20. Territorial Health and primary care reforms in EU: policy integration, community-based care, and tension in the triple transition

Sessione 20

Territorial Health and primary care reforms in EU: policy integration, community-based care, and tension in the triple transition 

Coordinatori/coordinatrici di sessione: Stefano Neri, Emanuele Polizzi, Vanessa Turri

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Description

The COVID-19 pandemic, demographic ageing and the rising prevalence of chronic conditions have intensified pressures on European health systems, exposing the limits of hospital-centred, standardised and predominantly biomedical models of care. In response, supranational organisations, national and sub-national governments and policy communities have renewed their focus on primary health care, promoting integration, territorialisation and community-based approaches to strengthen prevention, continuity and proximity services. However, reform design and implementation often occur in welfare systems shaped by performance-based governance, managerial accountability and fragmentation between health and social provision. These legacies constrain change and generate tensions, limiting socio-health integration, community mobilisation and a shift towards prevention, community care and long-term care. Frictions are further amplified by the triple ecological, digital and demographic transition, which demands coordination across sectors, policy domains and levels of governance.

Contributi

PARTE A.:

Beyond the Emergency: Reshaping Rehabilitation between Territorial Health reforms and digital innovation in Italy
Valeria Busbani

La trasformazione del Sistema Sanitario Lombardo: integrazione sociosanitaria, medicina territoriale ed innovazione digitale
Silvia Maffi (ATS Bergamo)

Ecosistemi di cura tra cambiamento e persistenza: un framework analitico per l’integrazione della salute mentale nelle cure primarie
Carlotta Mozzana (Università degli Studi di Milano-Bicocca)
Co-Authors: Sara Vallerani (Università di Ginevra)

Competing Logics in Primary Health Care Reform: NPM and Community-Based Care in Italy
Vanessa Mascia Turri (Università degli Studi Milano-Bicocca)
Co-Authors: Emanuele Maria Polizzi (Università degli Studi Milano-Bicocca

PARTE B:

Reorganising primary care for health equity in urban marginalisation: a qualitative action-research study in France and Germany
Delia Da Mosto (Centro di Salute Internazionale e Interculturale (CSI-APS), Bologna; King's College London, Londra)
Co-authors: Leonardo Mammana, Elisa Adami, Chiara Bodini (Centro di Salute Internazionale e Interculturale (CSI-APS))

Environmental risk, healthcare system crisis, and health inequalities: evidence from an ethnographic research in Pisticci (Basilicata, Italy)
Chiara Moretti (Dipartimento di Scienze Sociali, Università di Napoli Federico II)
Co-Authors: Eugenio Zito, Angela Cicirelli (Dipartimento di Scienze Sociali, Università di Napoli Federico II)

L’amministrazione condivisa come policy tool di integrazione sociosanitaria? Evidenze da tre casi italiani
Federico Razetti (Fondazione Terzjus)