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FrancoAngeli Journals

Materiali per la ricerca e l'approfondimento

No. 128 (2023)

Implications and challenges of the implementation of Decree DM 77/2022 in territorial healthcare: the case of the Alessandria Local Health Authority (ASL)

DOI
https://doi.org/10.3280/mesa2023-128oa18662
Submitted
ottobre 10, 2024
Published
2024-11-28

Abstract

Healthcare in Italy has undergone profound changes in recent years following the introduction of Ministerial Decree (DM) 77/2022 aimed at redefining the organization of territorial healthcare and enhancing the quality of services through digitization and integration of care. The Decree addresses crucial challenges related to the aging population and the increase in chronic diseases, promoting an Integrated Home Care (ADI) model that aims to reduce hospitalization, ensuring continuity of care and personalization of care directly at home.
This paper analyzes the implementation of DM 77/2022 in the Azienda Sanitaria Locale di Alessandria (ASL AL), highlighting how the reform is transforming territorial healthcare provision.
The case analysis examines the main operational challenges, and reflects on the central role of ASLs in balancing innovation with the concrete needs of the population in a context of profound structural reforms. The results highlight how the expansion of ADI has led to a significant improvement in care coverage, but also highlight critical issues related to resource management and implementation of the new facilities.
Finally, insights are offered to understand the impact of the reform and future implications for the Italian territorial health care system.

References

  1. Borgonovi E. (2018). Assistenza territoriale tra progettualità ed azione. Mecosan, 106: 3-9. DOI: 10.3280/MESA2018-106001.
  2. Cohen E., & Lindman I. (2024). Importance of continuity of care from a patient perspective – a cross-sectional study in Swedish health care. Scandinavian Journal of Primary Health Care, 42(1): 195-200. DOI: 10.1080/02813432.2023.2299119.
  3. Dalponte, F., & Longo, F. (2023). Assetti organizzativi dei servizi territoriali e specialistici. In Management della cronicità: logiche aziendali per una sanità a processi (pp. 209-225). Milano: Egea.
  4. Ingrosso M., Garofano M., Moi G., Prandi F., Ruozi C., Lonati F., Ferrari M. (2024). La transizione dalle Case della Salute alle Case della Comunità nel territorio parmense: primi passi di un percorso di accompagnamento. In: Ingrosso M., Percorsi verso le Case della Comunità: proposte e sperimentazioni. Perugia: Cultura e Salute Editore.
  5. Pirisi L., Reginato E. (2023) La digitalizzazione a supporto del processo di implementazione del nuovo modello di assistenza territoriale della ASL di Sassari, Mecosan: management ed economia sanitaria, 123: 149-165. DOI: 10.3280/mesa2022-123oa15599.
  6. Vaz N., & Araujo C. A. S. (2024). Service design for the transformation of healthcare systems: A systematic review of literature. Health Services Management Research, 37(3): 174-188. DOI: 10.1177/09514848231194846.
  7. Viale M., Maccagni L., Della Grazia A., Ciden F. (2023). Gestione della dimissione del paziente over 65 con frattura di femore: integrazione ospedale territorio. Polis Lombardia. -- Disponibile online: https://www.myecole.it/ooc/wp-content/uploads/2024/01/PW_Cideni-Della-Grazia-Maccagni-Viale.pdf.
  8. Williams B., Charleston R., Innes S., & McIver S. (2024). Understanding collaborative and coordinated care in a mental health and well‐being context: Essential elements for effective service integration. International Journal of Mental Health Nursing, 33(2): 397-408. DOI: 10.1111/inm.13244.

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