Dealing with COVID-19 epidemic in Italy: Responses from regional organizational models during the first phase of the epidemic

Maria Lucia Specchia, Americo Cicchetti, Gianfranco Damiani, Martina Sapienza, Maria Teresa Riccardi, Giuseppe Scaratti, Fabrizio Massimo Ferrara, Luca Giorgio, Filippo Rumi, Carlo Favaretti, Marta Piria, Eugenio Anessi Pessina, Michele Basile, Rossella Di Bidino, Eugenio Di Brino, Maria Giovanna Di Paolo, Roberta Laurita, Marzia Vittoria Gallo, Angelo Tattoli, Entela XoxiAndrea Silenzi, Rocco Reina, Marzia Ventura, Concetta Lucia Cristofaro, Walter Vesperi, Anna Maria Melina, Teresa Gentile, Giovanni Schiuma, Primiano Di Nauta, Raimondo Ingrassia, Paola Adinolfi, Chiara Di Guardo

Research output: Contribution to journalMeeting Abstract


As the COVID-19 outbreak traveled through various Italian regions, all national and local administrations issued measures to counter the spread of the contagion and organize healthcare. The Italian healthcare system is, indeed, a decentralized system with 21 regional health systems (RHSs), with different models of healthcare service delivery and organization. This study investigates whether a different organization of RHSs would have led to different management of the COVID-19 epidemic, and evaluates the effect of different approaches in epidemic management on the COVID-19 epidemiological trend. A set of indicators is identified by conducting an online synchronous Focus Group, involving an experts panel. A Pearson's correlation test was performed on the values assumed by the historical series of indicators investigate correlations among the trends represented by the indicators or between them and external factors. The comparison between the experiences of the different Italian regions, regarding the management of the epidemic, has helped to confirm and emphasize the importance of a community-based approach in health care—integrated with the hospital’s functions for the care of complex conditions and the need for specialized assistance.
Original languageEnglish
Pages (from-to)5008-5013
Number of pages6
JournalInternational Journal of Environmental Research and Public Health
Publication statusPublished - 2021


  • Community health services
  • Coronavirus
  • COVID-19
  • Healthcare organization
  • Healthcare system
  • Hospital
  • Epidemics
  • Pandemic
  • Humans
  • Italy
  • Models, Organizational
  • SARS-CoV-2
  • Management


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