Sessione 19 - Reframing primary care in national, regional and local contexts: perspectives, comparisons, challenges and critical issues
Elenco sessioni 2024
Visite: 346
Coordinatori di sessione: Stefano Neri (Università di Milano) -
Descrizione
After 2000, Primary Care (PC) has been progressively re-discovered in most of European countries: compared to specialty care, it is associated with improved overall health, more effective preventions initiatives, a more equitable distribution of health in populations, as well as cost-effectiveness outcomes for the healthcare systems. Moreover, PC showed to be fundamental in the health system response to COVID-19. The increasing awareness of the importance of PC prompted many European countries to strengthen or re-organize PC.
In the highly decentralized Italian NHS, an ambitious PC reform was re-launched starting in 2021-22. The reform aims at creating multidisciplinary centers (Community Houses, CHs), as the basic PC units, based on inter-professional models of care and on the integration between social and health care; developing home care and its coordination with PC, by an extended use of ICTs; embedding PC in the local community, promoting citizen and patient participation in service planning and delivery, in order to make PC and health services more fitting and responsive to population needs.
The reform raised many critical issues, such as the difficult integration of GPs in the CHs; the staff shortage; the lack of coordination between health and social care; the weak role of citizens and local communities; the tensions with market-oriented actors. Reform implementation depends not only on the role played by relevant actors (State, regions, professions, other social actors), but also on previous institutional arrangements and experiences, which show a significant variability among Italian regional and local welfare systems.
The panel welcomes papers focusing on the implementation of the PC reforms, on cross-country, cross regional or cross local areas comparisons, as well as on single national or subnational cases. Studies can be based both on qualitative and quantitative methods.
Contributi:
Many Territories, One City: Uncertain Boundaries and Configurations of Urban Health in Rome
Sara Vallerani (Università di Ginevra)
PuttTaking stock of evidence on primary care access as a necessary first step towards shifting to
primary health care as a public health goal
Lorraine Frisina (University of Bremen); Stefano Neri (University of Milan); Gabriela de Carvalho
(University of Barcelona)
Primary care reform in Lombardy: from regulatory analysis to Community Houses. Presentation of
the first analytical results of the Primary Care reform process
Vanessa Mascia Turri (Università degli studi di Milano-Bicocca)
Infrastrutture della cura e territorializzazione della salute nel quartiere Navile di Bologna. Analisi
dell'Impatto del Centro di Assistenza e Urgenza
Maddalena Crotti (Università di Bologna)
Enhancing Primary Care with Social Prescribing: Insights from FIMMG Naples
Marilena Ricciardi (Università degli Studi di Salerno)
