Indagine sui determinanti organizzativi e professionali caratterizzanti i progetti regionali

[Autom. eng. transl.] The use of emergency-emergency services by patients who do not have urgent conditions weighs heavily on our national health system (SSN), as well as on health systems in other countries. Developing and supporting an adequate primary care system is considered one of the possible strategies to deal with this criticality. Wanting to correctly define Primary Care, this must be understood as a complex of activities and health and social-health services. In particular, it is represented by first-level interventions, characterized by a phase of first contact and by actions aimed at the prevention and treatment of diseases and accidents of greater diffusion and of lesser severity, as well as of diseases and disabilities to chronic course, when they do not need specialist services of particular clinical and technological complexity, in various treatment sites (eg, domicile, residences, clinic). Primary Care also deals with taking charge of the unitary address between different levels of care and the guarantee of continuity of care. The functions of a model of primary assistance, made explicit by numerous international reports and declarations (Institute of Medicine and World Health Organization), are: accessibility to assistance (accessibility), ie the ease of first contact due to proximity of services to users, opening times and waiting list management methods; consideration of the patient's health needs as a whole rather than specific signs and symptoms of organs or systems (comprehensiveness); coordination or integration between the various actors involved in the system (coordination); the temporal continuity of the assistance (continuity / longitudinality), as well as the periodic reporting by the operators on the processes and results of the assistance provided for the continuous improvement of the skills and services offered, and the correct information to the assisted to allow them to make choices informed (accountability).