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The aim of the article is to compare utilization of prenatal care, modality of obstetric care, and pregnancy outcomes in foreign born (FB) and Italian born (IB) mothers. The study was carried out in the Lazio region of Central Italy, which has 5 000 000 million inhabitants. Information was obtained from neonatal administrative hospital discharge records, containing data on maternal and neonatal characteristics. During the years 2001 -2002 there were 82 619 live births among lB mothers and 13015 among FB mothers. Results suggest that the utilisation of prenatal care was lower in immigrant mothers.

Latium region conducted a randomised trial to obtain the information needed to plan a colorectal cancer screening (CRCS) program with an evidence based organisation. To assess the effect of the type of faecal occult blood test, Guaiaco v immunochemical, on the compliance to screening of the 50-74 year old population. Other logistical and organisational aspects of the two screening test have also been analysed. 130 general practitioners were sampled who gave the consent to participate in a randomised trial with outcome the compliance to CRCS.

The article assesses the effect of the provider General Practitioners (GP) in hospital on the compliance of the population 50-74 year in returning the FOBT. The compliance obtained using the GP as providers of the FOBT was 3.4 times higher than the compliance obtained using the hospital as provider independently from the type of test and the geographical area. There is a strong correlation between the compliance obtained by the GPs in the half practice population assigned to the GP's surgery arm and the compliance obtained in the half assigned to the hospital arm. The GPs showed scarce interest in the study, probably reflecting a scarce interest to the Colorectal cancer screening (CRCS).

The aim of this study is to evaluate the capability to capture the major number of death cases of different criteria. Home Accidents (HA) data come from a pilot surveillance of all the HA occurring in Lazio Region, Italy 2000. The surveillance is integration between the emergency department information system (ElS), the hospital information system (HIS), and the mortality registry (MR). The gold standard definition of HA mortality in this study was obtained through an analysis of the hospitalization story and of death certificates. Three definitions of HA mortality have been tested: inhospital mortality (IHM); mortality within 30 days from the ED admission or hospital discharge (M30d); and mortality for a trauma/poisoning death cause. High mortality rates has been reported among older people.

The aim of this study is to compare individual and environmental factors associated with hospitalization consequent to Emergency Departments (ED) admission, among injured children in road traffic and home accidents. Logistic regression has been performed to compare the probability of hospitalization for different individual and environmental factors. Probability of hospitalization is higher during the weekend or among males. This analysis highlights differences between road and home accident hospitalization risk. The ages at risk are different; road accidents involve teenagers and seem to be more associated to behavioral risk factors, while domestic injuries principally involve infants.