[Project of contrast to avoidable mortality in a metropolitan local health authority].

Introduction: The avoidable mortality (ME)represents the share of deaths that occurs at an early age (0-74 aa) for causes that cannot be faced by means of public health or health care measures. The work develops a strategic intervention plan aimed at the reduction of ME by identifying local priority actions based on epidemiologic and social-health data.

Methods: a working group among the Department of Prevention, Health Information Systems and Health District was set up.

[Pharmaceutical expenditures in the different municipalities of Rome (Italy): impact of socioeconomic conditions of the resident population].

Pharmaceutical expenditure is a cost item that is monitored continuously, to verify the appropriateness of prescriptions, the good use of available resources and to contain costs. However, socioeconomic differences in the population affect health conditions and consequently health expenditure. A comparison of socio-economic determinants and per-capita pharmaceutical expenditure in the different municipalities of Roma Capitale (Capital city of Rome, Italy) indicates that higher expenditures occur in areas characterized by lower socio-economic conditions.

Pharmacoeconomic impact evaluation of statin adherence in high-risk unselected post myocardial infarction population: an administrative database-guided analysis.

Background: The compliance to statins in secondary prevention is very low, increasing health-care costs principally for rehospitalization.

Objectives: To evaluate the cost of lack of persistence to statin therapy together with identification and cost-estimation of poor compliance.

Methods: Retrospective observational study starting from administrative database analysis of statin prescription after myocardial infarction.

[A system of indicators for identifying the specific healthcare needs of communities by large health departments].

Clinical governance of healthcare and community services by healthcare organizations requires the use of validated tools for identifying the specific healthcare needs of the local population. The population served by a local health organization may be large and although data regarding this population as a whole is useful for a preliminary evaluation, it may be too generic for an accurate estimation of the healthcare needs at the district level since different districts may face different challenges and have profoundly different realities. In this context, it can be strategically useful to use a system of indicators targeted at districts, the latter regarded as the basic unit of the health care system and characterized by a relatively constant structure and size.

[Indicators of statin use as a model for qualitative evaluation of chronic disease management in the Local Health Unit Roma B].

In chronic diseases the adherence and persistence to therapeutic treatments are often lower than guidelines said. This leads to a worse therapeutic effect of the treatments and to a misuse in healthcare costs. Our study evaluates the impact of a pharmacoutilization analysis model, derived from the administrative database of the Local Health Unit Roma B.