In the late 2000s Northumberland Hills Hospital experienced repeated budget deficits. The hospital's board needed to cut the hospital's services in order to balance the budget. Ontario's Local Health System Integration Act, 2006, required the hospital to seek public input before changing services. Accordingly, the hospital's board developed a plan, called a collaborative budget strategy -- formally entitled "Shared Challenge, Shared Solution" -- to elicit this public input.
The "Piano Integrato di Salute" is the document of the Società della Salute that plans healthy and social policies. Società della Salute are public consortium between municipality and Asl (Aziende Sanitarie Locali), the organisations that manage health care. They have to guarantee good performances with a budget that is reduced every year: to do this, efficency and citizens involvement seem to be the most important answers.
Obesity is still a prevailing problem in the United States. It is also the second leading cause of preventable death. Statistics show that about 33.8% of American adults are obese. The percentage of children who are considered overweight is also an alarming approximate 17%. The issue has provoked large reactions from various foundations, government and private organizations to support organized interventions.