Cw19.2 The Clinical And Care Path For Patients With Specific Problems Of Chronicity

Author(s): 
M.B. Bassi, M.G. Calzari
AUSL Reggio Emilia, Reggio Emilia, Italy
Text: 
The Local Healthcare Authority for Reggio Emilia is working on the project “Care paths for patients with specific problems of chronicity “. The aim of this project is to create common methods and cultural references (guidelines, protocols, recommendations for Disease Management) in the approach to chronicity itself, and to evaluate their effectiveness. The paths are devoted to 3 different types of chronicity: cancer, respiratory insufficiency, cardiac decompensation. The underlying values of the project are: the centrality of the patient, the continuity of care, hospital-territorial integration, home care, the appropriateness of the care, integration of the resources and services throughout the region.
The need to develop a project of this type stems from consideration of the latest epidemiological evidence (increase in chronic pathologies), of the staff perception of poor efficiency and integration/communication with other professionals and of the patients’ perception of neglect. The project has been promoted by the primary care programme in that: primary care is characterised by operating structures which best allow the management of integrated procedures amongst institutions, services and professionals - the hospital is the place assigned for the treatment of acuteness -the person whose life revolves around his/her home is placed at the centre of the care path. There are a number of professional figures involved in the development of the project: first of all, the General Practitioner who is regarded as the director of the path of the chronically ill patient, followed by hospital doctors and nurses, district nurses, social workers and voluntary workers.
Literature: 
CW19.2 THE CLINICAL AND CARE PATH FOR PATIENTS WITH SPECIFIC PROBLEMS OF CHRONICITY