Integration of complementary medicine in the public healthcare system of the Region of Tuscany - Elio Rossi
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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
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
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.
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
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
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
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
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
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 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, fitoRegional 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 Serviceüsul 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 informationIntegration 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 HospiceLa 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, GrossetoActions 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.itPuoi anche leggere
