What future for health and welfare in Italy and Europe? The One Health model is of interest to 88% of Italians and 70% believe it is likely to be implemented. This is what emerges from the Bio-Medico Campus Report – One Health presented during the event 'Health and Social, Economic and Environmental Sustainability', in the Senate. The investigation is the result of a social research conducted by the Piepoli Institute through qualitative-quantitative analysis techniques. This is even more interesting given that 60% of Italians think that the future of their country will be worse than the present, for 70% health is the crucial issue, followed by work and the environment and for 36% young people will be more difficulty.

The One Health vision

The Report shows that the concepts of integration and balance are part of people's experiences and expectations. The One Health vision is known today since 15% of European citizens, including Italians, a percentage that rises to 24% (23% European) when this is described. The One Health approach is considered theonly possible chance to face the main challenges of the coming years and the awareness of the interdependence between the health of the planet and human health must necessarily guide future political choices and those of social and economic actors, as well as developments in medicine and healthcare.

Look to the future

We look at the future balanced between hope and apprehension: two approximately thirds of Italians (60%) and Europeans (58%) they think the future of their country it will be worse than the present. These are contrasted by an equally important slice of the more positive and optimistic population: Europeans are slightly more ultra-optimistic than Italians (for 21% of foreigners the future will be better than now vs 16% of Italians).

Furthermore, we don't only see negative aspects in the future: for example, there is trust in the school (more than 30% of individuals think it will be of fundamental importance) and in the medical science (28% of citizens say that many diseases will be defeated). Italy seems to have to face some challenges between now and 2050: among others, a demographic trend particularly aggravated by the low birth rate and the flight abroad of talents and young people; greater longevity than the European average, but not healthy; a lack of vision and effective support and welfare policies for young people's life plans; strong imbalances in access to healthcare between the Regions. Faced with the phenomenon of population aging, intergenerational solidarity appears to be an important tool in every country as well as a fundamental mechanism for the evolution of man and society.

Health is the crucial issue

Health is the crucial issue for all citizens (70% Italians, 74% Europeans), followed by work (60% Italians, 40% Europeans) e technology (48% Italians, 39% Europeans). In this framework, the 52% of Italian citizens yeschiara dissatisfied with current health management, while 48% are satisfied with it. People complain about a deterioration in health and the environment in recent years (37% of Italians): research and individual attention to health are promoted, but there is alarm about waiting lists and a shortage of doctors. A third of people think that in 25 years, health and environmental management will be better than now, a third that it will be the same as now, a third that it will be worse.

European healthcare systems

European healthcare systems are currently suffering from an important problem structural crisis, aggravated by demographic imbalances and a lack of human resources. Research highlights that the priority in the future is to pursue greater sustainability and economic efficiency in order to provide quality services and care; the alliance with the accredited private sector will be an asset for its sustainability and efficiency in the future.

In Italy, a reorganization of the various facilities and reference centers is also expected for the demand for treatment and health. The plausible scenario, already in some way traced by the PNRR, is in the logic of continuity and synergy between territorial centers and hospital hubs, with a strengthened and central role of local medicine. Furthermore, home medicine will also develop more, stimulated both by demand and by the technological evolution of instruments and equipment. The evolution of intervention and treatment techniques, which are increasingly less invasive, will also allow for less hospitalization.

Prevention and integral approach 

Prevention and an integral approach are the paradigms of the future, as medicine will become more systemic and less sectoral; they are already emerging as future primary approaches and will be favored, on the one hand by the growing attention to correct and healthy lifestyles, and on the other by the biotechnological and scientific developments that will concern medical disciplines (e.g. genetics and genomics).

Regarding prevention, for Italians still belongs mainly to the medical sphere: for 66% prevention concerns screensing and periodic checks, for 60% a correct lifestyle and for 52% attention to nutrition. Abroad it's more of a mindset, a lifestyle, a concept penetrated by experience: for 60% it concerns physical activity and movement, 57% pay attention to nutrition and 55% have a correct lifestyle. The majority of people, especially in Italy, say they are willing to change their lifestyle (45% of Italians and 39% of Europeans are very willing).

Technological impact

New technologies and Artificial Intelligence will be fundamental allies of healthcare and biomedical evolution. Their impact will be significant and fundamental over the next 25 years (we are already seeing the effects) both for the development of new medical and biomedicine approaches, and for greater economic sustainability of healthcare systems. They will allow evolutions at different levels and on different levels: from the digitalisation of processes and data, to the processing, elaboration and sharing of the huge amount of data available for medicine and public health practices, to the possibility of greater home medicine, to the design of sustainable urban contexts. Finally, already today, between 30% and 40% of citizens imagine themselves immersed in a virtual world and totally dependent on technology.

Longevity in health

The aging of the population is one of the most impactful phenomena for Europe in the coming years. The demographic curve cannot be reversed in the next 25 years due to delays in the necessary interventions, but the real goal for the future is to achieve healthy Longevity. The perceived effects are multiple and have an impact on different spheres of life, professional categories and generational segments. At the moment there is almost no perception of the opportunity provided by the silver economy. For the 50% of Italians there will be a increase in health spending, for the 43% more caregivers will be needed and for the 36% young people will be more in difficulty.

They took part in the event David Granieri, President Coldiretti Lazio, who brought greetings from the President of Coldiretti Ettore Prandini; Giovanna Tranfo, Director of the Department of Medicine, Epidemiology, Occupational and Environmental Hygiene, INAIL. The research was illustrated by Livio Gigliuto, Sociologist and Executive President of the Piepoli Institute.

The event had the free patronage of the following institutions: Ministry of Economy and Finance, Ministry of Infrastructure and Transport, Ministry of the Environment and Energy Security, Ministry of University and Research, Ministry of Health, Ministry for Disabilities, European Parliament, European Commission, Lazio region, Rome capital city, Istituto Superiore di Sanita, INAIL.

Carlo Tosti, President of the Campus Bio-Medico University Polyclinic Foundation e Università Campus Bio-Medico di Roma: "The One Health model is the only chance for our common future. Social research data also testifies to this: it is an extremely interesting vision for citizens and is the desired direction for change. For the Bio-Medical Campus, One Health is the north star. Through our development plan to 2045, the Social Green Masterplan as a model of innovation and sustainability at the service of the country, we are projected towards one health of the planet according to a path started by the Campus thirty years ago".

Marcella Trombetta, Dean of the Faculty of Sciences and Technologies for Sustainable Development and One Health UCBM: "The Campus Bio-Medico – One Health Report highlights chiaramind the necessary interdependence between human, animal and environmental health. This 'One Health consciousness' must also concern knowledge in an interdisciplinary approach, for which medicine must also move away from the episodic logic of health careingor illness to enter, instead, an integrated dimension. In this sense, it appears necessary to hypothesize a new humanism which, by systematizing the knowledge and innovations of medicine, biology andingengineering, allows the overcoming of previous models, which entered into crisis with the recent pandemic".

Dominic Mastrolitto, General Director of Campus Bio-Medico SpA: "Our commitment is to offer new services to the territory and to the community, aimed at care and intergenerational sociality, with spaces in which the laboratories will be called research parks and for integral training. A unicum together with nature for the support of biodiversity and to achieve the objectives of the 2030 agenda for sustainable development, with which the Social Green Masterplan of the Bio-Medico Campus is in line".