Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi

Pagina creata da Giovanni Colombo
 
CONTINUA A LEGGERE
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Integration of complementary medicine
    in the public healthcare system
        of the Region of Tuscany
                       Elio Rossi
Homeopathy clinic - ASL Tuscany North West, Lucca (Italy) –
     Regional centreof reference for homeopathy.
    Tuscan Regional Centre of Integrated Medicine
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Principles of Complementary Medicine integration
  corresponding to the Tuscany Regional Health Plan
• Integration and inclusion
• Therapeutic freedom for
patients and doctors
• Appropriateness and EBM
• Equal access to treatments
• Humanization of treatments
• Quality / safety for patients
• Innovation and development
• Promoting health and
healthy lifestyles
• Creation of network
synergies
• Tackling health inequalities
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Regional Law n.9/2007 mod. LR 31/2007
Regulation of the practice of complementary medicine on the part of medical
            doctors, dentists, veterinary doctors and pharmacists

In 2007 the Regional Council of Tuscany
approved the Law defining the educational
criteria and disciplining the practice of
homeopathy and complementary medicine
on the part of medical doctors and dentists,
veterinary doctors and pharmacists.
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Accreditation of CAM training
          institutes in Tuscany (2011 -2017)
    Till now, six Tuscan schools were accreditated by the Region, after the
    Tuscan Regional Commission for professional training in CM approval:

Scuola "Mario Garlasco"                            Associazione Effatà di Lucca
Associazione Lycopodium, Società Italiana di       info: www.scuolaomeopatiaeffata.org
Omeopatia Europea, Firenze                         e-mail: omeopatia@simonettatassoni.it
info: www.lycopodium.it                            Istituto accreditato con decreto dirigenziale n.
e-mail: info@lycopodium.it                         1020/2012
Istituto accreditato con decreto dirigenziale n.
5509/2011                                          Accademia internazionale di omeopatia
                                                   classica "Pieria" di Pisa
Scuola Internazionale di Veterinaria               info: www.konstantos.org
Omeopatica "dott. Rita Zanchi", Cortona (AR)       Istituto accreditato con decreto dirigenziale n.
info: www.omeovet.net                              1027/2012
e-mail: info@omeovet.net
Istituto accreditato con decreto dirigenziale      Società Italiana di Omeopatia e Medicina
n.5503/2011                                        Integrata SIOMI
                                                   info: www.siomi.it
Scuola di Agopuntura Tradizionale della città      e-mail: segreteria@siomi.it
di Firenze, Firenze                                Istituto accreditato con decreto dirigenziale n.
info: www.scuoladiagopuntura.it                    1019/2012
e-mail: info@scuoladiagopuntura.it
Istituto accreditato con decreto dirigenziale n.
5501/2011
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Universitary masters and courses in
         CM in Tuscany (2006-2016)
• Faculty of Pharmacy – University of Firenze (2006-2007)
  Master II level in Fitoterapia Tradizionale Cinese
• Faculty of Medicine – University of Firenze (2006-2015)
  Master II level in Agopuntura e Medicina Tradizionale Cinese
• Faculty of Medicine – University of Firenze, Empoli (2007-2008)
  Master II level in Fitoterapia Clinica
• Faculty of Medicine – University of Siena (2009-2018)
  Master II level in Integrated Medicina
• Faculty of Pharmacy – University of Pisa (2008-2010)
  Master I level in piante aromatiche e medicinali
• Faculty of Medicine – University of Firenze (2011 – 2018)
  Master in Natural Medicine
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
National rules for the education in
                 Complementary Medicine in Italy
                         The Agreement between the State and Regions
                           was officially signed in 2013 - February 7h
Agreement, in accordance with Article 4 of the Legislative Decree n.28 (28 august 1997),
among the Italian National Government, the Regions and the Autonomous Provinces of
Trento and Bolzano in relation to the terms and requirements for the quality certification
of training and practice of Acupuncture, Phytotherapy and Homeopathy by medical
doctors, dentists, medical veterinaries and pharmacists. Giovanni Leonardi

                                        Renato Balduzzi    Luigi Marroni Mario Romeri
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Delibera GR n.633 del 3/9/07
           Complementary Medicine
    Constitution of the operative structure:
“Tuscan Regional Centre of Integrative Medicine”

   It is a Tuscan organizational model “as a network”
   to warrant a unitary system, integration, quality of
   services, safety for patients, with the aim of
   prevention, therapy and rehabilitation.

            Director Dr. Sonia Baccetti
      General Direction of Health Department
                  Tuscany Region
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Lucca                             Prato               Firenze
- Homeopathic Clinic for          - Acupuncture       - Phytovigilance Centre – University
   women complains                  clinic for pain     of Florence
- Clinic of CM and diet           - Qigong for Hiv    - Smoking cessation acupuncture
   in oncology                       patients           treatment
- Acupuncture clinic                                  - Moxibustion for breach presentation
   for pain                                             of the foutus.
                                                      - Menopause secondary symptoms
                                                        acupuncture syntoms
Pisa                                                  - Integrative oncology
- Homeopathic Centre for                              - M.C. in palliative care
   Mother and Child
- Acupuncture for hypogalactia
   infertility, pregnancy                                          Arezzo
- Acupuncture for breast cancer                                    - Zoo-prophylactic Institute
                                                                     of Tuscan and Lazio Region

Livorno
Human and veterinary homeopathy                               Siena
in the Gorgona prison                                         Manual Medicina
                                                              Centre, U.O. Recup. Rieduc.
                                                              Funzionale – Tamburino
        Grosseto
        - Hospital Petruccioli of Integrated
        - Medicine Of Pitigliano
        - Rehabilitation Hospital of Manciano
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Centri regionali di riferimento per le MC
Agopuntura e MTC, omeopatia
“Fior di Prugna” Presidio
Camerata, Firenze (dal 1995)
Fitoterapia – AOU Careggi –
Firenze (dal 1997, ex Ospedale S.
Giuseppe, Empoli)
Ambulatorio di omeopatia,
Ospedale Campo di Marte, Lucca
(dal 1998)
Agopuntura e omeopatia -
Ospedale di Pitigliano (dal 2016)
Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
Integration of CM and BND in the Public
       Health System since 1997: Regional acts
             2002                L.R. 40/2005
          Strutture             Rappresentanti CSR
         regionali           Consigli san. AUSL, AOU
       di riferimento             Struttura reg.
                             Governo clinico (2009)          2005
       Ago,omeo,fito                                     Ago,omeo,fito
                                                            nei LEA
 PSR 96-98
PSR 99-01
e successivi
                                                           LR 2/2005
                                                          Disciplina DNB
   2011-2012
 Accreditamento
     6 istituti
  di formazione                                              2006
                                                       Accordo integrat.
                                                         specialistica
              2007                                      ambulatoriale
         Rete Toscana di            LR 9/2007
        medicina integrata          Disciplina
                                  agop, omeo, fito
Regional Healthcare Plan 2005 - 2007
Regional Health Plan introducing Complementary Medicine
  within the regional Essential Levels of Assistance (LEA)
http://www.regione.toscana.it/cittadini/salute/medicine-complementari
Regional Bulletin “MC Toscana”
                 Creation of a Regional
                 Bulletin about CM, MC
                 Toscana, a quarterly
                 journal with informative,
                 socio-medical and scientific
                 articles.
                 It also publishes the
                 calendar of the events, the
                 initiatives in the regional
                 area about CAM.
                 Ten years of activity and
                 28 issues published so far.
Regional course on
 Clinical risk and safeness of the patient in
          Complementary Medicine
          Organized by Integrative Medicine Tuscany Network and
              Regional Centre for Clinical Risk Management

CME Training in 2009, to define
criteria to evaluate clinical risk and
monitoring the diagnostic-
therapeutical practices in
Complementary Medicine

Evaluation and management of clinical
risk for prevention of adverse
reactions

Guarantee a good level of safety for
patients of Complementary Medicine
attending Public Health Service
üsul sito della Regione Toscana
üsul sito dell'ISS
http://www.snlg-iss.it/lgr;
Guidelines on CAM of the Regional Health Council
of the Region of Tuscany

• Linee di indirizzo per l’impiego   Parere CSR 33/2015

dell’agopuntura e della MTC nel SSR Toscano
• Modalità di controllo del dolore   Parere CSR 54/2014

nel travaglio e parto
• Linee guida menopausa              Parere CSR 12/2015

• Linee guida mal di schiena         Parere CSR 42/2015
Summary of priorities of CM clinics in Tuscany North West

                                              Integrative oncology

                      Acu/homeo clinic Pisa                                             Homeo clinic Lucca

   Pediat. Acu/homeo clinic Pisa     Homeo clinic Lucca
                                                                          Homeo clinic Lucca

                                                                 Atopic diseases
                  Pain control
                                              Pediat. homeo clinic Pisa             Homeo clinic Versilia      VERSILIA

   Pediat. homeo clinic Pisa       Acu/homeo clinic Lucca

Projects and protocols                                                      Homeo clinic for women Lucca
Survey of activities                                                                                                      PONTEDERA
Multicentric research
Adverse effects and drug                              Childbirth and Gender medicine
interactions
Education and professional training
                                                          Acu/homeo clinic Pisa                     Acu/homeo clinic. Lotti Pontedera
Communication and information
Integration of complementary medicines in the
Oncology Network of the Tuscan Tumor Institute
In 2015 the Resolution
n. 418 of the Tuscan
Regional Government
ratified to develop the
use of some CM in the
treatment of cancer-
related symptoms and
side effects of
conventional anticancer
therapy.
Centre of Integrative Medicine
   AUO di Careggi - Firenze
Lucca                                          Firenze
§ Clinic of CM and diet
                                               § University Hospital, Careggi
  in oncology
                                                 Phytovigilance Centre
§ Acupuncture clinic
                                                 University Careggi- Centre for
  for pain control
                                                 Integrative Medicine
                                               § University Hospital, Careggi. Clinic
                                                 of Traditional Chinese Medicine,
                                                 Camerata Center - Integrative oncology
                                               § Acupuncture in palliative care
                                               § Prato. CTM Centre
                                               § Empoli. CTM Centre

  Pisa
  § University Hospital Acupuncture
    for breast cancer
                                      Grosseto
                                      § Hospital Petruccioli of Integrated Medicine
                                        of Pitigliano
                                      § Acupuncture in Palliative care Grosseto Hospice
La Medicina complementare nella Rete Regionale
  dell’Istituto Toscano Tumori: piano operativo
                                        MTC: nausea, vomito, dolore
                                        insonnia, ansia e depressione
                                                    lieve.

                                        Omeopatia Arnica pre/post
                      Primo livello     operaccion; Radium brom. e
                                         Bell. per effetti avversi da
                      trattamento               radioterapia
                                         FitoterapiaCurcuma longa,
   Paziente con                           Cannabis sativa, Zingiber
  cancro dopo la                        officinalis, Panax ginseng per
diagnosi oncologica                        nausea, dolore, fatigue.

                                           Visita di oncologia
                      Secondo livello     integrativa : Lucca,
                       trattamento       Firenze, Careggi, Pisa,
                                          Pitigliano, Grosseto
Actions to be developed
   Regional Health Plan 2018-2020
1. Organizzazione dell’attività di Medicina
Integrata, sviluppo della ricerca.
2. Promozione della ricerca clinica e di base, con
particolare attenzione alla innovazione, agli effetti
avversi e alla interazione dei prodotti fitoterapici.
3. Cronicità, comorbidità e medicina integrata.
4. La salute della donna in gravidanza, durante il
parto e nella menopausa.
5. Prevention and treatment of atopic and
respiratory diseases (URTI) in adults and children
6. Le discipline del benessere e bionaturali DBN.
Thank you for the attention
       omeopatia@usl2.toscana.it
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