Assistenza territoriale

Translated title of the contribution: [Autom. eng. transl.] Territorial assistance

Gianfranco Damiani, Giulia Silvestrini

Research output: Chapter in Book/Report/Conference proceedingChapter


[Autom. eng. transl.] On an international scientific level, the agreement on the role of Primary Care as a supporting element for the development of health systems is growing (1). At the same time, there has been an increase in investments, recommendations and reforms to support this development, both by governments and international agencies such as the World Bank and the World Health Organization. As discussed in previous Editions, and clarified by a recent article by Barbara Starfield, Primary Health Care (PHC) does not exhaust itself in the professional and organizational dimension of the provision of social and health services, but also in the preemption of objectives, methods and tools for defining and implementing a governance of protection of the resident population, able to create the conditions in which the "primary care clinics" can act (1, 2). The fundamental functions in PHC are: universal access (universal financial access); the equitable distribution of resources based on the health needs represented in the community; the possible sharing of the expense by the patient proportionate to his socio-economic level and the presence of services that support and assist the patient responding to his / her needs not only health, but also social. To these must be added the clinical-assistance functions, including the management of the first contact, assistance continues over time, centered on the person and not only on the biomedical component (person focused over time). Furthermore, the assistance services must be individually planned and therefore be available and effectively provided through the coordination of the offer agents, together with the transfer and subsequent use of clinical information (1). Analyzing the primary assistance models in place in the various countries, it is clear that these functions and their application are largely associated with the context (for example, the presence of a welfare system, cultural background, health needs and characteristics of the health system ) (3).
Translated title of the contribution[Autom. eng. transl.] Territorial assistance
Original languageItalian
Title of host publicationRapporto Osservasalute 2013. Stato di salute e qualità dell’assistenza nelle regioni italiane
Number of pages2
Publication statusPublished - 2014


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