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How to promote changes in primary care? The Florentine experience of the House of Community

Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by...

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Autores principales: Milani, Chiara, Naldini, Giulia, Baggiani, Lorenzo, Nerattini, Marco, Bonaccorsi, Guglielmo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508287/
https://www.ncbi.nlm.nih.gov/pubmed/37732087
http://dx.doi.org/10.3389/fpubh.2023.1216814
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author Milani, Chiara
Naldini, Giulia
Baggiani, Lorenzo
Nerattini, Marco
Bonaccorsi, Guglielmo
author_facet Milani, Chiara
Naldini, Giulia
Baggiani, Lorenzo
Nerattini, Marco
Bonaccorsi, Guglielmo
author_sort Milani, Chiara
collection PubMed
description Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called “Houses of Community (HoC)”. The Florence LHD (Tuscany)—in direct collaboration with the University of Florence—has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a “permeable” multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services.
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spelling pubmed-105082872023-09-20 How to promote changes in primary care? The Florentine experience of the House of Community Milani, Chiara Naldini, Giulia Baggiani, Lorenzo Nerattini, Marco Bonaccorsi, Guglielmo Front Public Health Public Health Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called “Houses of Community (HoC)”. The Florence LHD (Tuscany)—in direct collaboration with the University of Florence—has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a “permeable” multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services. Frontiers Media S.A. 2023-09-05 /pmc/articles/PMC10508287/ /pubmed/37732087 http://dx.doi.org/10.3389/fpubh.2023.1216814 Text en Copyright © 2023 Milani, Naldini, Baggiani, Nerattini and Bonaccorsi. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Public Health
Milani, Chiara
Naldini, Giulia
Baggiani, Lorenzo
Nerattini, Marco
Bonaccorsi, Guglielmo
How to promote changes in primary care? The Florentine experience of the House of Community
title How to promote changes in primary care? The Florentine experience of the House of Community
title_full How to promote changes in primary care? The Florentine experience of the House of Community
title_fullStr How to promote changes in primary care? The Florentine experience of the House of Community
title_full_unstemmed How to promote changes in primary care? The Florentine experience of the House of Community
title_short How to promote changes in primary care? The Florentine experience of the House of Community
title_sort how to promote changes in primary care? the florentine experience of the house of community
topic Public Health
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10508287/
https://www.ncbi.nlm.nih.gov/pubmed/37732087
http://dx.doi.org/10.3389/fpubh.2023.1216814
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