More qualified, more authoritativeand can express exactly i community needs and expectations in a sector of vital importance health. Yes i 40 citizens Emilia-Romagna, who is today in Mologna, received the headquarters of the Region certificates training for participation in the first edition of the course "Active and qualified citizen", has been coordinated by Emilia-Romagna Diabetes Federation (Feder) in collaboration with the region.
It's about first experience its kind, t at a national level, pleasant and have to do by patient associations and a public organization, with a specific aim: to train citizens to play an active part in activities chronic disease care, in this case diabetes, t working in health housing with multidisciplinary teams (nurses, GPs, paediatricians, social workers) t to support patients and their families.
The certificates were presented directly to citizens this morning by the President of the Region, Stefano Bonaccini, in the presence of Feder's president, Rita Lidia Stara, and the Director General of Personal Care, Health and Wellbeing of the Region, Kyriakoula Petropulacos.
To receive the certificate for Carla Banciroli, the band councilor – as well as our president – was present, Gabriele Arlotti, was involved in creating self-help groups for parents in Reggio Emilia and the Apennines.
"This initiative is part of a process of participative collaboration that we wanted to achieve here, in Emilia-Romagna, where the societies sit on regional tables, because discussing and sharing decisions is always a method. T good working – stressed Bonaccini-. The course certainly represents an opportunity to make citizens more and more competent and aware of the needs and expectations of the community in an area of fundamental importance such as health; but it is also an opportunity to spread a culture of sharing and participation amongst health service professionals, both in planning and managing patients ”.
"Patient associations can play a fundamental role, both in terms of their membership and regional health policies," and it must do so. Rita Lidia Stara-. Towards its members through the implementation of information and communication assurance, promoting knowledge, awareness and empowerment in the management of the disease. For health organizations and political decision makers, by participating in the definition of health policies and in shared evaluation pathways on the effectiveness of care and respect for needs. We want to be citizens and vigilant, and the Feder-President became involved, each in his own role and with his own responsibilities ”.
After successfully launching this experience, t new editions are arranged with a specific focus on other chronic diseases, again with the support of Feder and other patient associations.
"Active and competent citizen", the first edition
The whole training course was divided into a series of lessons, for a total of 70 hours during 2018. 40 delegates from all the diabetic patient associations present in the Emilia-Romagna area took part; as teachers, experts and professionals from the regional health service participate.
The objective of the course, to contribute to supporting patient associations on their ability to take advantage of the challenge of active participation and effective dialogue with all actors of the "health system", in accordance with what the Scheme describes and predicts Health and Health 2017/2019, from the National Plan for Diabetic Disease and the National Chronic Plan.
The interactive methodology has provided plenary sessions on general topics, favoring comparison and deepening. Information on regional routes and projects has created new opportunities to take action to tackle exclusion and vulnerability, for the co-construction of pre-care life projects, particularly in the context of health homes, a referral point. to aim for citizens to access primary care.
Now, the "eligible citizens", in their respective local areas, can provide support to people with diabetes and their families, but also to the Health Housing professionals who care for patients. we have trouble following the fragile therapies and patients. They can provide support in the complex path of lifestyle change, in disseminating the culture of self-managing diabetic disease, in information in schools for admitting children with diabetes from nursery to second level institutions.
Diabetes and integrated disease management in Emilia-Romagna: the model works
In the population Emilia-Romagna the prevalence of diabetes is around 7%: we talk about 260,000 people, of them 1,000 children. At regional health service level, there has always been a particular focus on the prevention and management of people with this condition, according to a model of integration among the various professionals – both in hospital and in the territory, in the health and social sector – patient associations and volunteering.
a model, the same Emilia-Romagna, we work. The data great complications associated with diabetic pathology, t today has dramatically reduced compared to 2010: this is the case cdiabetic oma (- 41.1%), from the ischemic heart disease (- 23.7%), from the heart attack (- 13.3%), from the stroke (- 21.9%), from cuts (- 19.2%), from ocular complications (- 38.2%), from deaths (- 2.5%).
y structures present in the area according to needs of patients, e diversification by age and type (depending on whether our type 1 diabetes, and so start suddenly more during childhood and puberty, or type 2, which appears more often in adults & the elderly).
i the pediatric ageand therefore for younger patients with type 1 mellitus diabetes, it is 11 Provincial Center for Pediatric Diabetology, composed by hospital paediatricians in collaboration with freely chosen paediatricians. For the adult population, they are active 23 diabetic facilities and 60 clinics peripheral dealing with mellitus type 1 diabetes, diabetes during pregnancy, type 2 type 2 diabetes with severe complications.
y 109 Health Housing and the surgeries GPs, in integration with diabetes centers and nursing clinics for chronic disease management in health homes, followed by patients with type 2 diabetes mellitus.
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