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WELFARE in tuscany: SANT’ANNA school Management and Health Lab. presented the report "WELFARE E SALUTE IN TOSCANA" - health and welfare services in TUSCANY 2017

Publication date: 22.07.2018
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In Florence, on July 5, 2018, the Management and Health (MeS) Laboratory of Sant’Anna School, Ars Toscana, the Osservatorio Sociale Regionale and Stefania Saccardi, Councilor for Health, Welfare and Social-Health Integration of Tuscany Region Authority, presented the key findings of “Welfare e salute in Toscana” report 2017. According to the report, in Tuscany population, there are more elderly than children. The impact of demographic ageing and low birth rates (specifically, the share of younger people in the total population has increased in the past decades thanks to the contribution of migrants who moved to Italy during the observed period and the rate of foreign-born children) are transforming Tuscany and lead to an increased social expenditure required by the ageing population.

As society ages, we are experiencing a demographic change that provoke concern as younger people, facing unemployment, will be expected to contribute to social care and pensions. This joint report listed social indicators designed to assess the implementation of the Tuscany Region public healthcare system to maximize the benefits of social sustainability. Indicators and other performance measures covered policy, specialized services, increased life expectancy, amendable mortality, human organ transplantation, medical innovations and other topics that affect the delivery of health care services.

"Our healthcare system does perform well; although we experienced economic and reform transitions within the past decades – said Councilor Saccardi – Data exhibit an accessible and affordable health care in Tuscany. Adjusting to growing demands, as Tuscany people live longer, our local government and public hospitals provide advanced medical services (health assessment to enhance lifestyle, health surveillance screening, vaccination, diagnostic tests and advice on maintaining and improving our overall wellbeing). The research has found that some areas remain in need of further reform, but we are working to improve insurance coverage and security without negative effects on the labor market. Private and third-sector employment has increased since the reform became law, and comparisons show no negative effects on employment in Tuscany.”

The “Welfare e Salute in Toscana” Report provides a summary measure of healthcare access and quality for Tuscany. This measure is based on risk-standardized mortality rates in the presence of quality healthcare, should not result in death – also known as amenable mortality. Comparison groups were chosen based on the national classifications and socio-demographic indicators.

Data from the “Welfare e Salute in Toscana” Healthcare in Tuscany Report 2017:

  • Life expectancy at birth - Higher Life Expectancy at age 85 for women, 81 for men - old people who live in Tuscany have life expectancies that are six months longer than those of people in other regions of Italy. The investigators report that life expectancy among Italians is 85-80 years or more, with the longest life expectancy in high-income countries: Iceland, Switzerland and Australia. Much of the gain in life expectancy is due to success in tackling diseases, monitoring and managing blood pressure, and declining alcoholic beverages and tobacco use.

  •  Lower premature mortality rate, life lost due to premature death are coronary heart disease, cancer, injuries and stroke.

  • According to data, up to 35% of Italian boys and 22% of girls among 11-year-olds were overweight. Estimates show that among 8-year-olds in Italy, 49.0% of boys and 42.5% of girls were overweight and 26.6% and 17.3% were obese. In Tuscany, levels of child obesity have decreased to average 25.8 % (overweight) and 11.3 % (obesity).

  • High rates of vaccination coverage in childhood are main indicators for public health. Tuscany is above the national average. The Meningococcal C vaccine gives protection against meningococcal disease (a major cause of meningitis) caused by group C Neisseria meningitidis bacteria. Babies and children in Tuscany are well protected against MenC disease (because of high levels of MenC disease in 2015 and 2016).

Social protection represented the largest area of general government expenditure in 2016 in all EU Member States (expenditure on social protection stood at 19.1 % of GDP, 41.2 % of total expenditure and EUR 2 844 billion). For social protection, the main groups are sickness and disability, 'old age', 'survivors', 'family and children', ‘unemployment’, 'housing', and social exclusion.

In Tuscany expenditure for social protection amounted to 476 million euro (2015), 127 euro per capita (average in Italy is 114 euro).

  • Temporary housing and shelters for 4.000 children and young people

  • Third sector: over 26.500 non-profit organizations, more than 515.000 volunteers

  • Unemployment rate and NEET (not in education, employment or training) people are below Italian national average.

  • Poverty rates: 59.000 poor families (Tuscany 3,6%, national average 10,6%) and 53.000 below poverty lines (3,2% vs. 6,1%).

  • Early 2018, residents in Tuscany amounted to 3.737.000: foreigners are 11% of total population, population decreased for the third year in a row

  • The ageing of population takes place in Tuscany and all over the world.
    Tuscany population aged 60 or more is 1 million people (25% is older than 64).

  • Divorce rate in Tuscany: 13.700 legal separations and decrees of divorce in 2016, (3,4 people divorcing per 1,000 married male/female population).

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