Monitoraggio dell’impatto dei progetti regionali censiti e valutati in termini di miglioramento dell’assistenza fornita sul territorio “Assistenza H24 e riduzione degli accessi impropri al Pronto Soccorso”. Quali determinanti organizzativi e professionali di rilievo?

Translated title of the contribution: [Autom. eng. transl.] Monitoring the impact of the regional projects surveyed and assessed in terms of improving the assistance provided in the area "24-hour assistance and reducing improper access to the emergency room". What important organizational and professional determinants?

Gianfranco Damiani, Gualtiero Ricciardi, Giulia Silvestrini, Maria Donata Bellentani, Valentina Vena, Leonilda Bugliari Armenio, Sara Catania, Paolina Caputo, Angela Panuccio, Fulvio Moirano, Francesco Bevere, Gruppo Di Lavoro Interregionale Del Progetto

Research output: Contribution to journalArticle

Abstract

Monitoring the impact of regional projects selected and evaluated on the basis of improvement of primary healthcare provision “Around the clock healthcare services and reduction of inappropriate access to Accident and Emergency Departments”. Which are the major organizational and professional determinants? The Italian Health Ministry and Agenas monitor the impact of selected regional projects on primary healthcare services directed at non-urgent patients healthcare aiming to reduce inappropriate access to Accident & Emergency Departments (A&E). The goal of the project is to identify and evaluate the main organizational and professional determinants of around the clock healthcare services (ACHS) provision and drivers of reducing inappropriate attendances to A&E Departments. Inclusion criteria were chosen. A checklist was designed to identify professional and organizational deter- minants of projects. 93% of the projects involve out-of-hours Medical Services and 71% involve GPs; 93% deliver healthcare services 5/7 days; 29% provide ACHS and none provide care for less than 12 hours. The study suggests the analysis and monitoring methodology to evaluate results achieved by each project. A relevant role played by GPs group practice was shown. Further studies are needed to evaluate the impact of these organizational models.
Translated title of the contribution[Autom. eng. transl.] Monitoring the impact of the regional projects surveyed and assessed in terms of improving the assistance provided in the area "24-hour assistance and reducing improper access to the emergency room". What important organizational and professional determinants?
Original languageItalian
Pages (from-to)189-192
Number of pages4
JournalANNALI DI IGIENE MEDICINA PREVENTIVA E DI COMUNITÀ
Publication statusPublished - 2013

Keywords

  • Non urgent patient
  • Paziente non urgente
  • appropriateness
  • appropriatezza
  • assistenza primaria
  • primary health care

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