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L?assistenza domiciliare integrata. Un modello abbandonato per la long-term care

Author

Listed:
  • Enza Caruso

Abstract

L?assistenza domiciliare integrata (Adi) ? stata finanziata con consistenti risorse nel Pnrr con l?obiettivo di coprire il 10% degli anziani over 65. Nel 2024 i nuovi assistiti sono aumentati del 141% rispetto al 2019, contro il 26% della spesa Adi. I finanziamenti Pnrr sono ancora fermi nei bilanci regionali e il potenziamento dell?Adi ? avvenuto aumentando le prese in carico a bassa complessit?. In realt?, il servizio non garantisce un?assistenza continua e globale per i bisogni complessi della non autosufficienza, a causa della carente integrazione socio-sanitaria delle cure, mentre la riforma della Long-term Care ? sostenuta da finanziamenti insufficienti. Considerando l?elevata variabilit? dei costi unitari tra le regioni, appare urgente definire tariffe a livello nazionale basate sulla stratificazione del rischio dei pazienti e associate a standard di servizio, in modo da aumentare i livelli di complessit? dell?assistenza domiciliare verso i quali le Regioni dovrebbero convergere.

Suggested Citation

  • Enza Caruso, 2026. "L?assistenza domiciliare integrata. Un modello abbandonato per la long-term care," ECONOMIA E SOCIET? REGIONALE, FrancoAngeli Editore, vol. 2026(1), pages 13-35.
    • Handle: RePEc:fan:eseses:v:html10.3280/es2026-001002
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    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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