title: PASSI d'Argento (Silver Steps): the main features of the new nationwide surveillance system for the ageing Italian population, Italy 2013-2014.
abstract: BACKGROUND
  Italy is particularly concerned by population ageing. The costs for society are substantial. In this context a national, representative surveillance system, Passi D'Argento (PDA), was implemented in 2009 to monitor "active aging" and health status in people aged over 64 and to develop preventive health programs to reduce frailty.
  
  
  METHODS
  PDA recruited a representative sample of 24 129 individuals (March 2012-January 2013) aged over 64 who were interviewed by trained staff using a standardized questionnaire. The PDA collects information about participation in society and employment, independent living, health conditions, safety and living environment. Indicator values are used to obtain population health profiles and to compare different LHUs' profiles within the same region or between different regions.
  
  
  CONCLUSIONS
  The PDA surveillance system proved to be feasible and to be a powerful and innovative local and national tool for monitoring health status, frailty in Italy's elderly population and the essential levels of care currently provided to the elderly.
authors.affiliation: Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
authors.forename: Benedetta
authors.initials: B
authors.lastname: Contoli
authors.affiliation: INSERM, UMR 912 Sciences Economiques et Sociales de la Santé et Traitement de l'Information Médicale - SESSTIM, Marseille, France - Aix-Marseille Université, UMR S912, IRD, Marseille, France - Observatoire Régional de la Santé, Provence-Alpes-Côte d'Azur, ORS PACA, Marseille, France.
authors.forename: Patrizia
authors.initials: P
authors.lastname: Carrieri
authors.affiliation: Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
authors.forename: Maria
authors.initials: M
authors.lastname: Masocco
authors.affiliation: Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
authors.forename: Luana
authors.initials: L
authors.lastname: Penna
authors.affiliation: Centro Nazionale di Epidemiologia, Sorveglianza e Promozione della Salute, Istituto Superiore di Sanità, Rome, Italy.
authors.forename: Alberto
authors.initials: A
authors.lastname: Perra
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D003430:Cross-Sectional Studies; D005260:Female; D016330:Frail Elderly; D006304:Health Status; D006801:Humans; D007558:Italy; D008297:Male; D008875:Middle Aged; D011153:Population; D062486:Public Health Surveillance / Q000379:methods*; D018570:Risk Assessment; D011795:Surveys and Questionnaires