how does it work Health care outside of hospitals after the earthquake covid? The Ministry of Health has initiated a reform that will change the methods of accessing the services and treatments proposed by the medic. They range from home care whenever possible, including through the telemedicine hey family carer for the treatment of chronic illnesses to the community houses where they can be found Doctors h24 e 7 days a week and where it will be possible to carry out diagnostic tests and visits and receive support in less severe cases. And again: not only large hospitals, but also community hospitals as a stopover to avoid improper hospital admissions. These are therefore the main innovations of the new territorial health care from the hospitalaimed at in the post-Covid era.
That is to be photographed Regulation of the Ministry of Health on “Definition of models and standards for the development of territorial assistance in the National Health Service” published in the Official Journal today. The aim is therefore to strengthen extra-hospital and local help, also in view of the increasing aging of the population, which requires a new model of dealing with chronic diseases: no longer just the hospital, but increasingly a patient’s home. A 20 billion euro “revolution”, these are the investments that the National Development and Resilience Plan Pnrr envisages in the 6th “Salutè Mission”. A turning point, according to the Minister of Health Roberto Speranza: “With the publication of the decree on the reform of territorial support in the Official Journal, all the objectives of the 30.6. expiring health plan. Now, he says, we can invest unprecedented resources to strengthen ours sn“. This is what it will look like new health of the territory:
– DISTRICT: It is an articulation of the ASL and includes about 100,000 inhabitants. It must have certain standards: one center community house for every 40-50 thousand inhabitants, a family nurse one community hospital for every 3,000 inhabitants with 20 beds per 100,000 inhabitants. Inside, the Territorial Operations Center will have a coordinating function.
– COMMUNITY HOUSE: It is the physical place that citizens have access to for health and social care purposes. There are nurses, social and health workers, doctors, paediatricians, medical specialists. The medical presence in the main offices (hub) is 24 hours a day, 7 days a week. Citizens can use various services: diagnostic services with basic diagnostic tools (ultrasound, electrocardiograph, retinograph, oct, spirometer) also through telemedicine tools (remote referral); specialized outpatient services (cardiology, pneumology, diabetology, etc.); nursing clinics for the management of chronicity and for responding to occasional needs; family counselors and work directed at minors; vaccination prophylactic activity; integrated booking system linked to the Cup.
– FAMILY OR COMMUNITY NURSE: one per 3,000 inhabitants. The aim is to strengthen the welfare system in the region.
– EUROPEAN ASSISTANCE NUMBER 116117: The Operations Center 116117, headquarters of the Harmonized European Number (NEA) for non-urgent medical care, offers the population a free telephone service operating 24 hours a day, 7 days a week for all low-intensity health and social services . Search and transfer requests ê
– HOME HELP: The aim is to carry out assistance measures at home within the framework of specific personalized care pathways. The aim is to cover 10% of the over 65s.
– COMMUNITY HOSPITAL: It is an inpatient healthcare facility and fulfills an intermediate function between place of residence and actual hospitalization with the aim of avoiding inappropriate hospital admissions or promoting a protected discharge to more appropriate locations closer to home. The standard is a municipal hospital with 20 beds per 100,000 inhabitants. In addition, 1 home-based palliative care unit is planned for every 100,000 inhabitants.
– TELEMEDICINE: for the delivery of remote healthcare services and services through the use of digital devices, the internet and software.
– CONTINUITY ASSISTANT UNIT: is a mobile district team for the management and care of individuals in particularly complex clinical care situations. One unit per 100,000 population is expected.