Basilicata. Franchini (Cisl): “The organizational model of care in Basilicata at the test bench of the new definition of models and standards for the development of territorial assistance”

With the publication of the Regulation containing the definition of
standard models for the development of territorial assistance of
The health service begins the care reform
Territorial that defines a new model internally
organization of the primary care network, identification
both technological and organizational standards are uniform throughout
national territory and thus promote a new structure
institution for prevention in the health sector, but also
environmental and climatic.
The road starts from the definition and publication of the regulation
to define a new integrated social welfare system,
able to respond universally to care needs e
to promote a model of proximity care to be more
close to people, build models for assistance
territorially based on both healing and care, and that is it
taking care is also the real test for our region.
In fact, Basilicata very much needs the application in key
territorial of this structural reform process because
Lucanian health barely reaches the levels
essential for assistance and is affected by a medical emigration
which weakens both the regional budget and the care network
necessary for the citizen.
The reorganization of territorial medicine with DM 77/2022
defines: the structures that make up the network of services
territorial; standards in relation to the population; the parameters
staff reference; the organizational methods e
functional; the strategic reference objectives, management of
system.
The organizational model that is designed and which will also be funded by
PNRR funds mission 6, is about the health district that
constitutes the reference center for access for all
ASL Services, Casa della
Community representing the focal point of the new territorial network since
moment and is the place where citizens will be able to find assistance
24 hours a day, every day of the week in an integrated organizational model
and interdisciplinary with teams consisting of physicians
general practitioners, free-choice pediatricians, specialists, nurses
family and all other professionals involved in the process
of care.
The Continuity Welfare Units also belong to the District
(UCA), which is kept alive after experimentation during
the pandemic phase as a mobile team consisting of at least one doctor, f
a nurse to the management and support in taking care of
individuals or communities that are under special circumstances
complexity.
The communal houses are to be built in 2026
technologically equipped, organized in “hub” and “spoke”
“In the light of the orographic and demographic characteristics of
territory to favor the capillarity of services and more
equal access, especially in inland and rural areas.
the “hub” community houses (one for every 40,000-50,000 inhabitants)
provide medical care (t 24 – 7 days a week) and
nursing (t 12 – 7 days a week) while de
“Spoke” must guarantee, together with other services such as
Single Access Point (PUA), the connection to the company CUP e
the medical and nurse presence (12 hours a day – 6 days
out of seven).
To avoid incorrect hospitalizations and / or favoritism
protected emissions in places more suitable for the spread of needs
welfare, clinical stabilization, functional improvement e
of autonomy and getting closer to patients’ homes
Community hospitals have been set up to carry out this function
to facilitate the transition of patients from hospital facilities
in acute cases at home. Community hospitals will be
equipped with 20 beds per. 100,000 inhabitants.
For the coordination function of taking responsibility for the person f
connection between the services and professionals involved in the various
care settings will be provided by the operating centers
Territorial (COT), which also has interfaces with the Central
Regional Operational. The latter is the seat of the European number
Harmonized for non-urgent medical care offering a service
free telephone 24 hours a day and 7 days a week for all services
health and social health services with low aid intensity.
In the process of care and nursing comes a great relief
attributed to the figure, the family or local nurse, as he is
the professional reference figure that ensures assistance
nursing in collaboration with all professionals present
in the society in which it operates, integration pursues
interdisciplinary, health and social services
professionals put the person at the center, along with empowerment
of Integrated Home Care (ADI), a fundamental role
it will be performed by Telemedicine, which represents an approach
innovative for healthcare, as if they are part of a network of care
coordinated, allows the provision of services and performances
remote healthcare systems through the use of digital devices.
As we see, we need to build an organization
complex and capillaries that will really allow you to bring care and
to take care of the area, this is a positive horizon for
Basilicata and its elderly and frail population, however
there will be a need for a supply of staff from the health sector e.g.
social-health care of very large proportions.
Male and female workers represent the backbone of
restructuring of the social and health care system as it is alone
through adequate staffing
set goals. And that is precisely the most critical point
the implementation of the new organizational model for the health care system
territory because it has to deal with the shortage of doctors and
nurses, in Basilicata more than anywhere else, given that already
today there are many countries that do not have a doctor.
Moreover, such a complex organization, capillary and coordinated on
several levels, requires that the decisions to be made relate to
allocations of the different structures of the model are based on
of objective parameters, to provide functional answers to
the needs of the users, the characteristics of the area, ai
logistical links with the demographics of the territorial areas e
not of any other kind which would cause a serious distortion
it would endanger the entire care system.

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