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ICU Resource Allocation in the New Millennium pp 47–57Cite as

Italy: Where Have We Been?

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Abstract

Allocation is a frequently recurring concept from the economic literature which has sneaked into the field of medicine and calls on physicians, patients, their families and policy-makers to face up to complex challenges.

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References

  1. Organisation for Economic Cooperation and Development. OECD health data 2005. Paris: OECD; 2005.

    Google Scholar 

  2. Istat. Italia in cifre 2005. Rome: Istat; 2006. www.istat.it. Accessed 7 Oct 2010.

  3. Italian Ministry of Economics and Finance, Department of General Accounts. Mid-long term Trends for the Pension and Health Care Systems Summary and Conclusions. The forecasts of the Department of General Accounts Updated to 2005. Rome: Ministry of Economics and Finance; 2005. Available in English at http://cerp.unito.it/datienormative/datiedocumenti/mid-long_term_trends1. Accessed 7 Oct 2010.

  4. European health for all database [database online]. Copenhagen: WHO Regional Office for Europe; 2003. http://hfadb.who.dk/hfa. Accessed 10 Oct 2010.

  5. McKee M. Reducing hospital beds: What are the lessons to be learned? European Observatory on Health Systems and Policies. Policy brief no. 6; 2004.

    Google Scholar 

  6. Giannoni M. Universality and decentralisation: the evolution of the Italian health care system. Eurohealth. 2006;12(2):10–3.

    Google Scholar 

  7. Constitution of the Italian Republic, Art. 32. Available at http://www.governo.it/Governo/Costituzione/1_titolo2.html. Available in English at http://www.senato.it/documenti/repository/istituzione/costituzione_inglese.pdf. Accessed 12 Oct 2010.

  8. Legge 23 Dicembre 1978, n.833. Istituzione del servizio sanitario nazionale (G.U. n. 360 del 28 dicembre 1978). http://www.normativasanitaria.it/jsp/dettaglio.jsp?id=21035. Accessed 16 Oct 2010.

  9. World Health Organization. World Health Report 2000. Geneva: WHO; 2000. www.who.int/whr/2000/en/statistics.htm. Accessed 18 Oct 2010.

  10. Italian Ministry of Health. Piano Sanitario Nazionale 1998–2000. Un patto di solidarietà per la salute (Health Care Plan 1998–2000. A solidarity pact for health). Ministero della Sanità, Roma, 1998.

    Google Scholar 

  11. Giannoni M, Hitiris T. The regional impact of health care expenditure: the case of Italy. Appl Econ. 2002;14:1829–36.

    Article  Google Scholar 

  12. Decreto Legislativo 19 Giugno 1999, n. 229. “Norme per la razionalizzazione del Servizio sanitario nazionale, a norma dell’articolo 1 della legge 30 novembre 1998, n. 419”. Pubblicato nella Gazzetta Ufficiale n. 165 del 16 luglio 1999 – Suppl. Ord. n. 132. http://www.parlamento.it/parlam/leggi/deleghe/99229dl.htm. Accessed 18 Oct 2010.

  13. Bindi R. Health care reform in Italy. Oxford: St Antony’s College University of Oxford, European Studies Centre, Lecture series, Michaelmas Term 2002. Available in English at http://www.sant.ox.ac.uk/esc/esc-lectures/bindi.doc. Accessed 20 Oct 2010.

  14. Hastings Center. Gli scopi della medicina:nuove priorità. Edizione italiana a cura di Maurizio Mori. Notizie di POLITEIA Anno 13 – N. 45, 1997.

    Google Scholar 

  15. Cantú E, Anessi Pessina E, editors. L’aziendalizzazione della sanità in Italia (Transformation of the Italian health care system into an ‘enterprise’). Rapporto OASI, Milan: CERGAS-Bocconi; 2004.

    Google Scholar 

  16. La CI. medicina delle scelte. Torino: Boringhieri; 2000.

    Google Scholar 

  17. Berlinguer G. Bioethics, health, and inequality. Lancet. 2004;364:1086–91.

    Article  PubMed  Google Scholar 

  18. Szalados JE. Access to critical care: medical rationing of a public right or privilege? Crit Care Med. 2004;32:1623–4.

    Article  PubMed  Google Scholar 

  19. Cook D, Giacomini M. The sound of silence: rationing resources for critically ill patients. Crit Care. 1999;3:R1–3.

    Article  PubMed  Google Scholar 

  20. Vincent JL. European attitudes towards ethical problems in intensive care medicine: results of an ethical questionnaire. Intensive Care Med. 1990;16:256–64.

    Article  PubMed  CAS  Google Scholar 

  21. Metcalfe MA, Sloggett A, McPherson K. Mortality among appropriately referred patients refused admission to intensive-care units. Lancet. 1997;350:7–11.

    Article  PubMed  CAS  Google Scholar 

  22. Coomber S, Todd C, Park G, Baxter P, Firth-Cozens J, Shore S. Stress in UK intensive care unit doctors. Br J Anaesth. 2002;89:873–81.

    Article  PubMed  CAS  Google Scholar 

  23. Associazione Anestesisti Rianimatori Ospedalieri Italiani (AAROI). Censimento nazionale dei posti letto di rianimazione attivi al 30 giugno 2005. http://www.aaroi.it/Pagine/iniziative/iniziative_2005/censimento_nazionale_01.pdf. Accessed 25 Oct 2010.

  24. Moreno R, Reis Miranda D. Nursing staff in intensive care in Europe: the mismatch between planning and practice. Chest. 1998;113:752–8.

    Article  PubMed  CAS  Google Scholar 

  25. Iapichino G, Radrizzani D, Rossi C, Pezzi A, Anghileri A, Boffelli S, Giardino M, Mistraletti G, Bertolini G, GiViTI Group. Proposal of a flexible structural-organizing model for the Intensive Care Units. Minerva Anestesiol. 2007;73(10):501–6.

    PubMed  CAS  Google Scholar 

  26. Ron A, Aronne LJ, Kalb PE, Santini D, Charlson ME. The therapeutic efficacy of critical care units. Identifying subgroups of patients who benefit. Arch Int Med. 1989;149:338–41.

    Article  CAS  Google Scholar 

  27. Sprung CL, Geber D, Eidelman LA, et al. Evaluation of triage decisions for intensive care admission. Crit Care Med. 1999;27:1073–9.

    Article  PubMed  CAS  Google Scholar 

  28. Bone RC, McElwee NE, Eubanks DH, Gluck EH. Analysis of indications for intensive care unit admission. Clinical efficacy assessment project: American College of Physicians. Chest. 1993;104:1806–11.

    Article  PubMed  CAS  Google Scholar 

  29. Rosenthal GE, Sirio CA, Shepardson LB, Harper DL, Rotondi AJ, Cooper GS. Use of intensive care units for patients with low severity of illness. Arch Intern Med. 1998;158:1144–51.

    Article  PubMed  CAS  Google Scholar 

  30. Society of Critical Care Medicine Ethics Committee. Consensus statement on the triage of critically ill patients. JAMA. 1994;271:1200–3.

    Article  Google Scholar 

  31. American Thoracic Society. Fair allocation of intensive care unit resources. Am J Respir Crit Care Med. 1997;156:1282–301.

    Google Scholar 

  32. Task Force of the American College of Critical Care Medicine. Guidelines for ICU admission, discharge, and triage. Crit Care Med. 1999;27:633–8.

    Article  Google Scholar 

  33. Gruppo di Studio ad Hoc della Commissione di Bioetica della SIAARTI. SIAARTI guidelines for admission to and discharge from Intensive Care Units and for limitation of treatment in intensive care. Minerva Anestesiol. 2003;69(3):101–18.

    Google Scholar 

  34. Giannini A, Consonni D. Physicians’ perceptions and attitudes regarding inappropriate admissions and resource allocation in the intensive care setting. Br J Anaesth. 2006;96(1):57–62.

    Article  PubMed  CAS  Google Scholar 

  35. SIAARTI – Italian Society of Anaesthesia Analgesia Resuscitation and Intensive Care Bioethical Board. End-of-life care and the intensivist: SIAARTI recommendations on the management of the dying patient. Minerva Anestesiol. 2006;72(12):927–63.

    Google Scholar 

  36. Boffelli S, Rossi C, Anghileri A, Giardino M, Carnevale L, Messina M, Neri M, Langer M, Bertolini G. Continuous quality improvement in intensive care medicine. The GiViTI Margherita project—Report 2005. Minerva Anestesiol. 2006;72:419–32.

    PubMed  Google Scholar 

  37. Bertolini G, Boffelli S, Malacarne P, Peta M, Marchesi M, Barbisan C, Tomelleri S, Spada S, Satolli R, Gridelli B, Lizzola I, Mazzon D. End-of-life decision-making and quality of ICU performance: an observational study in 84 Italian units. Intensive Care Med. 2010;36(9):1495–504.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anaesthesia, Intensive Care, & Pain Management, A. Manzoni General Hospital, Via dell’Eremo 9/11, Lecco, 23900, Italy

    Marco Luchetti M.D.

  2. Department of Anaesthesia and Intensive Care, Fatebenefratelli and Ophthalmiatric General Hospital, University of Milan, Milan, Italy

    Giuseppe A. Marraro M.D.

Authors
  1. Marco Luchetti M.D.
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  2. Giuseppe A. Marraro M.D.
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Corresponding author

Correspondence to Marco Luchetti M.D. .

Editor information

Editors and Affiliations

  1. and Neurological Surgery, University of Pittsburgh, Departments of Critical Care Medicine, School of Medicine, Pittsburgh, 15219, Pennsylvania, USA

    David W. Crippen

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Luchetti, M., Marraro, G.A. (2013). Italy: Where Have We Been?. In: Crippen, D. (eds) ICU Resource Allocation in the New Millennium. Springer, New York, NY. https://doi.org/10.1007/978-1-4614-3866-3_7

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  • DOI: https://doi.org/10.1007/978-1-4614-3866-3_7

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  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4614-3865-6

  • Online ISBN: 978-1-4614-3866-3

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