The report

From local healthcare to AI: Italia and France join forces

Local healthcare, digital transformation and full collaboration between the public and private sectors: the proposals from Club Santé Italia

4' min read

Translated by AI
Versione italiana

4' min read

Translated by AI
Versione italiana

In national contexts increasingly characterised by an ageing population and chronic conditions, the challenge of social and healthcare sustainability cannot be left solely to the search for new funding, but rather requires a comprehensive review of the healthcare system that promotes and strengthens community-based care, innovation through new technologies, driven by artificial intelligence; and – thirdly, but by no means least – collaboration between the various stakeholders within the system. From public institutions to accredited private sector organisations, from businesses to universities and research centres, right through to healthcare professionals and the third sector: the key players in this broad ecosystem are called upon to contribute in a complementary manner towards achieving shared objectives. Within a framework that, wherever possible, transcends national borders and broadens the perspective to encompass the complex European landscape.

This is the proposal set out in the report “A New Agenda for Health: Regions, Innovation and Collaboration”, presented by the PwC Italia Ets Foundation at a meeting organised in Rome at Palazzo Farnese by Club Santé Italie, a partnership between the French Embassy in Italia, Business France and the leading French companies operating in the healthcare sector in Italia, including pharmaceuticals, medical devices, diagnostics, healthcare and social care services, and insurance.

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The Italia–France partnership

The agreement between the two countries – which have similar healthcare systems and socio-economic characteristics, and which build on the milestones set in recent years by the Treaty of the Quirinale and the Antibes Intergovernmental Summit last June – therefore also looks to support from the European Union. Sticking to the topic of technology, this includes the AI Act, which aims to combine innovation with clear rules. As France’s Ambassador to Italia Anne-Marie Descotes pointed out, ‘France and Italia share the same ambition: to build innovative, sustainable healthcare systems capable of meeting the challenges of the future’ and ‘intend to strengthen collaboration in the fields of health, industrial sovereignty and therapeutic innovation, serving not only our citizens but all European citizens’.

The Innovation Compass

The data confirm a strong propensity for innovation amongst the companies belonging to Club Santé Italia: almost 80 per cent have collaborated with universities or research centres over the past year, and around two-thirds have increased their investment in research and development. “French healthcare companies are a national asset in terms of economic impact and capacity for innovation,” states Marcello Cattani, President of Club Santé Italia, President of Sanofi Italia and also of Farmindustria, in the Conclusions to the report . “The demographic and healthcare challenges that lie ahead,” he warns, “require the modernisation of our National Health Service (SSN) to make Italia more attractive and capable of competing successfully on a global scale, not least through structured and concrete collaboration between companies and institutions, grounded in evidence. This report moves precisely in this direction. Our common goal is to guarantee all citizens fair and swift access to healthcare services and the most innovative therapeutic solutions, making collaboration between the public and private sectors increasingly one of the pillars of the healthcare system of the future.”

This is a challenge that the EU itself – weighed down by excessive bureaucracy and divisions between Member States – is not always prepared to take on; indeed, the Union now finds itself under threat – for example in the fields of research and innovation – from complex regulations and fierce international competition from giants such as China, India and the United States.

The situation in Italia

Meanwhile, the demographic and epidemiological picture in Italia highlights the urgent need for a new approach to healthcare governance. This is highlighted in the PwC Foundation’s report, which cites the latest ISTAT figures: by 2050, the proportion of the population aged over 65 will rise from the current 25.1 per cent to 34.6 per cent (more than one in three people will be elderly) and, in parallel, the number of people with at least one chronic condition will continue to rise, having already increased from 38.8 per cent in 2009 to 41.5 per cent by 2024. These figures have so far not been matched by adequate care provision: suffice it to say that in 2023, less than 40 per cent of elderly people who were not self-sufficient were covered by residential, semi-residential or home care services. Admittedly, in the meantime, the National Recovery and Resilience Plan has been implemented, which has allocated a significant portion of the approximately 15 billion earmarked for healthcare specifically to addressing these urgent needs. But the process is still ongoing, and the reorganisation of local care services itself is, to put it mildly, yet to be completed.

Priorities

“The evidence shows that the main challenges facing the Italian healthcare system are structural in nature and require a long-term vision,” comments Andrea Fortuna, Partner at PwC Italia and Health Industries Leader. It is no coincidence, and this is the first priority identified by the report, that experts believe local healthcare services must be strengthened by creating a single care network that increasingly integrates hospitals, primary care, home care, social and healthcare services and intermediate care facilities.
The second priority is innovation and digital transformation: AI, telemedicine, interoperability and data utilisation are “potentially decisive tools for tackling the rise in demand for care and the growing pressure on available resources”, the report states. However, the report warns that for there to be tangible benefits, investment is needed in skills, and organisational processes and governance models must be reviewed. This is because “the real opportunity lies in the ability to use technologies to build services that are more accessible, geared towards the continuous care of the individual, and also more efficient”.
Then there is the third asset, which must support the first two across the board: collaboration between the system’s stakeholders, necessary to drive innovation, broaden access to services and ensure the system’s sustainability. It is within this framework that Club Santé Italia’s contribution fits, write the authors of the Report, in establishing “a laboratory for cooperation on some of the key issues that will shape healthcare in the coming years: governance and interoperability of health data, clinical research, personalised medicine and the responsible use of artificial intelligence”.

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