352*(7721$=,21$/(&&0´,1&$5,&2µ
35(6$,1&$5,&2'(//(3(5621(&21
',625',1,'(//$&26&,(1=$
(;(&87,9(6800$5<
352*(7721$=,21$/(&225',1$72'$
'UVVD0$7,/'(/(21$5',
)RQGD]LRQH,5&&6,VWLWXWR1HXURORJLFR&%HVWD
626'1HXURORJLD6DOXWH3XEEOLFD'LVDELOLWj
&HQWUR5LFHUFKHVXO&RPD&5&
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ
,1',&(
%DFNJURXQGH2ELHWWLYLGHOSURJHWWR,1&$5,&2
3DJ
5LVXOWDWLSULQFLSDOLUDJJLXQWL
3DJ
$QDOLVLHWLFDHFRPSDUD]LRQHVLQRWWLFDGHOODOHJLVOD]LRQHUDFFROWD
3DJ
$QDOLVLGHLFRVWLGHOODSUHVDLQFDULFRGHLSD]LHQWLFRQGRF
3DJ
/H ´&+(&./,67 ,1&$5,&2µ SHU YDOXWD]LRQH H PRQLWRUDJJLR GHL
QRGLGHOODUHWHGLSUHVDLQFDULFR
3DJ
&RQFOXVLRQL 3DJ
,O 0RGHOOR GL SUHVD LQ FDULFR SUHYLVWR GDOOH OLQHH JXLGD QD]LRQDOL
GHOPDJJLR
3DJ
5DSSUHVHQWD]LRQH JUDILFD GHL SHUFRUVL GL FXUD H SUHVD LQ FDULFR
SHU OH SHUVRQH FRQ GLDJQRVL GL '2& QHOOH GLYHUVH UHJLRQL
SDUWHFLSDQWLDOSURJHWWR,1&$5,&2
3DJ
(OHQFR8QLWjRSHUDWLYH3URJHWWRQD]LRQDOH&&0,1&$5,&2
3DJ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭ
(;(&87,9(6800$5<
3URJHWWRQD]LRQDOH&&0,1&$5,&2
0RGHOORGLLQWHJUD]LRQHVRFLRVDQLWDULDQHOODSUHVDLQ
FDULFRGHLSD]LHQWLFRQGLVRUGLQHGHOODFRVFLHQ]D
3URJHWWR&RRUGLQDWRGD
'UVVD0DWLOGH/HRQDUGL
)RQGD]LRQH,5&&6,VWLWXWR1HXURORJLFR&%HVWD
626'1HXURORJLD6DOXWH3XEEOLFD'LVDELOLWj&HQWUR5LFHUFKHVXO&RPD&5&
%DFNJURXQGH2ELHWWLYLGHOSURJHWWRQD]LRQDOH,1&$5,&2
,O 3URJHWWR QD]LRQDOH &&0 ,1&$5,&2 ´0RGHOOR GL LQWHJUD]LRQH VRFLRVDQLWDULD
QHOOD SUHVD LQ FDULFR GHL SD]LHQWL FRQ GLVRUGLQH GHOOD FRVFLHQ]Dµ ILQDQ]LDPHQWR GHO
&HQWURQD]LRQDOHSHUODSUHYHQ]LRQHHGLOFRQWUROORGHOOHPDODWWLH&&0GHO0LQLVWHUR
GHOOD6DOXWHQDVFHGDOFUHVFHQWHLPSHJQRGHOOHLVWLWX]LRQLQD]LRQDOL
UHJLRQDOL H ORFDOL D ULVSRQGHUH DOOH QHFHVVLWj GL FXUD H GL VXSSRUWR FRQWLQXR
SHU OH SHUVRQH FRQ GLDJQRVL GL GLVRUGLQH GHOOD FRVFLHQ]D '2& H OH ORUR
IDPLJOLH
,O SURJHWWR QD]LRQDOH &&0 ,1&$5,&2 FRRUGLQDWR GDOOD )RQGD]LRQH ,5&&6 ,VWLWXWR
1HXURORJLFR & %HVWD GL 0LODQR FRQWLQXD H DSSURIRQGLVFH SUHFHGHQWL ULFHUFKH VXL
GLVRUGLQL GHOOD FRVFLHQ]D VXSSRUWDWH QHJOL XOWLPL DQQL GDO &&0 H GDOOD ULFHUFD
ILQDOL]]DWD GHO 0LQLVWHUR GHOOD 6DOXWH 7UD TXHVWH LQ SDUWLFRODUH TXHOOD FRRUGLQDWD
GDOO·,VWLWXWR%HVWDGDOWLWROR´)XQ]LRQDPHQWRHGLVDELOLWjQHJOL6WDWL9HJHWDWLYLHQHJOL
6WDWL GL 0LQLPD &RVFLHQ]Dµ H OD ULFHUFD ´35(&,286 /D 35(VD LQ &DULFR GHOOH
SHUVRQHFRQ*UDYH&HUHEUROHVLRQH$FTXLVLWD*&$ULOHYD]LRQHH,PSOHPHQWD]LRQHGHL
SHUF2UVL GL F8UD H GHJOL 6WUXPHQWL GL JHVWLRQHµ FRRUGLQDWD GD 5HJLRQH (PLOLD
5RPDJQDHLQFXLLO%HVWDHUDSDUWQHU4XHVWHULFHUFKHXQLWHDLULVXOWDWLGLQXPHURVL
ODYRULFOLQLFLHGHSLGHPLRORJLFLVXLSD]LHQWLFRQGLVRUGLQLGHOODFRVFLHQ]DFRRUGLQDWLGD
GLYHUVL DOWUL FHQWUL GL ULFHUFD R LVWLWX]LRQL LWDOLDQH KDQQR HYLGHQ]LDWR XQD PDUFDWD
ODFXQDQHOO·DQDOLVLGHLSHUFRUVLGLFXUDHGLSUHVDLQFDULFRGLTXHVWLSD]LHQWL
QHO WHUULWRULR QD]LRQDOH UHQGHQGR QHFHVVDULD XQD DWWHQWD ULOHYD]LRQH GL TXHVWL
VWHVVL SHUFRUVL SHU FDSLUH VH HVLVWHVVH R PHQR RPRJHQHLWj ULVSHWWR DOOH LQGLFD]LRQL
IRUQLWH GDOOH /LQHH JXLGD QD]LRQDOL H VH LQROWUH IRVVH SUHVHQWH R PHQR XQD PDUFDWD
HWHURJHQHLWjWHUULWRULDOH
/RVFRSRGHOSURJHWWR,1&$5,&2qVWDWRTXLQGLTXHOORGLULOHYDUHLSHUFRUVLGLFXUDHGL
SUHVDLQFDULFRSUHVHQWLLQGLYHUVHUHDOWjUHJLRQDOLHDQDOL]]DUQHLIDWWRULSRVLWLYLHOH
FULWLFLWj VLD LQ ULIHULPHQWR DO SHUFRUVR SUHYLVWR D OLYHOOR QD]LRQDOH GDOO·$FFRUGR 6WDWR
5HJLRQLGHOPDJJLRFKHDOSHUFRUVRGLFXUDUHDOPHQWHVHJXLWRGDLSD]LHQWLQHOOH
GLIIHUHQWLUHJLRQL/RVFRSRILQDOHGHOSURJHWWRqVWDWRTXHOORGLDUULYDUHDGHODERUDUH
ULVXOWDWL XWLOL DO 0LQLVWHUR GHOOD 6DOXWH DOOH 5HJLRQL DL JUXSSL WHFQLFL DL FHQWUL
FRLQYROWL SURIHVVLRQDOPHQWH HG DOOH DVVRFLD]LRQL GL IDPLOLDUL SHU DWWXDUH LO PRGHOOR
QD]LRQDOH FRVu GD HYLWDUH GLVXJXDJOLDQ]H QHOOD SUHVD LQ FDULFR WUD SD]LHQWL
GLYHUVLLQUHJLRQLGLYHUVH
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯ
5LVXOWDWLSULQFLSDOLUDJJLXQWL
3HUUDJJLXQJHUHWDOLRELHWWLYLLOSURJHWWR,1&$5,&2VLqVYLOXSSDWRLQWUHGLYHUVHIDVL
/D)$6( ,1,=,$/( KD SUHYLVWR OD ULOHYD]LRQH H LO FRQIURQWR GHL PRGHOOL GL
SUHVD LQ FDULFR SHU OH SHUVRQH FRQ '2& DGXOWL H PLQRUL DWWXDOPHQWH
GLVSRQLELOL VXO WHUULWRULR QD]LRQDOH ,Q SDUWLFRODU PRGR VRQR VWDWL DQDOL]]DWL L
PRGHOOL GL 5HJLRQL LWDOLDQH&DODEULD &DPSDQLD (PLOLD 5RPDJQD /D]LR
/LJXULD/RPEDUGLD3LHPRQWH3XJOLD6LFLOLD8PEULDH9HQHWRUDFFRJOLHQGRL
GDWLULJXDUGDQWLODOHJLVOD]LRQHGLULIHULPHQWRGHLVLQJROLPRGHOOLSHUXQWRWDOHGL
GRFXPHQWL QRUPDWLYL HVDPLQDWL H ULFRVWUXHQGR LO SHUFRUVR GL FXUD ´WHRULFRµ
SUHYLVWR GDOOH OHJJL SHU RJQL IDVH GHO SHUFRUVR IDVH DFXWD SRVW DFXWD H GHJOL HVLWL
,QROWUH q VWDWR SRVVLELOH LGHQWLILFDUH FHQWUL QHOOH UHJLRQL FKH VRQR WDSSH GHO
SHUFRUVR GL SD]LHQWL FRQ '2& H LO QXPHUR GL SRVWL OHWWR WHRULFL SUHVHQWL LQ
FLDVFXQD UHJLRQH FKH KDQQR XQD FRGLILFD FRPSDWLELOH FRQ TXHOOD SUHVHQWH QHL
GRFXPHQWLOHJLVODWLYLSHURJQLIDVHGHOSHUFRUVR9HGL&DSLWROR
1HOOD)$6(,17(50(',$LOSURJHWWRKDDQDOL]]DWRLSXQWLGLIRU]DHOHFULWLFLWj
GHL PRGHOOL GL SUHVD LQ FDULFR UHJLRQDOL LGHQWLILFDWL VYLOXSSDQGR GXH DQDOLVL
GLVWLQWH
/DSULPDDQDOLVLKDFRQIURQWDWRFLDVFXQPRGHOORUHJLRQDOHFRQLOPRGHOORQD]LRQDOHGL
SUHVD LQ FDULFR SUHYLVWR GDOO·DFFRUGR 6WDWR 5HJLRQL GHO PDJJLR PHQWUH OD
VHFRQGD DQDOLVL KD FRQIURQWDWR L GDWL GHL PRGHOOL ´WHRULFLµ UHJLRQDOL FRQ L GDWL VXL
SHUFRUVLGLFXUD´UHDOPHQWHµVYROWLGDXQFDPSLRQHGLSD]LHQWLGLPHVVLQHOGDL
FHQWUL GL ULDELOLWD]LRQH SDUWHFLSDQWL DO SURJHWWR QHOOH GLYHUVH UHJLRQL HPHUVL GDOOR
VWXGLRSLORWD
3ULPD DQDOLVL ,1&$5,&2 FRQIURQWR WUD L PRGHOOL WHRULFL UHJLRQDOL H TXHOOR
QD]LRQDOH4XDWWURULVXOWDWLSULQFLSDOL
7XWWH OH UHJLRQL FRLQYROWH QHO SURJHWWR KDQQR SXEEOLFDWR GHOLEHUH GL
UHFHSLPHQWR GHOO·DFFRUGR 6WDWR 5HJLRQL GHO PDJJLR DG HFFH]LRQH GHOOD
5HJLRQH6LFLOLDFKHKDHVSUHVVRXQDLQWHQ]LRQHSURSRVLWLYDIXWXUDLQPHULWR
1HOFRQIURQWRWUDOHIDVLGHOSHUFRUVRSUHYLVWHGDOPRGHOOR6WDWR5HJLRQLHTXHOOL
HPHUJHQWL GDL PRGHOOL UHJLRQDOL VL HYLQFH FKH PHQWUH SHU OD IDVH DFXWD QRQ FL
VRQR VRVWDQ]LDOL GLIIHUHQ]H SHU OD IDVH VXEDFXWD q SUHVHQWH XQD IRUWH
HWHURJHQHLWjWHUULWRULDOH,QIDWWLVRORUHJLRQLVXKDQQRDWWLYDWRGHOOHXQLWj
VSHFLILFKH SHU SD]LHQWL VXEDFXWL GHILQLWH GDOO·DFFRUGR 6WDWR UHJLRQL ´«XQLWj
RSHUDWLYH R DUHH QXFOHL GHGLFDWL D FDUDWWHUH VHPLQWHQVLYR H DG DOWD YDOHQ]D
ULDELOLWDWLYDODFXLJHVWLRQHFRPHIDWWRUHLPSUHVFLQGLELOHQHFHVVLWDGLVSHFLILFKH
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϯ FRPSHWHQ]HLQJUDGRGLDVVLVWHUH*&$LQIDVHFULWLFDLQWHJUDWHGDXQDSSURFFLR
LQWHUGLVFLSOLQDUH HG LQWHUSURIHVVLRQDOH«µ H FKL O·KD IDWWR KD GDWR SHUz FULWHUL
HWHURJHQHL H YDULDELOL GD UHJLRQH D UHJLRQH SHU O·LQGLYLGXD]LRQH GHOOH VWHVVH
,QIDWWLqSRVVLELOHWURYDUHXJXDOPHQWHXQLWjGHILQLWHXJXDOPHQWHWXWWH
FRPH´VXEDFXWHµPDFODVVLILFDWHFRQFRGLFLGLYHUVLR
3HU TXDQWR FRQFHUQH OD IDVH GHJOL HVLWL HVLVWH XQD DQFRU SL IRUWH
HWHURJHQHLWj ,QIDWWL VROR UHJLRQL KDQQR LVWLWXLWR OH FRVLGGHWWH 68$3
&DODEULD &DPSDQLD 6LFLOLD H 9HQHWR FRPH SUHYLVWR QHO PRGHOOR QD]LRQDOH
PHQWUHDOWUHUHJLRQLKDQQRUHDOL]]DWRGHLQXFOHLGHGLFDWLDOO·LQWHUQRGL56$JLj
HVLVWHQWL (PLOLD 5RPDJQD /LJXULD /RPEDUGLD 3LHPRQWH 8PEULD H DQFRUD LO
9HQHWR 1HOOH UHVWDQWL UHJLRQL /D]LR H 3XJOLD QRQ VRQR DWWLYL QXFOHL VSHFLILFL
SHU OH SHUVRQH FRQ GLDJQRVL GL '2& VHEEHQH OD UHJLRQH /D]LR SUHVHQWL GLYHUVH
FDWHJRULH GL FHQWUL GHGLFDWL DOOD IDVH GHJOL HVLWL FRQ GLYHUVL OLYHOOL DVVLVWHQ]LDOL
$OWUR SXQWR FKH ULPDQH PROWR HWHURJHQHR QHO WHUULWRULR q OD UHDOL]]D]LRQH GL
SURJHWWLGHILQLWLGL´GRPLFLOLRSURWHWWRµ7XWWHOHUHJLRQLQHLORURSLDQLHGHOLEHUH
GHILQLVFRQRLQJHQHUDOHXQDVWUXWWXUD]LRQHGHLVHUYL]LGLDVVLVWHQ]DDOGRPLFLOLR
PD FRQVLGHUDQGR OD GHILQL]LRQH GL ´GRPLFLOLR SURWHWWRµ SUHYLVWD GDOOH /LQHH
JXLGD SHU O·DVVLVWHQ]D DOOH 3HUVRQH LQ 69 GHO VROR DOFXQH 5HJLRQL KDQQR
VYLOXSSDWRLVHUYL]LFRVuFRPHLYLVSHFLILFDWL1HOO·DPELWRGHO3URJHWWR,1&$5,&2
VLDPR ULXVFLWL DG LGHQWLILFDUH DG HVHPSLR FKH OD UHJLRQH /D]LR DQQRWD DOO·
LQWHUQR GHOOD FDWHJRULD ´GRPLFLOL SURWHWWLµ L VHUYL]L VYROWL GD &DVD ,ULGH H OD
UHJLRQH&DODEULDLVHUYL]LRIIHUWLGDOSURJHWWR2EHURQ
8QDOWUD FRQVLGHUD]LRQH HPHUJHQWH GDOO·DQDOLVL GHL PRGHOOL UHJLRQDOL ULVSHWWR DO
PRGHOOR6WDWR5HJLRQLGHOPDJJLRULJXDUGDODFODVVLILFD]LRQHGHLPRGHOOL
SURSRVWL H LO QXPHUR GL ´QRGLµ GHO SHUFRUVR ,QIDWWL O·DFFRUGR 6WDWR 5HJLRQL
SURSRQH XQ PRGHOOR ´&RPD WR &RPPXQLW\µ FRQ FROOHJDPHQWL WUD OH VLQJROH
IDVLLQVHULHPDQRQGHILQLVFHLWHUPLQLSHUODGLIIXVLRQHGHLVLQJROLVHUYL]LQHO
WHUULWRULR H QHPPHQR TXDQWL ´QRGLµ VRQR QHFHVVDUL SHU GHILQLUH LO FRUUHWWR
SHUFRUVR FRPD WR FRPPXQLW\, GDWL VXL PRGHOOL GHOOH 5HJLRQL GL ,1&$5,&2
SHUPHWWRQR GL LGHQWLILFDUH FKH OH UHJLRQL &DODEULD &DPSDQLD H 6LFLOLD
FRQFHQWUDQR LO IOXVVR GL SD]LHQWL VX SRFKH VWUXWWXUH HVLVWHQWL H FRQ
SRFKLVVLPL QRGL QHO SHUFRUVR PHQWUH QHOOH UHVWDQWL UHJLRQL (PLOLD
5RPDJQD /D]LR /LJXULD /RPEDUGLD 3LHPRQWH 8PEULD H 9HQHWR OD
GLVWULEX]LRQH GHOOH VWUXWWXUH DSSDUH PROWR SL GLIIXVD QHO WHUULWRULR H
FRQPROWLSLQRGLGLUHWH/DUHJLRQH3XJOLDKDVXOODFDUWDXQPRGHOORPROWR
EHQGHWWDJOLDWRFKHSHUzQRQVHPSUHVHPEUDWURYDUHODVWHVVDUDSSUHVHQWD]LRQH
QHOVXRWHUULWRULRSHUTXHVWDWLSRORJLDGLSD]LHQWL
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϰ 6HFRQGD DQDOLVL ,1&$5,&2 FRQIURQWR WUD L PRGHOOL ´WHRULFLµ UHJLRQDOL
UDFFROWL H TXHOOL UHDOPHQWH IDWWL GD SD]LHQWL GLVWULEXLWL QHOOH UHJLRQL
SDUWHFLSDQWLDOSURJHWWR
,1&$5,&2 KD SUHYLVWR XQ FRQIURQWR WUD L PRGHOOL ´WHRULFLµ UDFFROWL H LGHQWLILFDWL H
TXHOOL UHDOPHQWH VHJXLWL GD XQ JUXSSR GL SD]LHQWL FRQ '2& GLVWULEXLWL QHOOH YDULH
UHJLRQL SDUWHFLSDQWL DO SURJHWWR $WWUDYHUVR XQ TXHVWLRQDULR ,1&$5,&2 FRVWUXLWR
DG KRF VRQR VWDWL LQWHUYLVWDWL WHOHIRQLFDPHQWH WXWWL L IDPLOLDUL GHL SD]LHQWL FRQ
GLDJQRVLGL'2&GLPHVVLGDLFHQWULGLULDELOLWD]LRQHSDUWHFLSDQWLDOSURJHWWRQHO
FKH KDQQR DFFHWWDWR GL SDUWHFLSDUH DOO·LQWHUYLVWD SHU XQ WRWDOH GL &DODEULD Q
SD]LHQWL&DPSDQLDQ(PLOLD5RPDJQDQ/D]LRQ/LJXULDQ3LHPRQWHQ
3XJOLD Q 6LFLOLD Q 8PEULD Q H 9HQHWR Q /H ULVSRVWH DO TXHVWLRQDULR
KDQQR SHUPHVVR GL UDFFRJOLHUH OH LQIRUPD]LRQL VXO SHUFRUVR GL FXUD
´UHDOPHQWHµVYROWRGDLVLQJROLSD]LHQWLQHJOLXOWLPLWUHDQQL
,O QXPHUR GL SD]LHQWL QRQ q RYYLDPHQWH VXIILFLHQWH SHU DYHUH XQD DWWHQGLELOLWj
VWDWLVWLFDPDLSULQFLSDOLULVXOWDWLHPHUVLSHUPHWWRQRDOFXQHFRQVLGHUD]LRQL
1RQ WXWWL L SD]LHQWL KDQQR VHJXLWR LO SHUFRUVR SUHYLVWR GDOOD
OHJLVOD]LRQH UHJLRQDOH ,Q SDUWLFRODU PRGR L ULVXOWDWL GHO SURJHWWR KDQQR
SHUPHVVR GL HYLGHQ]LDUH OH VHJXHQWL SHUFHQWXDOL GL DGHUHQ]D DO WHRULFR
&DODEULD &DPSDQLD (PLOLD 5RPDJQD /D]LR /LJXULD
3LHPRQWH3XJOLD6LFLOLD8PEULD9HQHWR
/D QRQ DGHUHQ]D DO SHUFRUVR q VSHVVR GHWHUPLQDWD GD PRELOLWj
H[WUDUHJLRQDOH FRQ ULFRYHUL GHL SD]LHQWL LQ GLYHUVL FHQWUL LQ DOWUH
5HJLRQLRDOO·HVWHUR,QIDWWLqSRVVLELOHYHGHUH)LJXUDFRPHDSDUWLUHGDOOD
IDVHDFXWDVLDVWDWRPROWRYDULRLOIOXVVRGLTXHVWHSHUVRQHFRQ'2&YHUVROH
GLYHUVHUHJLRQLSD]LHQWLLQHQWUDWDGDDOWUHUHJLRQLLQUHJLRQH&DODEULD
LQ &DPSDQLD LQ (PLOLD 5RPDJQD QHO /D]LR LQ /LJXULD LQ
3LHPRQWH 3XJOLD H 6LFLOLD LQ 8PEULD LQ 9HQHWR ULVSHWWR DL
PRYLPHQWL GHL SD]LHQWL LQ XVFLWD GDOOD SURSULD UHJLRQH SHU DYHUH GHOOH FXUH LQ
XVFLWD GDOOD UHJLRQH &DODEULD &DPSDQLD (PLOLD 5RPDJQD /D]LR
/LJXULD3LHPRQWH3XJOLD6LFLOLD8PEULDHUHJLRQH
9HQHWR'DTXHVWLGDWLVLSXzTXLQGLHYLQFHUHFKHHVLVWRQRWUHWLSL
GL IOXVVL UHJLRQDOL GHL SD]LHQWL FRQ '2& 5HJLRQL FRQ SD]LHQWL VROR LQ
HQWUDWDHVHPSLR(PLOLD5RPDJQDVRORLQXVFLWD3XJOLDH6LFLOLDRLQELODQFLR
WUD SD]LHQWL LQ HQWUDWD H LQ XVFLWD 1HOO·XOWLPR FDVR WDOH HTXLOLEULR SXz HVVHUH
DSHUWR LO QXPHUR GL SHUVRQH FKH HQWUDQR QHOOD UHJLRQH GL ULIHULPHQWR q SL R
PHQR SDUL D TXHOOL FKH HVFRQR YHGL /LJXULD RSSXUH FKLXVR QHVVXQD SHUVRQD q
HQWUDWD R XVFLWD GDOOD UHJLRQH GL ULIHULPHQWR SHU DYHUH OH FXUH QHFHVVDULH YHGL
3LHPRQWH
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϱ
)LJ ² 3HUFHQWXDOH GL SD]LHQWL FRQ GLDJQRVL GL '2& FKH KDQQR DYXWR
ULFRYHUL SUHVVR VWUXWWXUH H[WUDUHJLRQDOL GXUDQWH LO ORUR SHUFRUVR GL
FXUDIOXVVLLQHQWUDWDRLQXVFLWD
3HUTXDQWRFRQFHUQHOHFULWLFLWjHPHUVHGDOTXHVWLRQDULR,1&$5,&2TXHOOH
SL IUHTXHQWHPHQWH ULSRUWDWH GDO QRVWUR FDPSLRQH ULVXOWDQR HVVHUH SHU OD IDVH
DFXWD OD ´/D FDUHQWH FRQGLYLVLRQH FRQ LO SHUVRQDOH VDQLWDULR QHOOD VFHOWD GHOOD
VWUXWWXUD SHU OD IDVH VXFFHVVLYDµ RSSXUH ´LO WHPSR GL DWWHVD WURSSR OXQJR QHO
SDVVDJJLR WUD XQD XQLWj H O·DOWUD QHO SHUFRUVRµ FRQ XQD SHUFHQWXDOH XJXDOH R
VXSHULRUHGHOQHOOHUHJLRQL8PEULD3XJOLD6LFLOLDH9HQHWR1HOODIDVHGHJOL
HVLWLOHFULWLFLWjSULQFLSDOLHPHUVHULJXDUGDQRODULFKLHVWDGLVXSSRUWRSVLFRORJLFR
DOOD )DPLJOLD QHOOH UHJLRQL 3LHPRQWH /D]LR H 6LFLOLD H OD WURSSR SRFD TXDQWLWj
GHO VHUYL]LR DVVLVWHQ]LDOH ULFHYXWR FRQ XQ WDVVR GL ULVSRVWD VX TXHVWR SXQWR LQ
UHJLRQH&DPSDQLDGHO
,SXQWLGLIRU]DSHULIDPLOLDULGLTXDVLWXWWHOHUHJLRQLVRQRODTXDOLWjGHO
VHUYL]LRULFHYXWRQHOODIDVHDFXWDHSRVWDFXWDOHPRGDOLWjGLDFFRJOLHQ]DLQWXWWH
OH IDVL GHO SHUFRUVR LO OLEHUR DFFHVVR DOOH VWUXWWXUH VDQLWDULH GHL IDPLOLDUL LQ
TXDOVLDVL RUDULR H LO FRPIRUW GHOOH VWUXWWXUH VDQLWDULH SRVVLELOLWj GL DYHUH VSD]L
FRPXQLGLXVFLUHDOO·DULDDSHUWDHWF
1HOODIDVHGHJOLHVLWLODSHUFHQWXDOHGLLQYLLDOGRPLFLOLRqPROWRHWHURJHQHDGD
UHJLRQH D UHJLRQH ,QIDWWL q VWDWR SRVVLELOH ULOHYDUH GHL WDVVL GL
GRPLFLOLDUL]]D]LRQHDWUHDQQLGDOODGLPLVVLRQHGDOUHSDUWRGLULDELOLWD]LRQH
GHO LQ 5HJLRQH &DODEULD LQ &DPSDQLD LQ (PLOLD 5RPDJQD
QHO /D]LR LQ /LJXULD LQ 3LHPRQWH LQ 3XJOLD LQ
6LFLOLD LQ 8PEULD H 9HQHWR &L VL GHYH FKLHGHUH TXL VH TXHVWL WDVVL GL
ULWRUQRDOGRPLFLOLRVRQROHJDWLDOOD6&(/7$YRORQWDULDGHOIDPLOLDUHRVHLQYHFH
VRQR OHJDWL DOOD 1(&(66,7$· 3(5 0$1&$1=$ ', 67587785( ',
/81*2'(*(1=$
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϲ
)LJ ²3HUFHQWXDOH
GL SD]LHQWL FRQ
GLDJQRVL GL '2&
WRUQDWL DO GRPLFLOLR
WUD LO FDPSLRQH
VHOH]LRQDWR SHU OD
VXUYH\SLORWDS]
$QFKH OD SHUFHQWXDOH GL GHFHVVL VHPEUD HVVHUH PROWR HWHURJHQHD QHL GLYHUVL
WHUULWRUL 1RQRVWDQWH OH OLPLWD]LRQL PHWRGRORJLFKH GHOOD VXUYH\ SLORWD SLFFROR
FDPSLRQHQRQYDOXWD]LRQHGHOODJUDYLWjFOLQLFDGHLFDVLDWUHDQQLGDOO·HYHQWR
DFXWR SHU L SD]LHQWL GLPHVVL QHO GDL FHQWUL GL ULDELOLWD]LRQH VRQR VWDWH
ULOHYDWH OH VHJXHQWL SHUFHQWXDOL GL GHFHVVR LQ UHJLRQH &DODEULD LQ
&DPSDQLD LQ (PLOLD 5RPDJQD QHO /D]LR LQ /LJXULD LQ
3LHPRQWH LQ 3XJOLD LQ 6LFLOLD LQ 8PEULD H QHOOD UHJLRQH
9HQHWR /D QRWHYROH YDULDELOLWj GHOOD PRUWDOLWj LQWHUUHJLRQDOH ULFKLHGH
FRPXQTXHXOWHULRULVWXGLHSLGHPLRORJLFLDFFXUDWL
,WHPSLGLGHJHQ]DPHGLDGHLSD]LHQWLQHOOHIDVLDFXWHHSRVWDFXWHVRQR
QRWHYROPHQWH GLYHUVL GD UHJLRQH D UHJLRQH)LJ ,QIDWWL L WHPSL GL
GHJHQ]D SHU OD IDVH DFXWD PHGLDQD ULOHYDWL YDQQR GD XQ PLQLPR GL JLRUQL
SHU OD UHJLRQH /LJXULD DG XQ PDVVLPR GL SHU OD UHJLRQH 3LHPRQWH )HUPR
UHVWDQGRODYDULDELOLWjGHOOHFRQGL]LRQLFOLQLFKHHGLPROWLDOWULIDWWRULSXUDPHQWH
PHGLFL XQD VLPLOH YDULDQ]D KD VLFXUDPHQWH DQFKH XQD EDVH GRYXWD
DOO·RUJDQL]]D]LRQHGHOPRGHOORGLSUHVDLQFDULFRLQYLJRUHLQRJQLUHJLRQH
)LJ ² *LRUQDWH GL GHJHQ]D LQ IDVH DFXWD PHGLDQD QHOOH GLYHUVH
UHJLRQLSD]LHQWL
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϳ
,QILQHQHOODIDVHSRVWDFXWDLOFDPSLRQHPRVWUDQRWHYROHYDULDELOLWjVXL
QXPHUL GL ULFRYHUL HIIHWWXDWL H VXO QXPHUR GL JLRUQDWH GL GHJHQ]D LQ
ULDELOLWD]LRQH 7DEHOOD ,O Q GL ULFRYHULSD]LHQWH PRVWUD UHJLRQL FKH
DGRWWDQR PRGHOOL FKH SUHYHGRQR SL ULFRYHUL VXFFHVVLYL LQ VWUXWWXUH GL
ULDELOLWD]LRQHFRQXQDPHGLDPDVVLPDGLSDVVDJJLLQUHJLRQH(PLOLD5RPDJQD
HG XQD PLQLPD GL LQ UHJLRQH 6LFLOLD H DQFKH LO QXPHUR WRWDOH GL JLRUQDWH GL
GHJHQ]D PHGLDQD LQ ULDELOLWD]LRQH DSSDUH PROWR GLYHUVR GD WHUULWRULR D
WHUULWRULRHGLQGLSHQGHQWHGDOQGLULFRYHULGDGHOOD3XJOLDDGHO/D]LR
4XHVWL ULVXOWDWL PRVWUDQR GLIIHUHQ]H VSHFLILFKH GHL PRGHOOL YL VRQR PRGHOOL GL
SUHVD LQ FDULFR FKH SUHYHGRQR SRFKL ULFRYHUL PD SL OXQJKL HG DOWUL FKH
SUHYHGRQRULFRYHULSLEUHYLPDSLIUHTXHQWL
7DEHOOD ² 1XPHUR GL ULFRYHUL H JLRUQDWH GL GHJHQ]D PHGLDQD LQ ULDELOLWD]LRQH GHL
SD]LHQWLFRQGLDJQRVLGL'2&QHOOHGLYHUVHUHJLRQLSDUWHFLSDQWLDOODVXUYH\SLORWD
5(*,21(
1',5,&29(5,())(778$7,,15(3$57,',
5,$%,/,7$=,21(&RG PHGLDSHUUHJLRQH
*,251$7(','(*(1=$,1
5,$%,/,7$=,21(
PHGLDQDSHUUHJLRQH
Calabria 1.77 300
Campania 1.75 214
Emilia R 5.1 210
Lazio 2.6 503
Liguria 2.5 196
Piemonte 1.25 368
Puglia 2 153
Sicilia 1.1 488
Umbria 1.7 179
Veneto 2 238
/$35(6$,1&$5,&2,1(7$·(92/87,9$
8QD DSSRVLWD VH]LRQH GL DQDOLVL GHL PRGHOOL HUD FRRUGLQDWD GDOO· ,5&&6 ( 0HGHD GL
&RQHJOLDQR9HQHWRSHUODULOHYD]LRQHGHLSHUFRUVLGLFXUDGHLPLQRULGLDQQL
LQ WUH UHJLRQL LWDOLDQH /RPEDUGLD 3XJOLD H 9HQHWR , ULVXOWDWL HPHUVL KDQQR
HYLGHQ]LDWR XQD FKLDUD FDUHQ]D OHJLVODWLYD LQ PHULWR HG XQD PDQFDQ]D GL FKLDUL
SHUFRUVL SHU OH SHUVRQH LQ HWj HYROXWLYD DSUHQGR TXLQGL LO FDPSR D QHFHVVDUL VWXGL H
ULIOHVVLRQLIXWXUH
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϴ
$1$/,6, (7,&$ ( &203$5$=,21( 6,1277,&$ '(//$
/(*,6/$=,21(5$&&2/7$'(),1,5(/$&85$
$FXUDGHO&HQWURGL$WHQHRGL%LRHWLFDGHOO·8QLYHUVLWj&DWWROLFD
,O &HQWUR GL $WHQHR GL %LRHWLFD GHOO·8QLYHUVLWj &DWWROLFD KD SURYYHGXWR DG XQD
ULFRJQL]LRQH GHOOH WHPDWLFKH DQWURSRORJLFKH HWLFKH H ELRHWLFKH SUHVHQWL QHOOD
OHWWHUDWXUDQD]LRQDOHHLQWHUQD]LRQDOHLQULIHULPHQWRDOODSUHVDLQFDULFRGHOOHSHUVRQH
LQ 69 H 60& 7DOH ULFRJQL]LRQH KD SRUWDWR DOOD SURSRVWD GL XQD GHILQL]LRQH GHO
FRQFHWWR GL ´SUHVD LQ FDULFRµ GHOOD SHUVRQD LQ 69 H 60& FRQVLGHUDWD QRQ
VHPSOLFHPHQWH FRPH SD]LHQWH PD FRPH SHUVRQD FRQ JUDYLVVLPD GLVDELOLWj VHFRQGR
FXL O·LGHD GL ´SUHVD LQ FDULFRµ UDSSUHVHQWD OD WUDGX]LRQH OHJLVODWLYD H VRFLR
DVVLVWHQ]LDOHGHOFRQFHWWRILORVRILFRGL´FXUDµGHOO·LGHDGL´SUHQGHUVLFXUDGLµ
VYLOXSSDWDQHOUHFHQWHGLEDWWLWRILORVRILFRHELRHWLFR
6HFRQGR FRPSLWR GHO &HQWUR GL $WHQHR GL %LRHWLFD q VWDWR SRL TXHOOR GL FRQGXUUH XQD
FRPSDUD]LRQH VLQRWWLFD GHL GRFXPHQWL OHJLVODWLYL UHJLRQDOL FKH L SDUWQHU GL
SURJHWWR KDQQR SURYYHGXWR DG LQGLFDUH FRPH GRFXPHQWL FDUGLQH GL RJQL
UHJLRQHLQULIHULPHQWRDOODSUHVDLQFDULFRGHOOHSHUVRQHLQ69H60&LQGLYLGXDQGR
DQDORJLH H FULWLFLWj GHL GLYHUVL SHUFRUVL UHJLRQDOL GL FXUD HG DQDOL]]DQGR OH
SUREOHPDWLFKH HWLFKH SUHVHQWL QHOOH GLYHUVH OHJLVOD]LRQL UHJLRQDOL , GRFXPHQWL
OHJLVODWLYLDQDOL]]DWLKDQQRXQDYDULDELOLWjGLSXEEOLFD]LRQHGLIIHUHQWHGD5HJLRQHD
5HJLRQHHFRPSOHVVLYDPHQWHO·DUFRWHPSRUDOHFRQVLGHUDWRYDGDODO,QRJQL
FDVR VRQR VWDWH HOHQFDWH OHJLVOD]LRQL FKH FRQWULEXLVFRQR DOOD GHILQL]LRQH GHOO·DWWXDOH
SHUFRUVRGLSUHVDLQFDULFRGHOOHSHUVRQHFRQ'LVRUGLQLGHOOD&RVFLHQ]DQHOOHUHJLRQL
La FRPSDUD]LRQH VLQRWWLFD H O·DQDOLVL GHOOD OHJLVOD]LRQH UHJLRQDOH UDFFROWD
UDSSUHVHQWDQR LO WHQWDWLYR GL FRPSUHQGHUH VH HG LQ FKH PRGR OH GLIIHUHQWL
QRUPDWLYHUHJLRQDOLFRQGLYLGDQRJOLVWHVVLSUHVXSSRVWLHWLFLHGDQWURSRORJLFL
H JOL VWHVVL ULIHULPHQWL QRUPDWLYL QD]LRQDOL HG LQWHUQD]LRQDOL D OLYHOOR
QD]LRQDOHLOULIHULPHQWRDOOD&RVWLWX]LRQHHDOOH/LQHH*XLGDIUXWWRGHOO·DFFRUGR6WDWR
5HJLRQL GL FXL VRSUD H D OLYHOOR LQWHUQD]LRQDOH LO PRGHOOR ELRSVLFRVRFLDOH SURSRVWR
GDOO·206DWWUDYHUVROD&ODVVLILFD]LRQH,QWHUQD]LRQDOHGHO)XQ]LRQDPHQWRGHOODVDOXWH
H GHOOD 'LVDELOLWj ,&) HG L GLULWWL ULFRQRVFLXWL DOOH SHUVRQH FRQ GLVDELOLWj GDOOD
&RQYHQ]LRQHGHOOH1D]LRQL8QLWHVXLGLULWWLGHOOHSHUVRQHFRQGLVDELOLWj1HOODWDEHOOD
qSRVVLELOHDYHUHXQTXDGURULDVVXQWLYRGHLULVXOWDWLRWWHQXWL
'DOSXQWRGLYLVWDGHOODULIOHVVLRQHELRHWLFDQD]LRQDOHLO&HQWURGL$WHQHRGL%LRHWLFDq
GDDQQLLPSHJQDWRLQXQDULSUHVDHULIRUPXOD]LRQHGHLFRQFHWWLFDUGLQHGHOO·HWLFDGHOOD
FXUDDOILQHGLFRPSUHQGHUQHFULWLFLWjHSXQWLGLIRU]DLQPHULWRDQFKHDOO·DSSOLFDELOLWj
GL WDOL FRQFHWWL DOOD SUHVD LQ FDULFR GHOOH SHUVRQH FRQ GLVDELOLWj JUDYLVVLPH WUD FXL OH
SHUVRQH LQ 69 H 60& ,O FRQFHWWR GL FXUD LQWHVR FRPH IRQGDPHQWR GHOOH UHOD]LRQL
LQWHUSHUVRQDOL H RELHWWLYR GHOO·D]LRQH SROLWLFD SXz SRUWDUH DG XQD ULIRUPXOD]LRQH
GHOO·LGHDGLVRJJHWWLYLWjFKHVLDOORQWDQLGDOO·DQWURSRORJLDOLEHUDOHLQGLYLGXDOLVWDVXFXL
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϵ VL EDVDQR OH WHRULH OLEHUDOL GHOOD JLXVWL]LD /D ULIRUPD GHOOH LVWLWX]LRQL SROLWLFKH
DWWUDYHUVR LO FRQFHWWR GL FXUD SXz UHQGHUH UDJLRQH GHOOD FRVWLWXWLYD
LQWHUGLSHQGHQ]D FKH UDSSUHVHQWD LO FDUDWWHUH SL UHDOH H FRQFUHWR
GHOO·HVSHULHQ]DXPDQD
7DOHWHQWDWLYRGLHVWHQVLRQHGHLFRQILQLGHOO·HWLFDGHOODFXUDGHYHHVVHUHSRLDIILDQFDWR
DGXQDGHILQL]LRQHGLFXUDFKHVLDGDWWLDOOHSUDWLFKHVRFLRDVVLVWHQ]LDOLFKHULJXDUGDQR
OH SHUVRQH FRQ GLVDELOLWj ,Q TXHVWR VHQVR SRVVLDPR GHILQLUH OD FXUD QHO PRGR
VHJXHQWH LO WHQWDWLYR GL ULVSRQGHUH DOOD YXOQHUDELOLWj DOOD FRVWLWXWLYD
GLSHQGHQ]D FKH FDUDWWHUL]]D OD FRQGL]LRQH XPDQD DO ILQH GL SURPXRYHUH OD
GLJQLWjGHOODSHUVRQDXPDQDDSDUWLUHGDOOHGLIIHUHQWLFRQGL]LRQLGLVDOXWHLQ
FXLHVVDVLWURYDLQPRGRGDHYLWDUHFKHXQDSDUWLFRODUHFRQGL]LRQHGLVDOXWH
SRVVD FRVWLWXLUH XQ FULWHULR GL HVFOXVLRQH GDOOD WXWHOD GHL GLULWWL XPDQL
IRQGDPHQWDOL /D FXUD q FRQVLGHUDWD VLD FRPH XQ ILQH FKH OH GLIIHUHQWL LVWLWX]LRQL
GHYRQRSHUVHJXLUHVLDFRPHXQPH]]RSHUULVSRQGHUHDOODGLSHQGHQ]DHYXOQHUDELOLWj
FKH FDUDWWHUL]]DQR OD FRQGL]LRQH XPDQD DO ILQH GL SURPXRYHUH OD GLJQLWj GL RJQL
SHUVRQD /D FXUD q LQ TXDQWR WDOH XQD SUDWLFD PRUDOH FKH HVSULPH XQD
SUHFLVDYLVLRQHDQWURSRORJLFDHGHWLFRSROLWLFD8QDWDOHFRQFH]LRQHGHOODFXUDH
LO GLEDWWLWR ILORVRILFR FKH FDUDWWHUL]]D WDOH QR]LRQH DSSDLRQR FRPH XQR VWUXPHQWR
IRQGDPHQWDOHDOILQHGLLPSOHPHQWDUHLOPRGHOORELRSVLFRVRFLDOH²VYLOXSSDWRGD,&)
QHOODJHVWLRQHGHOODGLVDELOLWj
,QTXHVWRVHQVRLOFRQFHWWRGL´SUHVDLQFDULFRµGHOOHSHUVRQHFRQGLVDELOLWjH
TXLQGL DQFKH GHL SD]LHQWL FRQ '2& SXz HVVHUH LQWHUSUHWDWR FRPH OD
WUDGX]LRQH VRFLRDVVLVWHQ]LDOH H OHJLVODWLYD GHO FRQFHWWR ILORVRILFR H ELRHWLFR
GL ´FXUDµ FRQ OH LPSOLFD]LRQL WHRUHWLFKH SROLWLFKH H PRUDOL FKH WDOH
WUDGX]LRQHSRUWDFRQVp
8Q HOHPHQWR IRQGDPHQWDOH FDUGLQH GHOOD SUHVHQWH DQDOLVL GHOOD OHJLVOD]LRQH
ULJXDUGDQWHODSUHVDLQFDULFRGHOOHSHUVRQHLQ69H60&LOTXDOHGHYHULHQWUDUHQHOOD
GHILQL]LRQH GL SUHVD LQ FDULFR q OD TXHVWLRQH GHL GLYHUVL VRJJHWWL FRLQYROWL QHOOH
UHOD]LRQL GL FXUD LQ DOWUH SDUROH L FDUHJLYHUV 1HO FDVR VSHFLILFR GHOO·DVVLVWHQ]D DOOH
SHUVRQH LQ 69 H 60& OD FRVWUX]LRQH GL XQ VLVWHPD D UHWH LQWHJUDWD ´&RPD WR
&RPPXQLW\µ q VWDWD IRUWHPHQWH ULFKLHVWD GDOOH DVVRFLD]LRQL GHL IDPLOLDUL D
WHVWLPRQLDQ]D GHOO·HVLJHQ]D GL XQD PDJJLRUH LQFOXVLRQH GHL FDUHJLYHUV QHL SHUFRUVL
VRFLRDVVLVWHQ]LDOLGLULDELOLWD]LRQHHFXUD,QTXHVWRVHQVRO·RSHUDWRGHOFDUHJLYHU
qLQWHUSUHWDWRDOO·LQWHUQRGHOODOHWWHUDWXUDILORVRILFDHELRHWLFDFRPHXQYHUR
HSURSULRODYRURGLFXUDFKHLQTXDQWRWDOHQHFHVVLWDGLWXWHOHIRUPD]LRQHH
DVVLVWHQ]DVSHFLILFKH
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϬ 7DEHOOD²$QDOLVLGHLGRFXPHQWLUHJLRQDOLUDFFROWLLQULIHULPHQWRDOO·DFFRUGR6WDWR5HJLRQL
GHOPDJJLRDOPRGHOORELRSVLFRVRFLDOHGLVDOXWHHGLVDELOLWjSURSRVWRGDOO·206HGDOOD
&RQYHQ]LRQH218VXLGLULWWLGHOOHSHUVRQHFRQGLVDELOLWj
ZĞŐŝŽŶŝ
ĞůŝďĞƌĂ
ĚĞĚŝĐĂƚĂ
ƌŝĐĞnjŝŽŶĞ
ĐĐŽƌĚŽ^ƚĂƚŽͲ ZĞŐŝŽŶŝ
WƌĞƐĞŶnjĂ
ZŝĨĞƌŝŵĞŶƚŝƚĞŽƌŝĐŝ
ĐĐŽƌĚŽ^ƚĂƚŽͲ ZĞŐŝŽŶŝŶĞůůĞ
ĚĞůŝďĞƌĞ
ZŝĨĞƌŝŵĞŶƚŽĞƐƉůŝĐŝƚŽ
/&ŶĞůůĞĚĞůŝďĞƌĞ;ŝŶ
ĂůŵĞŶŽϭĚŽĐͿʹĨƵŽƌŝ
ĚĂůůĂZŝĐĞnjŝŽŶĞ
ĐĐŽƌĚŽ
ZŝĨĞƌŝŵĞŶƚŽĞƐƉůŝĐŝƚŽ
ŽŶǀ͘KEhŶĞůůĞ
ĚĞůŝďĞƌĞ;ŝŶĂůŵĞŶŽϭ
ĚŽĐͿʹĨƵŽƌŝĚĂůůĂ
ZŝĐĞnjŝŽŶĞĐĐŽƌĚŽ
>ŽŵďĂƌĚŝĂ
'Z
/yͬϮϭϮϰ
y y Ͷ
ŵŝůŝĂͲZŽŵĂŐŶĂ
'Z
ϭϰϵϳͬϮϬϭϮ
y y Ͷ
sĞŶĞƚŽ
ĞĐ͘
ϰϲͬϮϬϭϮ
y y y
WŝĞŵŽŶƚĞ
'Z
ϮϴͲϳϭϰϮͬϮϬϭϰ
y Ͷ Ͷ
>ŝŐƵƌŝĂ
'Z
ϱϴϰͬϮϬϭϮ
y Ͷ Ͷ
>ĂnjŝŽ
'Z
ϯϭϲͬϮϬϭϮ
y Ͷ y
hŵďƌŝĂ
'Z
ϮϵϳͬϮϬϭϮ
y y Ͷ
ĂŵƉĂŶŝĂ
'Z
ϮϳϬͬϮϬϭϮ
y y Ͷ
ĂůĂďƌŝĂ
'Z
ϴϱͬϮϬϭϮ
y
Ͷ Ͷ
WƵŐůŝĂ
'Z
ϭϯϴϳͬϮϬϭϭ
y y y
^ŝĐŝůŝĂ
Ͷ y y y
'EZ>
ϭϬZĞŐŝŽŶŝƐŞ
ϭZĞŐŝŽŶĞŶŽ
ϭϭZĞŐŝŽŶŝƐŞ
ZĞŐŝŽŶĞ>ĂnjŝŽ
ƉƌĞƐĞŶƚĂĂůĐƵŶĞ
ƉƌŽďůĞŵĂƚŝĐŚĞ
ϳZĞŐŝŽŶŝƐŞ
ϰZĞŐŝŽŶŝŶŽ
ϰZĞŐŝŽŶŝƐŞ
ϳZĞŐŝŽŶŝŶŽ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϭ
$1$/,6,'(,&267,'(//$35(6$,1&$5,&2'(,3$=,(17,
&21'2&
$ FXUD GHOOD 'LUH]LRQH *HQHUDOH 6DQLWj H 'LUH]LRQH *HQHUDOH 6RFLDOH
5HJLRQH(PLOLD5RPDJQD
/D5HJLRQH(PLOLD5RPDJQDKDUHDOL]]DWRXQDDQDOLVLGHLFRVWLGHOODSUHVDLQFDULFRGL
SHUVRQH FRQ 'LVRUGLQL GHOOD FRVFLHQ]D SUHQGHQGR LO PRGHOOR QD]LRQDOH GHILQLWR GDOOH
/LQHH *XLGD FRPH ULIHULPHQWR SHU LO FDOFROR GHL FRVWL DGDWWDWR DOOD UHDOWj GHL
SHUFRUVLDVVLVWHQ]LDOLLQHVVHUHVLDQHOODIDVHGHOODVVLVWHQ]DRVSHGDOLHUDFKHQHOODIDVH
GHJOLHVLWL
3HU DUULYDUH D GHILQLUH O·LPSDWWR HFRQRPLFR VRQR VWDWH UDFFROWH LQIRUPD]LRQL SHU OR
VYLOXSSR GL XQ PHWRGR GL FDOFROR SHU OD VWLPD GHOOD TXDQWLILFD]LRQH GHOOH SUHVWD]LRQL
HURJDWHHGHLUHODWLYLFRVWLVRVWHQXWLGXUDQWHO·DVVLVWHQ]DRVSHGDOLHUDIDVLDFXWDHSRVW
DFXWD H WHUULWRULDOH H QHOOD IDVH GHJOL HVLWL ,O PRGHOOR GL YDOXWD]LRQH GHL FRVWL
,1&$5,&2 LQ IDVH SLORWD q VWDWR VYLOXSSDWR VROR VXL GDWL GHOOD 5HJLRQH (PLOLD
5RPDJQD
3RLFKpqULVXOWDWRGLIILFROWRVRLQGLYLGXDUHOHSHUVRQHFRQ*&$GDLFRGLFL,&'&0VLq
ULWHQXWRRSSRUWXQRVHOH]LRQDUHODFRRUWHGLSHUVRQHFRQ*&$QHOODIDVHGHJOL(VLWLFLRq
GHOO·DVVLVWHQ]D WHUULWRULDOH VRFLRVDQLWDULD /H SUHVWD]LRQL HURJDWH GXUDQWH OD IDVH
RVSHGDOLHUD VRQR VWDWH TXDQWLILFDWH DWWUDYHUVR XQD SURFHGXUD GL UHFRUG OLQNDJH IUD OD
FRRUWH HVWUDWWD QHOOD IDVH GHJOL HVLWL UHODWLYD DOO DQQR FDVL SUHYDOHQWL H OH
SHUVRQHUHVLGHQWLLQUHJLRQH(PLOLD5RPDJQDFKHKDQQRDYXWRDOPHQRXQWUDQVLWRQHO
UHSDUWR GL 1HXURULDELOLWD]LRQH FRGLFH GLVFLSOLQD H VRQR WUDQVLWDWL QHL UHSDUWL GL
1HXURFKLUXUJLD 7HUDSLD ,QWHQVLYD R 87,& 7HUDSLD ,QWHQVLYD &RURQDULFD QHL GXH
DQQLSUHFHGHQWLDOGDOOD%DQFD'DWL5HJLRQDOHGHL5LFRYHUL2VSHGDOLHUL6'2
3HU OD VWLPD GHL FRVWL LQL]LDOPHQWH VL q SURFHGXWR DQGDQGR DG DQDOL]]DUH LO SHUFRUVR
QHOODIDVHRVSHGDOLHUDQHOSHULRGRLQPRGRGDSRWHUSHUYHQLUHDGXQD
VWLPD WRWDOH FRVWLWXLWD GD XQ PL[ WUD WUDQVLWL LQ IDVH DFXWD LPSRUWR '5* H
WUDQVLWL LQ UHSDUWL GL ULDELOLWD]LRQH WDULIIDJLRUQDWD GL GHJHQ]D 'D TXHVWD
SULPD DQDOLVL VLDPR DUULYDWLD GHILQLUH XQ LPSRUWR FRPSOHVVLYR GL ½ QHOOD
)DVH 2VSHGDOLHUD DFXWD H SRVWDFXWD $OOR VWHVVR WHPSR RVVHUYDQGR WXWWH OH
FRPSRQHQWL HFRQRPLFKH SHU O·DVVLVWHQ]D D GRPLFLOLR H UHVLGHQ]LDOH VLDPR DUULYDWL D
VWLPDUHXQLPSRUWRFRPSOHVVLYRGL½QHOOD)DVHGHJOL(VLWL
/·LQWHJUD]LRQH GHOOLPSRUWR WRWDOH GHOOD IDVH RVSHGDOLHUD H OD VWLPD UHODWLYD
DOOD IDVH GHJOL HVLWL FL SRUWD DOOD VWLPD FRPSOHVVLYD GL ½ SHU RJQL
VLQJROR DVVLVWLWR WDEHOOD 7XWWDYLD O·LQWHUSUHWD]LRQH GL TXHVWR GDWR q
SDUWLFRODUPHQWH GHOLFDWD LQ TXDQWR VHEEHQH SRVVLDPR DWWULEXLUH O·LPSRUWR GHOOD IDVH
GHJOL HVLWL DOO·DQQR O·DWWULEX]LRQH GHO FRVWR RVSHGDOLHUR SHU JOL VWHVVL q GD
FRQVLGHUDUVL FRPH LPSDWWR HFRQRPLFR QHO SHULRGR ,QIDWWL ELVRJQD WHQHU
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϮ SUHVHQWH FKH O·LPSDWWR HFRQRPLFR GHL SD]LHQWL QHO q GDWR VLD GDL QXRYL
FDVL LQFLGHQWL FKH GDL FDVL SUHYDOHQWL FRQ XQ EDFNJURXQG HFRQRPLFR QRQ
LQGLIIHUHQWH3HUWDQWRQHOODVWLPDGLVSHVDSHULSURVVLPLDQQLELVRJQHUjFRQVLGHUDUH
VLDOHDVSHWWDWLYHGLLQFLGHQ]DGHLQXRYLFDVLFKHQHOVRQRVWDWLFKHGHOFRVWR
GL RJQL VLQJROR SD]LHQWH FRQ OHVLRQH FHUHEUDOH DYYHQXWD QHJOL DQQL SUHFHGHQWL
SUHYDOHQ]DLQTXDQWRWDOLSD]LHQWLFRQWLQXHUDQQRDGDYHUHGHLULFRYHULRVSHGDOLHULFRQ
FRQVHJXHQWHLPSDWWRHFRQRPLFRQRQWUDVFXUDELOH
7DEHOOD6WLPDFRVWRSD]LHQWH²7RWDOH$QQR
Fase Ospedaliera
Acuta € 25.088.843
Postacuta € 22.273.437
Totale € 47.362.280
Fase acuta e post acuta stima su periodo 2011 - 2013
Fase degli esiti
Residenza € 15.353.360
Domicilio € 10.349.935
Fase esiti stima costo annuale
Totale € 25.703.295
Costo Totale € 73.065.575
Assistiti Fase acuta e post
acuta 496 € 95.488
Fase esiti 496 € 51.821
Costo Per Assistito
Totale 496 € 147.310
7DEHOOD6WLPDFRVWRSD]LHQWH²)DVHGHJOLHVLWL
Tipologia di Assistenza Assistiti € mln € per pz/anno
Residenza 239 15,3 64.000
Domicilio* 257 10,4 40.000
- di cui regionali 8,0
- di cui provvidenze economiche statali 2,4
TOTALE 496 25,7 51.000
,FRVWLGLDVVLVWHQ]DDOGRPLFLOLRQRQWHQJRQRFRQWRVXOYHUVDQWHSXEEOLFR
$VVLVWHQ]DVDQLWDULDWHUULWRULDOHGRPLFLOLDUHHGDPEXODWRULDOH
$VVLVWHQ]DSURWHVLFD
$VVLVWHQ]DIDUPDFHXWLFDWHUULWRULDOH
&RQWULEXWLHGLQWHUYHQWLDJJLXQWLYLVRVWHQXWLGDL&RPXQL
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϯ
/( ´&+(&./,67 ,1&$5,&2µ 3(5 9$/87$=,21( (
021,725$**,2'(,12','(//$5(7(',35(6$,1&$5,&2
1HOOD)$6( ),1$/( GHO SURJHWWR VL q SDUWLWL GDL ULVXOWDWL HPHUVL SHU DUULYDUH DOOR
VYLOXSSR H YDOLGD]LRQH GL WUH &+(&./,67 ,1&$5,&2 FKH KDQQR OR VFRSR GL
UDFFRJOLHUH LQIRUPD]LRQL VXO UHDOH IXQ]LRQDPHQWR GHL FHQWUL SUHVHQWL QHOOD
UHWHGHVFULWWDGDOPRGHOORUHJLRQDOHGLULIHULPHQWR
1HO GHWWDJOLR L WUH VWUXPHQWL VYLOXSSDWL GDO &RQVRU]LR ,1&$5,&2 XQR SHU RJQL IDVH
GHOSHUFRUVR&+(&./,67,1&$5,&2SHUODIDVHDFXWDSHUODIDVHSRVWDFXWDH
SHU OD IDVH GHJOL HVLWL LQ VWUXWWXUD UDFFROJRQR LQIRUPD]LRQL SHU UDSSUHVHQWDUH LO
IXQ]LRQDPHQWRGHL´QRGLµGHOODUHWHFLRqGHLFHQWULSUHSRVWLDIRUQLUHLVHUYL]LGLFXUDH
DVVLVWHQ]D FKH LQVLHPH DOOH LQIRUPD]LRQL VXL IOXVVL GHL SD]LHQWL QHO WHUULWRULR
UDSSUHVHQWDQRODEDVHSHULOPLJOLRUDPHQWRGHOPRGHOORQD]LRQDOHGLSUHVDLQFDULFRGHL
SD]LHQWLFRQ'2&
/R VYLOXSSR GHL WUH VWUXPHQWL q VWDWR RWWHQXWR DWWUDYHUVR XQ LQWHQVR ODYRUR GL
FRRUGLQDPHQWRWUDLSDUWQHUFOLQLFLGLSURJHWWROHDVVRFLD]LRQLGHLIDPLOLDULOHUHJLRQL
/RPEDUGLD HG (PLOLD 5RPDJQD H LO &HQWUR GL $WHQHR GL %LRHWLFD GHOO·8QLYHUVLWj
&DWWROLFD
/H IDVL GL VYLOXSSR SHU DUULYDUH DOOD YHUVLRQH GHILQLWLYD GHJOL VWUXPHQWL KDQQR YLVWR
GDSSULPD OD FRVWUX]LRQH GHOOD YHUVLRQH SUHOLPLQDUH GHOOH &+(&./,67 ,1&$5,&2
FKHVRQRVWDWHSRLWHVWDWHLQXQDIDVHSLORWDLQUHJLRQLSDUWHFLSDQWLDOSURJHWWR
GLVWULEXLWH WUD QRUG FHQWUR H VXG ,WDOLD 5HJLRQL /RPEDUGLD 3LHPRQWH (PLOLD
5RPDJQD 8PEULD H &DPSDQLD , UHIHUHQWL SHU LO SURJHWWR GL FLDVFXQD GL TXHVWH
UHJLRQLKDQQRFKLHVWRDGXQFDPSLRQHGLFHQWULUHJLRQDOLSHURJQLIDVHGHOSHUFRUVRGL
FRPSLODUH OH ULVSHWWLYH FKHFNOLVW FRQVLGHUDQGR FRPH XQLWj WHPSRUDOH O·DQQR
'XUDQWH TXHVWD IDVH GL VSHULPHQWD]LRQH LO SURJHWWR ,1&$5,&2 KD TXLQGL UDFFROWR
LQIRUPD]LRQLVXFHQWULLQIDVHDFXWDLQIDVHSRVWDFXWDHQHOODIDVHGHJOL
HVLWL LQ VWUXWWXUD 'D TXHVWL GDWL q VWDWR SRVVLELOH ULOHYDUH L PRYLPHQWL GL
SHUVRQH FRQ GLDJQRVL GL '2& L VHUYL]L RIIHUWL GDL FHQWUL SDUWHFLSDQWL H OH
FDUDWWHULVWLFKHGLFLDVFXQFHQWURHTXLQGLIDUHODYDOLGD]LRQHILQDOHGHOOHWUH
&KHFNOLVW
1HOOH ORUR YHUVLRQL GHILQLWLYH LQIDWWL OH &+(&./,67 ,1&$5,&2 SHUPHWWRQR GL
ULOHYDUHOHLQIRUPD]LRQLULJXDUGDQWLOHFDUDWWHULVWLFKHGHOFHQWURHVDPLQDWRL
VHUYL]L RIIHUWL H LO IOXVVR GL SD]LHQWL FRQ GLDJQRVL GL '2& LQ HQWUDWD HG LQ
XVFLWD QHO SHULRGR GL ULIHULPHQWR 7DOL LQIRUPD]LRQL GL IDWWR L SXQWL GL IRU]D H GL
GHEROH]]DGLRJQLFHQWURULVSHWWRDOPRGHOORVRQRXWLOLSHUGHOLQHDUHOHFDUDWWHULVWLFKH
GLXQPRGHOORGLSUHVDLQFDULFRRWWLPDOHHDWWXDELOHSHUOHSHUVRQHFRQ'LVRUGLQHGHOOD
&RVFLHQ]DLQ,WDOLD
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϰ
/(&+(&./,67,1&$5,&2
'L VHJXLWR VRQR GHVFULWWH OH FDUDWWHULVWLFKH GHL WUH VWUXPHQWL LGHDWL SHU UDFFRJOLHUH
LQIRUPD]LRQL VXL ´QRGLµ GHO SHUFRUVR GL SUHVD LQ FDULFR GHOOH SHUVRQH FRQ GLDJQRVL GL
'2&/H&+(&./,67,1&$5,&2VRQRVWDWHVYLOXSSDWHSHUODIDVHDFXWDODIDVHSRVW
DFXWDHODIDVHGHJOLHVLWLLQVWUXWWXUDGHOSHUFRUVRGLFXUD
/D &+(&./,67 ,1&$5,&2 SHU OD IDVH DFXWD FRPSUHQGH LWHPV XWLOL SHU
UDFFRJOLHUH GDWL VXOOH VHJXHQWL FDUDWWHULVWLFKH GHO FHQWUR FKH RIIUH VHUYL]L SHU OD IDVH
DFXWDGHOSHUFRUVRGLSUHVDLQFDULFRGHLSD]LHQWLFRQ'2&
o /RFDOL]]D]LRQHJHRJUDILFDGHOFHQWUR
o &RGLFHLGHQWLILFDWLYRGHOODVWUXWWXUD
o 1XPHURGLSD]LHQWLWRWDOLDQQR
o 3HUFHQWXDOHGLULFRYHULGLSD]LHQWLFRQJUDYHFHUHEUROHVLRQHLQXQDQQR
o $WWLYD]LRQHRPHQRGHOSLDQRULDELOLWDWLYRSUHFRFHFRQFRQVXOHQ]DGLULDELOLWDWRUH
o &ULWHULSHULOWUDVIHULPHQWRGHLSD]LHQWLFRQJUDYHFHUHEUROHVLRQH
o 7HPSLGLDWWHVDPHGLRSD]LHQWHSULPDGLWUDVIHULPHQWRDIDVHVXFFHVVLYD
o 3UHVHQ]DRPHQRGLVXSSRUWLSHULOFDUHJLYHUQHOODVWUXWWXUD
&+(&./,67,1&$5,&2²)$6($&87$
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϱ
/D&+(./,67,1&$5,&2SHUODIDVHSRVWDFXWDqFRPSRVWDGDWUHVH]LRQLDWWHD
UDFFRJOLHUHLQIRUPD]LRQLVXOIXQ]LRQDPHQWRGHOFHQWURFKHRIIUHVHUYL]LSHUODIDVHSRVW
DFXWDGLULDELOLWD]LRQHGHOSHUFRUVRGLSUHVDLQFDULFRGHOOHSHUVRQHFRQ'2&
'LVHJXLWRVRQRHOHQFDWHOHDUHHLQGDJDWHSHUFLDVFXQDVH]LRQH
6(=,21('DWLJHQHUDOLGHOO·XQLWjRSHUDWLYDLWHPVSHUO·LGHQWLILFD]LRQHGHO
´QRGRµGLUHWH
o /RFDOL]]D]LRQHJHRJUDILFDGHOFHQWUR
o &RGLFHLGHQWLILFDWLYRGHOODVWUXWWXUD
o 3HUFHQWXDOHGLULFRYHULGLSD]LHQWLFRQ'2&LQXQDQQR
o 7HPSLGLGHJHQ]DPHGLDQQR
6(=,21(&DUDWWHULVWLFKHGHOVHUYL]LRRIIHUWRLQUHOD]LRQHDOO·DWWLYLWjVYROWDSHU
LSD]LHQWLFRQGLDJQRVLGL'2&LQXQDQQRLWHPV o 4XDQWLILFD]LRQHGHOSHUVRQDOHLQVHUYL]LRSUHVVROD82
o &DUDWWHULVWLFKHHVSHFLDOLWjSURIHVVLRQDOLSUHVHQWL
o $WWLYD]LRQHRPHQRGHO3URJHWWR5LDELOLWDWLYR,QGLYLGXDOHHFRQGLYLVLRQHRPHQR
GLTXHVWRFRQLIDPLOLDUL
o &DUDWWHULVWLFKHWHFQLFKHGHOVHUYL]LRWLSRGLVWUXPHQWD]LRQHGLVSRQLELOHWLSRGL
HVDPLVYROWLVXS]'2&DQQR6FDOHGLYDOXWD]LRQHXWLOL]]DWH
o 3UHVHQ]DRPHQRGLVXSSRUWLSVLFRORJLFLDVVLVWHQWHVRFLDOHSHULOFDUHJLYHUQHOOD
VWUXWWXUD RUH GL DFFHVVR QHO VHUYL]LR UXROR GHO FDUHJLYHU LQ VWUXWWXUD
DWWLYD]LRQHGLSUDWLFKHSHQVLRQLVWLFKHHGLUDSSUHVHQWDQWHOHJDOHRPHQR
6(=,21( 'DWL VXL ULFRYHUL H VXOOH GLPLVVLRQL GHL SD]LHQWL FRQ GLDJQRVL GL
'2&LQXQDQQRQHOFHQWURGLULIHULPHQWRLWHPV
,Q TXHVWD VH]LRQH YHQJRQR UDFFROWH LQIRUPD]LRQL LQ PHULWR DO IOXVVR LQ HQWUDWD H LQ
XVFLWDFHQWULLQYLDQWLHOXRJKLGLGHVWLQD]LRQHFHQWULGLOXQJRGHJHQ]DGRPLFLOLRDOWUR
FHQWURGLULDELOLWD]LRQHPRWLYLGHOULFRYHURGLDJQRVLLQHQWUDWDHLQXVFLWD
&+(&./,67,1&$5,&2²)$6(3267$&87$
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϲ
/D&+(./,67,1&$5,&2SHUODIDVHGHJOLHVLWLLQVWUXWWXUDqFRPSRVWDGDWUH
VH]LRQLDWWHDUDFFRJOLHUHLQIRUPD]LRQLVXOIXQ]LRQDPHQWRGHOFHQWURFKHRIIUHVHUYL]L
GLUHVLGHQ]LDOLWjHOXQJRGHJHQ]DSHUTXHVWDIDVHGHOSHUFRUVRGLSUHVDLQFDULFRGHOOH
SHUVRQHFRQ'2&'LVHJXLWRVRQRHOHQFDWHOHDUHHLQGDJDWHSHUFLDVFXQDVH]LRQHVRQR
OH VWHVVH DUHH GHOOD FKHFNOLVW IDVH DFXWD PD OH GRPDQGH VRQR WDUDWH VXOOH
FDUDWWHULVWLFKHGLFHQWULGLOXQJRGHJHQ]DUHVLGHQ]LDOLWj
6(=,21('DWLJHQHUDOLGHOO·XQLWjRSHUDWLYDLWHPVSHUO·LGHQWLILFD]LRQHGHO
´QRGRµGLUHWH
o /RFDOL]]D]LRQHJHRJUDILFDGHOFHQWUR
o &RGLFHLGHQWLILFDWLYRGHOODVWUXWWXUD
o 3HUFHQWXDOHGLULFRYHULGLSD]LHQWLFRQ'2&LQXQDQQR
o 7HPSLGLGHJHQ]DPHGL
6(=,21(&DUDWWHULVWLFKHGHOVHUYL]LRRIIHUWRLQUHOD]LRQHDOO·DWWLYLWjVYROWDSHU
LSD]LHQWLFRQGLDJQRVLGL'2&LQXQDQQRLWHPV
o 4XDQWLILFD]LRQHHTXDOLILFKHGHOSHUVRQDOHLQVHUYL]LRSUHVVRLOFHQWUR
o $WWLYD]LRQHGHO3URJHWWR$VVLVWHQ]LDOH,QGLYLGXDOH
o &DUDWWHULVWLFKH DVVLVWHQ]LDOL VHUYL]L VYROWL WLSR GL VFDOH GL YDOXWD]LRQH
XWLOL]]DWHTXDQWLILFD]LRQHGHOOHGLYHUVHSUREOHPDWLFKHFOLQLFKH
o 3UHVHQ]DRPHQRGLVXSSRUWLSVLFRORJLFLDVVLVWHQWHVRFLDOHSHULOFDUHJLYHUQHOOD
VWUXWWXUD RUH GL DFFHVVR QHO VHUYL]LR UXROR GHO FDUHJLYHU QHOOD VWUXWWXUD
DWWLYD]LRQHGLSUDWLFKHSHQVLRQLVWLFKHHGLUDSSUHVHQWDQWHOHJDOHRPHQR
6(=,21( 'DWL VXL ULFRYHUL H VXOOH GLPLVVLRQL GHL SD]LHQWL FRQ GLDJQRVL
GL'2&LQXQDQQRQHOFHQWURGLULIHULPHQWRLWHPV
o ,QTXHVWDVH]LRQHYHQJRQRUDFFROWHOHLQIRUPD]LRQLLQPHULWRDLFHQWULLQYLDQWLH
D TXHOOL GHVWLQDWDUL DL PRWLYL GHO ULFRYHUR DOOD GLDJQRVL LQ ULIHULPHQWR HG DL
IOXVVL GHL SD]LHQWL FRQ GLDJQRVL GL '2& ULFRYHUDWL LQ XQ GHWHUPLQDWR WHPSR
SUHVVRLOFHQWURFRPSLODWRUH
&+(&./,67,1&$5,&2²)$6('(*/,(6,7,² ,167587785$
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϳ
&21&/86,21,
/$35(6$,1&$5,&2,/'29(5(1(&(66$5,2
/D UHDOL]]D]LRQH GL SHUFRUVL GL SUHVD LQ FDULFR SHU OH SHUVRQH FRQ 'LVRUGLQL GHOOD
&RVFLHQ]D FKH SRVVDQR VHPSUH SL ULVSRQGHUH DOOH QHFHVVLWj GHL SD]LHQWL H GHOOH ORUR
IDPLJOLH q XQ RELHWWLYR FRPXQH GHO 0LQLVWHUR GHOOD 6DOXWH GHOOH 5HJLRQL GHL
SURIHVVLRQLVWLHGHOOH$VVRFLD]LRQLGLIDPLOLDULGLSHUVRQHLQ6WDWR9HJHWDWLYRHLQ6WDWR
GL0LQLPD&RVFLHQ]D,OSURJHWWRQD]LRQDOH&&0,1&$5,&2TXLQGLQRQSURSRQHXQ
18292 PRGHOOR GL SUHVD LQ FDULFR PD DSSURIRQGHQGR LO VLJQLILFDWR GL FXUD H
SUHVDLQFDULFRLQGLYHUVHUHDOWjLWDOLDQHHYDOXWDQGRFRPHGLYHUVH5HJLRQLORDWWXDQR
LGHQWLILFDDOODOXFHGHO02'(//2,'($/(GLSUHVDLQFDULFRLSXQWLGLIRU]DHLSXQWL
GL GHEROH]]D FKH SRVVRQR SRUWDUH D XQ 02'(//2 ', 35(6$ ,1 &$5,&2
$778$%,/( LQ ,WDOLD /D OHJLVOD]LRQH UHJLRQDOH UDFFROWD GDL GLYHUVL SDUWQHU VL
ULIHULVFH D GHOOH UHJLRQL LWDOLDQH H O·DQDOLVL q VWDWD HIIHWWXDWD VROWDQWR VXL
GRFXPHQWL OHJLVODWLYLLQYLDWL GDL SDUWQHU GL SURJHWWR 7DOL RVVHUYD]LRQL QRQPLQDQROD
JHQHUDOL]]DELOLWj GHL ULVXOWDWL GHO SUHVHQWH ODYRUR DO FRQWUDULR /H UHJLRQL SRVWH D
RJJHWWRGLLQGDJLQHQHOODSUHVHQWHULFHUFDLQGLYLGXDQRLQIDWWLDUHHPROWRGLIIHUHQWLGHO
WHUULWRULR QD]LRQDOH ULVSRQGHQGR LQ TXHVWR VHQVR DOO·RELHWWLYR SULPDULR GHOOD
SUHVHQWH ULFHUFD FKH q VWDWR TXHOOR GL FRPSUHQGHUH H QRQ VROWDQWR
GHVFULYHUH GD XQ SXQWR GL YLVWD WHFQLFR O·HYROX]LRQH GHL GLYHUVL PRGHOOL
FXOWXUDOLHVRFLRDVVLVWHQ]LDOLDOODOXFHGHOOHULIRUPHOHJLVODWLYHLQ,WDOLD7XWWH
OH UHJLRQL SDUWQHU GL ,1&$5,&2 GLPRVWUDQR GL DYHU UHFHSLWR VHSSXU FRQ PRGDOLWj
GLIIHUHQWL OH LQGLFD]LRQL SUHVHQWL QHOO·$FFRUGR 6WDWR5HJLRQL SDUWHQGR GD VLWXD]LRQL
RUJDQL]]DWLYH H OHJLVODWLYH SUHJUHVVH PROWR GLIIHUHQWL 7DOL GLIIHUHQ]H DSSDLRQR
HYLGHQWLDGXQDSULPDDQDOLVLSULQFLSDOPHQWHLQULIHULPHQWRDOODVWUXWWXUD]LRQHGHJOL
LQWHUYHQWL QHOOD IRUPD GL XQD UHWH LQWHJUDWD FKH FRPH DXVSLFDWR GDOO·$FFRUGR SRVVD
IRUQLUH LO JLXVWR VXSSRUWR DOOD SUHVD LQ FDULFR GHOOH SHUVRQH LQ 69 H 60& VHFRQGR LO
PRGHOOR ´&RPD WR &RPPXQLW\µ ,Q TXHVWR VHQVR OD ULOHYDQ]D HWLFD VRWWHVD DOOD
QHFHVVLWj GL XQD DUPRQL]]D]LRQH GHL GLIIHUHQWL SHUFRUVL UHJLRQDOL GL FXUD H SUHVD LQ
FDULFR VFRSR GHO 3URJHWWR &&0 ,1&$5,&2 ULJXDUGD SULQFLSDOPHQWH OD TXHVWLRQH
GHOO·HTXLWj QHOO·DFFHVVR DL VHUYL]L SHU TXHVWH SHUVRQH FRQ JUDYLVVLPD
GLVDELOLWj H VL SUHVHQWD TXLQGL QHOOD IRUPD GL XQD TXHVWLRQH GL JLXVWL]LD /D
TXHVWLRQHGLJLXVWL]LDLQWHVDFRPHODQHFHVVLWjGLXQHTXRDFFHVVRDLSHUFRUVLGLFXUD
GL ULDELOLWD]LRQH H GL SUHVD LQ FDULFR JOREDOH D SUHVFLQGHUH GDOOD UHJLRQH LQ FXL FL VL
WURYD q HVSOLFLWDWD GDOOH VWHVVH /LQHH JXLGD ©«OH LQGLFD]LRQL D OLYHOOR QD]LRQDOH
SURPRVVHGDO0LQLVWHURGHOOD6DOXWHWHQGRQRDILVVDUHXQXQLFRRELHWWLYRFKHLVFULYHLO
FRQWHVWR VDQLWDULR QHOO·LQWHUR DPELWR VRFLDOH ULGXUUH WUD L FLWWDGLQL OH GLVXJXDJOLDQ]H
FKH SXUWURSSR FDUDWWHUL]]DQR DQFRUD 3DHVL DQFKH DG HOHYDWD LQGXVWULDOL]]D]LRQHǻ
6H D FRQFOXVLRQH GL TXHVWR SURJHWWR GHILQLDPR OD FXUD FRPH ´LO WHQWDWLYR GL
ULVSRQGHUHDOODYXOQHUDELOLWjDOODFRVWLWXWLYDGLSHQGHQ]DFKHFDUDWWHUL]]DOD
FRQGL]LRQH XPDQD LQ TXDQWR WDOH DO ILQH GL SURPXRYHUH OD GLJQLWj GHOOD
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϴ SHUVRQDXPDQDDSDUWLUHGDOOHGLIIHUHQWLFRQGL]LRQLGLVDOXWHLQFXLVLWURYD
LQPRGRGDHYLWDUHFKHXQDSDUWLFRODUHFRQGL]LRQHGLVDOXWHSRVVDFRVWLWXLUH
XQ FULWHULR GL HVFOXVLRQH GDOOD WXWHOD GHL GLULWWL XPDQL IRQGDPHQWDOLµ ULVXOWD
FKLDUR FRPH LO SURJHWWR QD]LRQDOH &&0 ,1&$5,&2 SRVVD IRUQLUH QXRYH LQIRUPD]LRQL
SHUPLJOLRUDUHLOVLVWHPDGLFXUDHSUHVDLQFDULFRQHOOHGLYHUVHUHDOWjUHJLRQDOL8QD
WDOH FRQFH]LRQH GHOOD FXUD UDSSUHVHQWD XQR VWUXPHQWR IRQGDPHQWDOH DO ILQH
GL VXSHUDUH LO PRGHOOR PHGLFR H LPSOHPHQWDUH LO PRGHOOR ELRSVLFRVRFLDOH
QHOOD JHVWLRQH GHOOH SHUVRQH FRQ GLVDELOLWj HVWUHPD ,Q TXHVWR VHQVR VL q YROXWR
VRVWHQHUH QHO 3URJHWWR ,1&$5,&2 FKH LO FRQFHWWR GL ´SUHVD LQ FDULFRµ UDSSUHVHQWD
XQ·RWWLPDWUDGX]LRQHDOLYHOORVLDGHOOHSUDVVLVDQLWDULHHVRFLRDVVLVWHQ]LDOLVLDGHOOD
SURGX]LRQHOHJLVODWLYDGHOFRQFHWWRHWLFRHDQWURSRORJLFRGL´FXUDµ
1RQRVWDQWH OD PDUFDWD GLVRPRJHQHLWj GHL SHUFRUVL HPHUVD QHOOH GLYHUVH UHJLRQL LO
SURJHWWR 1D]LRQDOH &&0 ,1&$5,&2 q TXLQGL LQ JUDGR GL PHWWHUH D
GLVSRVL]LRQHGHO0LQLVWHURGHOOD6DOXWHGHOOH5HJLRQLGHLWDYROLWHFQLFLGHOOH
DVVRFLD]LRQL H GL WXWWL JOL LQWHUHVVDWL ULVXOWDWL H VWUXPHQWL XWLOL SHU SRWHU
DIILQDUH LO PRGHOOR GL SUHVD LQ FDULFR SUHYLVWR GDOOH OLQHH JXLGD QD]LRQDOL H
SHUUHQGHUHODVXDDSSOLFD]LRQHSLRPRJHQHDFRPHXQOLYHOORHVVHQ]LDOHLQ
WXWWRLOWHUULWRULRLWDOLDQR
6L SXz DIIHUPDUH FKH D XQ ELVRJQR SRWUHPPR GLUH D XQ ´GLULWWR DOOD FXUDµ ² GHWWDWR
GDOOD QHFHVVLWj GL ULVSHWWDUH OD GLJQLWj GHOOH SHUVRQH FRQ GLVRUGLQL GHOOD FRVFLHQ]D H L
ELVRJQLGHLORURIDPLOLDULGHYHFRUULVSRQGHUHXQ´GRYHUHGLSUHVDLQFDULFRµGDSDUWH
GHOOH LVWLWX]LRQL ,O SURJHWWR &&0 ,1&$5,&2 KD DYXWR HG KD O·DPEL]LRQH GL
IRUQLUH JOL VWUXPHQWL FDSDFL GL VXSSRUWDUH OH LVWLWX]LRQL QHOO·DWWXDUH H QHO
IDUVLFDULFRGLTXHVWR´GRYHUHQHFHVVDULRµ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϭϵ
,O0RGHOORGLSUHVDLQFDULFRSUHYLVWRGDOOH
OLQHHJXLGDQD]LRQDOLGHOPDJJLR
Percorso per le persone con diagnosi di DOC previsto dall’Accordo Stato-Regioni del 5 maggio 2011.
Fonte immagine: http://www.salute.gov.it/imgs/C_17_pubblicazioni_1535_allegato.pdf
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϮϬ
5DSSUHVHQWD]LRQHJUDILFDGHLSHUFRUVLGLFXUDHSUHVDLQFDULFRSHUOHSHUVRQHFRQ
GLDJQRVLGL'2&QHOOHUHJLRQLSDUWHFLSDQWLDO3URJHWWR,1&$5,&2
WDSSHHGLVWULEX]LRQHGHLSRVWLOHWWRWHRULFLSHUFLDVFXQDSURYLQFLD
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯϭ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ ϮϮ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯϯ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯϰ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯϱ
WZK'ddKD/EZ/KͲdžĞĐƵƚŝǀĞ^ƵŵŵĂƌLJ Ϯϲ
(OHQFR8QLWjRSHUDWLYH3URJHWWRQD]LRQDOH&&0,1&$5,&2
&225',1$0(172352*(772&&0
)21'$=,21(,5&&6,67,78721(852/2*,&2&%(67$
626'1HXURORJLD6DOXWH3XEEOLFD'LVDELOLWj&HQWURULFHUFKHVXO&RPD&5&
&RRUGLQDWRUHSURJHWWR'UVVD0DWLOGH/HRQDUGL
&RRUGLQDWRUHHVHFXWLYR'U'DYLGH6DWWLQ
5(*,21(&$/$%5,$
,67,78726$17·$11$
'LUH]LRQHVFLHQWLILFD.55HVSRQVDELOH3URI*LXOLDQR'ROFH'U/XFLD/XFFD'U
)UDQFHVFR$UFXUL
5(*,21(&$03$1,$
)21'$=,21(,5&&60$8*(5,
82SHU'LVRUGLQLGHOODFRVFLHQ]DSURWUDWWL%15HVSRQVDELOH'UVVD$QQD(VWUDQHR
'UVVD9LYLDQD&DUGLQDOH
5(*,21((0,/,$520$*1$
5(*,21((0,/,$520$*1$
'LUH]LRQH*HQHUDOH6DQLWjH'LU*HQ6RFLDOH%2
5HVSRQVDELOH'U6DOYDWRUH)HUUR'U/XLJL0D]]D
&$6$'(,5,69(*/,/8&$'(1,*5,6
5HVSRQVDELOH'U5REHUWR3LSHUQR%2'UVVD(OHQD=DYDWWD
5(*,21(/$=,2
)21'$=,21(,5&&66$17$/8&,$
823RVW&RPD5HVSRQVDELOH'UVVD5LWD)RUPLVDQR5RPD'UVVD0DULDJUD]LD
'·,SSROLWR