Territorial assistance, the reform of the Gazzetta: nurses are central

Following the approval of the Council of State and the Court of Auditors, the new Regulation on the Standards of Territorial Assistance (DM / 77) arrives at the Gazzetta Ufficiale. The heart of the system will be the Health District, within which Fælleshuset will play a crucial position, where citizens will be able to find assistance 24 hours a day, every day of the week. The role of nurses is central.

The new health care that focuses on territorial assistance

In health care redefined by the means of National Recovery and Resilience Plan There will be “not only” Asl and hospitals, but also 1,430 shared housing, 435 shared hospitals – with significant nursing assistance – and 611 local operating centers. An investment of over € 3 billion is expected between now and 2026, with minimum standards and requirements set by the reform decree, in particular pending and published in Government Gazette.

So the map of the new healthcare system is taking shape already in recent weeks thanks to the institutional development contracts (Cis) that have been signed a few weeks ago by Health Minister Roberto Speranza and by each regional governor. Within the new system is here family / local nursesemployed in many of the new structures defined in the decree will play a more than central role.

The standards of the district

The district is the hub of access to all ASL services. It is also delegated, also through the House of Commons, to the pursuit of integration between the various health structures in order to ensure a coordinated and constant response to the needs of the population, uniformity in the levels of assistance as well as the plurality of the offer.

The district’s nursing standards include at least 1 family / community nurse for every 3,000 residents and at least 1 specialty continuity unit (1 physician and 1 nurse) for every 100,000 residents.

Communal houses, how they want to be

There Communal house it constitutes the physical place of proximity and easy identification, where society can have access to get in touch with the health and social services.

In addition, it promotes an organizational model for integrated and multidisciplinary approach through territorial teams, thus providing the privileged place for planning and delivering health and social inclusion interventions.

IN Community house that nursing standard is 7-11 nurses. Without forgetting that the hub community house guarantees the delivery of services also in the form of telemedicine, including: multi-professional teams (which of course include nurses); nurse presence h12, 7 days a week; collective prevention and health promotion services at local level, including the work of the family / community nurse; nursing clinics for integrated management of chronicity and for responding to occasional needs. In addition, Hub Community Homes must be equipped with 7-11 family / community nurses.

In parallel with this Spoken town hall ensures the provision of the following services (including through telemedicine methods): multi-professional teams (including nurses); medical and nurse presence at least at 12.00, 6 days a week (Monday-Saturday); nursing services, both in terms of collective prevention and promotion of public health (including the activity of the family / community nurse) and continuity of health care for integrated management of chronic diseases.

Identikit of the family and local nurse

Professional reference figure, ensures nursing assistance at different levels of complexity in collaboration with all professionals present in society, pursues the interdisciplinary, health and social integration of services and professionals and puts the person at the center.

Especiallyfamily / local nurse interacts with all the formal and informal resources present in the community and is not only the provider of assistance care but becomes the figure that guarantees the assistance response at the beginning of new expressed and potential health and social health needs. At the level of nursing standards, let’s talk about at least 1 family and local nurse for every 3,000 inhabitants and at least 1 doctor and 1 nurse for every 100,000 inhabitants.

Territorial operational centers for assistance

The Territorial Operations Center represents an organizational model that performs a coordination function in taking responsibility for the person and connects services and professionals involved in the various care environments: territorial, health and social and health activities, hospitals and communicates with the emergency network. .

The standard of nursing staff at 1 Territorial Operations Center per. 100,000 inhabitants: 1 nursing coordinator, 3-5 nurses.

Community hospitals, how they work

Samfundshospitalet is a health facility for short-term hospitalizations that belongs to the territorial assistance supply network and performs an intermediate function between home and hospitalization with the aim of avoiding incorrect hospitalizations or encouraging protected discharges in places that are more suitable for the occurrence of social and health needs, clinically stabilization, functional recovery and autonomy and closer to home. Minimum standard for nursing staff for 1 communal hospital with 20 beds: 7-9 nurses.

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