Articolo speciale
Salute dei bambini e assistenza pediatrica in Italia
Child health and child health services in italy
Giorgio Tamburlini
Centro per la Salute del Bambino - onlus, Trieste
Marzo 2012 - pagg. 178 -184
Abstract
The article comments on the White Paper produced by the Italian Society of Paediatrics
about child health and child health services in Italy. Although the main child health indicators
are quite satisfactory and there is evidence of improved efficiency of the health
services for children, there are still important regional and social inequalities, and the
quality of care in several areas, especially for chronic diseases, is patchy. There is the
need to proceed with system rationalization, for example by further reducing the number
of neonatal intensive care units, small paediatric units and referral specialty centres
in order to ensure more efficient, effective and responsive care at all levels of the system.
The Italian model of family paediatrics should be maintained but needs to be supported
by a stronger community nursing component and to develop better links with the social
and educational systems in order to become more effective in promotion of health and
development and care of children with special needs. Emerging issues such as mental
health, second generation migrant children and environmental exposure need to be better
understood and addressed. Market and media regulations are necessary. Finally,
family-focused social policies are needed to better support children and families in a period
of economic crisis.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
Bibliografia
1. Società Italiana di Pediatria. Libro Bianco 2011.
La salute dei bambini: Stato di salute e qualità dell’assistenza
della popolazione in età pediatrica
nelle regioni italiane. http://sip.it/ wp-content/
uploads/2012/01/Libro_Bianco_2011._La_
salute_dei_bambini.pdf.
2. Sobotka T, Skirbekk V, Philipov D. Economic Recession
and Fertility in the Developed World. Population
Develop Rev 2011;37(2): 267.
3. Campioni L. Servizi 0-3: aspettando il federalismo.
Fin da Piccoli, 2:2, Centro per la Salute del
Bambino-onlus, 2010.
4. Tamburlini G. Crisi economica e condizione infantile.
Medico e Bambino 2011;30:505-9.
5. Tamburlini G, Macaluso A. Ronfani L. Rapporto
sullo stato di salute dei bambini In Italia. Centro
per la Salute del Bambino-onlus, 2005.
6. Brandolini A. La condizione economica dei
bambini e degli adolescenti in Italia. Cittadini in
Crescita 2010;4:16-24.
7. Unicef Innocenti Research Centre. UNICEF Child
poverty in perspective: an overview of child wellbeing
in rich countries. UNICEF, Florence, 2007.
8. AA.VV. Il bambino con malattia cronica (Focus).
Medico e Bambino 2010;29:495-503.
9. www.pensiamociprima.net/sanitario/counseling_
promuovere.html (accesso 6 marzo, 2012).
10. Bolte G, Tamburlini G, Kohlhuber M. Environmental
inequalities among children in Europe:
evaluation of scientific evidence and policy
implications. Eur J Public Health 2010; 20:14-20.
11. Chin MH, Alexander-Young M, Burnet DL.
Health care quality-improvement approaches to
reducing child health disparities. Pediatrics
2009;124 (Suppl 3):S224-S236.
12. Figari F, Paulus A, Sutherland H. Research
note: supporting families with children through
taxes and benefits. European Commission, Brussels,
2007.
13. EACEA P9 Eurydice. Tackling social and cultural
inequalities through early childhood education
and care in Europe. European Commission,
Brussels, 2009.
14. WHO. Closing the gap in a generation. Health
equity through action on the social determinants
of health. Final Report of the Commission on Social
Determinants of Health, Geneva, 2008a.
15. Gilbert R, Spatz Widom C, Browne K, et al.
Burden and consequences of child maltreatment
in high-income countries. Lancet 2009;373:68-81.
16. CHILD. Child Health Indicators of Life and
Development. European Commission, 2002.
17. Berra S, Ravens-Sieberer U, Erhart M, et al.
European KIDSCREEN group. Methods and representativeness
of a European survey in children
and adolescents: the KIDSCREEN study.
BMC Public Health 2007;7:182.
18. Gruppo Regionale ‘Area Pediatrica’. Riflessioni
in tema di assistenza pediatrica in Emilia Romagna,
2012.
Corrispondenza: tamburlini@csbonlus.org