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Cervia, Silvia | Giarelli, Guido | Lombi, Linda

Modelli regionali di partecipazione in sanità : uno studio comparativo

2022 - Franco Angeli

P. 29-47

  • One of the main dynamics of change in the Italian welfare system since the 1970s has been the restructuring of decision-making processes to encourage participation. Today, the new millen-nium presents evidence of the growing protagonism of the public service authorities in this process. This leading role heralds ambivalent outcomes; although it expresses an attempt to retain the public service's role as guarantor of fundamental rights, it also lends itself to pro-cesses of de-accountability of the same public body.
  • Twenty years after the reform of Title V of the Italian Constitution, this article examines and compares the institutional representations of the role of citizens-users/patients in five regional health systems in Italy. Our study, con-ducted using the Delphi technique, identified the instruments currently applied and the impact of the 2020/2021 Covid pandemic on the regional systems. The results highlight some inter-esting experiments in the direction of overcoming the traditional "democratic deficit" of the health system; even if the organizational, communicative, cultural and training challenges of "competent" citizens and communities remain open and further accentuated after the Covid-19 pandemic. [Publisher's text]

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Salute e società : XXI, 1, 2022