How to promote changes in primary care? The Florentine experience of the House of Community

Frontiers in Public Health

Public Health

Lorenzo Baggiani¹  Giulia Naldini¹  Chiara Milani²  Guglielmo Bonaccorsi²  Marco Nerattini³ 

[1] Department of District Healthcare Network, Azienda USL Toscana Centro, Florence, Italy;Department of Health Science, University of Florence, Florence, Italy;Health Society of Florence, Florence, Italy;

关键词: primary health care (MeSH);    House of Health;    House of Community;    collaborative practice;    Participatory Action Research (PAR);    interprofessional education (IPE);   

DOI  :  10.3389/fpubh.2023.1216814

 received in 2023-05-12, accepted in 2023-08-09,  发布年份 2023

来源: Frontiers

【 摘 要 】

Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called “Houses of Community (HoC)”. The Florence LHD (Tuscany)—in direct collaboration with the University of Florence—has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a “permeable” multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services.

【 授权许可】

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