies in five

    ambits.

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    Citizens Recommendations/1

    Adoption of the European Charterof Patients Rights as a common

    standard and tool for the

    assessment of quality andaccessibility of Health service.

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    Citizens Recommendations/2

    Time, free choice and access tocare must be declared as a priority

    in order to achieve an acceptable

    Health policy in Europe.

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    Citizens Recommendations/3

    Disparities in treatment amongEuropean citizens must be reduced.The implementation of the EuropeanDirective on cross-border care must be

    supported through the spread of sharedquality, information and safetystandards.

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    Citizens Recommendations/4

    The development and the training of

    empowered users must go on, as a contrastwith the crisis of the social model, by:

    promoting active citizenship all over

    Europe;

    implementing the right to information;

    spreading the patient centred care.

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    Citizens Recommendations/5

    Local communities must be in

    conditions of freely make use of theirown resources, in the framework of

    subsidiarity, with adequate and certain

    flows of financial resources as well as

    with actions for the support and training

    of local leadership.

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    THANKS FOR YOURATTENTION