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Stefano del Torso, Padova, ITALY Societa ’ Italiana di Cure Pediatriche Primarie FIMP International Relations Delegate European Academy of Paediatrics Research in Ambulatory Settings network EAPRASnet The Present and Future of Pediatricians in Italy

The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

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Page 1: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Stefano del Torso, Padova, ITALY

Societa’ Italiana di Cure Pediatriche Primarie

FIMP International Relations Delegate

European Academy of Paediatrics

Research in Ambulatory Settings network EAPRASnet

The Present and Future

of Pediatricians in Italy

Page 2: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Population ITALY

Page 3: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Population growth ITALY

Page 4: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Life ITALY

TURKEY 71

Page 5: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Fertility Rate ITALY

TURKEY 3

Page 6: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Mortality Rate < 5 y ITALY

TURKEY 19

Page 7: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

GPD ITALY

TURKEY 734

Page 8: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Facts ITALY

Total 3.700.000

2001 1.200.000

Romania 21 %

Albania 11 %

Marocco 10%

TURKEY 35%

Page 9: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Facts ITALY

/ 220

Page 10: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Facts ITALY

Page 11: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

THE ITALIAN NHS SYSTEM

FREE CARE TO ALL

NO UNINSURED POPULATION

HEALTH CARE 7.5 % GDP 1978

5.1 % GPD 2009

Page 12: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Pediatrics el Vol 99,1 January 97 pp.e8

Page 13: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

NHS PRIMARY CARE PEDIATRICS

SINCE 1978 THE ITALIAN NHS HAS PROVIDED PEDIATRIC

PRIMARY CARE TO ALL CHILDREN THROUGH THE

USE OF COMMUNITY BASED PRIMARY CARE PEDIATRICIANS

“Pediatra di Famiglia”

Page 14: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Demography of Pediatric Primary Care in Europe M.Katz et al. Pediatrics, May, 2002

A Primary Care Pediatrician

is a type of pediatrician who offers curative and preventive services for acute and chronic patients in

ambulatory or outpatient settings, such as dispensaries, primary health clinics, health centers

or private practices.

Page 15: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Primary Care Paediatrics : a Vision for a Mission

Care

Prevention

comanagement

Diagnosis

advocacy

research and education

professional development

Health Promotion

Page 16: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

ITALIAN NHS PEDIATRIC PRIMARY CARE

>7500 Primary Care Pediatricians

1978 Max 1000 / mean 782 Patients

4,000 - 6,000 Visits / Year

4 - 6 Visits /Patient/Year

2012 Max 1200/ mean > 900 Patients

Age 0 – 6 95 %, 7 – 14 65 %, 14 – 16 20 %

Mostly solo practices without staff 1978

Mostly associated pediatricians practices 2013

Limited access to hospital based diagnostic services

Page 17: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

2000

4000

6000

8000

10000

12000

14000

Num

ber

of Pa

ediatr

icians

0

2005 2010 2015 2020 2025 2030

YEAR

12893

(100%)

12703

(99%)

11897

(92%)

9305

(72%)

7090

(55%)

6441

(50%)

Paediatric work force in Italy ( number of paediatricians and percent ) in the next 20 years by A.Tenore Data

Prospects for the Future

Page 18: The Present and Future of Pediatricians in Italy...ITALIAN NHS PEDIATRIC PRIMARY CARE >7500 Primary Care Pediatricians 1978 Max 1000 / mean 782 Patients 4,000 - 6,000 Visits / Year

Analysis about failures and successes of these different systems in a collaborative, informed and international

manner should help to meet the needs of our world’s future, the children.

del Torso et al, PEDIATRICS Vol. 99 No. 1 January 1997


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