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Eurispes: more home and local care, the reform pushed by the pandemic

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More home care, and a reorganization of territorial assistance, the first gateway to the health service. These are the two cornerstones of the reform pushed by the pandemic. The good legacy of Covid. The Eurispes Italy 2022 Report analyzes it. The state health legislation of the years 2020 and 2021, although aimed at facing the spread of the virus that has shocked the world, “laid the foundations for planning aimed at strengthening and reorganizing the health network”, reads chapter dedicated to the new scenario being worked on in Italy. A key measure on this front is the NRRR, the National Recovery and Resilience Plan which, on the basis of the projects contained in particular in mission 6, establishes the roots on which to grow the territorial health care and socio-health care reform. “The purpose that seems to inspire the reform process is to strengthen health care and socio-sanitary assistance through the increase in home care and the consequent reduction of the institutionalization of the most vulnerable people – reads the report – Even before the spread of the Covid pandemic- 19 in recent years there has been a progressive trend in the development of home care, going from an average rate of 1.99%, at the national level, recorded in 2014, to the average rate of 2.92%, recorded in 2019. The core of the reorganization of territorial assistance is the district, whose programming must include the following standards: one hub community house for every 40-50 thousand inhabitants; spoke community houses of general practitioners and pediatricians; one nurse for every 3 thousand inhabitants; one Continuity care unit for every 100 thousand inhabitants; a territorial operations center for every 100 thousand inhabitants; a community hospital with 2 0 places for every 50,000-100,000 inhabitants. The decree that governs the models and standards of development of territorial health care, Eurispes points out, “represents an important and consistent step towards strengthening primary care and the prevention system in the health sector, which in turn is added to the strengthening of the hospital network in a logic of development and evolution of the national health system with the use of the best and most modern technologies “.

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