Brussels Representative Office
Health and Social Affairs Office
Avenue de Tervueren, 67
Veneto Region is an Italian regional authority. It aims to guarantee the fulfillment of the personal expectations of its citizens as well as their participation to the political, economic and social resources of the region. The objectives of its Health and Social Affairs Department are to better implement an essential level of care provision and to increase health prevention and promotion.
The Veneto Region is situated in the North-Eastern part of Italy and it is divided into seven provinces with about 4,7 million inhabitants living in 580 municipalities (2006). About 71% of the population live in towns with fewer than 30.000 inhabitants and the average population density is 244,2 per km². The percentage of foreign citizens resident in the Region is about 6,8% (2007). The Veneto has a positive growth rate (0,5%) and a growing population above the age of 65 (17,5%). The GDP (2005) per capita is 27.691 € higher than the Italian average (23.474 €). The expenditure in R&D is 0,59% of the GDP.
The Regional Government is based in Venice.
Health in Country
Since the Constitutional Reform in 2001, the 20 Regional Authorities share with the national Government the legislative and administrative remit on Health.
Veneto Regional Government provides health and social services to the resident population through 21 Local Health Units and 2 Hospital Trusts. Local health units are responsible for managing contracts with GPs and polyclinics, hospitals and other healthcare and social service outlets. They are also liable in relation to health promotion and prevention of communicable diseases. The Local Health Units as well as the Hospital trusts are managed by a General Director who is appointed by the Regional Government.
Veneto Region Health System in figures:
21 territorial LHA (managing 60 hospitals)
2 public hospital trusts
1.076 specialist health care service providers
3.600 general practitioners
250 residential homes for the elderly
19.429 hospital beds in the public system (85.85% of the regional total)
3.470 private hospital beds (15,15%)
The Regional Health System is financed through general taxation. The National Government together with the Regions negotiate annual quota for funding the regional systems. The Local Health Authorities global budget is based on a weighted capitation mechanism, which is adjusted according to historical spending. Additional compensation is given for cross-border and inter-regional flows.
Hospitals in the Region are mainly public and are founded through a fixed budget. Hospital providers are also reimbursed by the regional government on the basis of fees for provided services (DRG)
GPs are paid mainly by capitation.
The total budget for public health and health care in the Region is 7.3 Billion euro (2008). Furthermore, 754 Million was allocated to the Social Sector, to address the needs of the most vulnerable groups.
The total expenses for pharmaceutical products is € 893.199.205 (2007): €782.904.880 are inserted in the Veneto Region Health System Budget, the remaining 12% is paid by citizens.
Projects & Programmes
Regional Community Health Plan
The coordination of the health and social activities in the region is provided through the Regional Community Health Plan which is the master plan defining the guidelines for the development of the Regional Health System for the next three years.
The region is still implementing the 2007-2009 Regional Plan, but it is likely that a new plan will be adopted later on in 2011.
The Plan 2007-2009 focused on the following priority actions :
- Better implementation of essential level of care provision
- Increasing prevention and health promotion
- Increasing quality
- Renewing health care system
- Better integration of providers and suppliers
- Improving research and innovation
- Citizenship participation
The plan also identifies as main challenges:
- Impact of technologies and rising costs due to technological innovation
- Demographic and social changes due to the ageing of population, patient and health professionals mobility, health inequalities
- Lack of health professionals (mainly paediatricians and nurses)
The Regional Health Plan also includes social affairs. Veneto Region developed the health and social affairs integrated systems. The coordination of the activities of the two ministries is assured by the Health and Social Affairs General Secretariat, who is in charge of writing the Regional Health Plan and coordinating all the activities on the territory.
The responsibilities of the Regional government in the health and social sector are shared with responsibilities in the social sector of the 580 Municipalities of the Region. The regional level and municipal level have both the right to allocate funds and to approve regional and local legislation for vulnerable population groups.
Our Health Projects
As part of its comprehensive strategy, Veneto is taking part in several projects at EU level and is also the main partner in most of them. From 2007, the Veneto Region has taken part in 35 European projects in the field of health and social affairs. The projects have been managed by regional offices thanks to a close collaboration between the Health and Social Affairs Department and all the decentralized regional structures in Veneto territory such as the Local Health Authorities, the Health Services Agency and the Centre of Health Promotion. The variety of projects reveals the intensive work that has been conducted to address health and health-related aspects in its broadest sense, from addressing health determinants to the follow-up of treatment and management of chronic conditions.