Archive | 2021
The Development Paths of Social Welfare Networks in Italy from Integration to Cooperation
Abstract
At the base of this reorganisation is the need to identify an organizational model integrated with the current territorial care pathways, of which the protected remission model for patients in the post-acute phase. The network is an organizational model of increasing importance in the Western welfare, able to implement the organizational and professional resources available. However, the management of social networks has previously had uncertain outcomes. in the Italian social-welfare context for the critical issues in defining this model in the policy objectives and management procedures. The clinical care network is defined in the national health system by D.M. n. 70/2015 that protects the global care of the patient in conditions of appropriateness, effectiveness, efficiency, quality and safety of care, through the relationship between professionals, structures and services that provide health and social health interventions of different types and levels. The impact of the Covid has been to remodulate the existing paths of assistance and care in order to make them functional in dealing with this emergency. The most urgent projects started were developed through models oriented to integration between hospitals and territory. Relations between networks and territorial medicine: the implementation of integration In the National Health System, hospital structures are responsible for dealing only with emergency and acuity. Chronicities cannot be a burden only on hospitals, to avoid congestion. The most recent results demonstrate the improvement of chronic care through the integration between hospital care and postresignation medical care through local capillary services. In improving this model we need to create a more efficient alternative. The analysis of the networks of social and health services is to focus on the ability to react to epidemological and demographic camabias, as emerged in the most acute phase of the emergency, together with the development of an increasingly personalized medicine. In this context, social welfare networks can respond to the needs of chronicity and fragility, through an approach able to transfer to the territory non-auto sufficiency and functional limitations . The increase in aging and chronic degenerative diseases implies reorganizing the Hub and Spoke model towards the implementation of long term care and home care.