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La presa in carico dei pazienti cronici in Lombardia: quale governance e quali indeterminatezze nel modello

Author

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  • Elisabetta Barzan
  • Francesco Longo
  • Francesco Petracca
  • Valeria Domenica Tozzi

Abstract

Il sistema sanitario lombardo ha recentemente avviato una serie di interventi normativi volti a riordinare l?assetto istituzionale e organizzativo dei propri servizi sanitari e socio-sanitari e il proprio modello di presa in carico della cronicita. L?architettura finale del sistema risulta tuttavia indeterminata, dipendendo fortemente dal livello di adesione allo schema degli attori delle cure primarie, dal peso sistemico che assumeranno gli erogatori pubblici e privati e dall?evoluzione del processo di integrazione e coordinamento che li vedra coinvolti. Questo elaborato si pone l?obiettivo di analizzare nel dettaglio le indeterminatezze del modello di presa in carico lombardo, discutendo per ognuna di esse le principali criticita emergenti e proponendo delle proposte di policy che possano supportare i policy makers nell?implementazione di azioni correttive finalizzate a favorire l?evoluzione del modello verso una configurazione che risponda efficacemente ai bisogni della collettivita.

Suggested Citation

  • Elisabetta Barzan & Francesco Longo & Francesco Petracca & Valeria Domenica Tozzi, 2017. "La presa in carico dei pazienti cronici in Lombardia: quale governance e quali indeterminatezze nel modello," MECOSAN, FrancoAngeli Editore, vol. 2017(103), pages 31-48.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2017-103003
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    References listed on IDEAS

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    1. Tsiachristas, Apostolos & Dikkers, Carolien & Boland, Melinde R.S. & Rutten-van Mölken, Maureen P.M.H., 2013. "Exploring payment schemes used to promote integrated chronic care in Europe," Health Policy, Elsevier, vol. 113(3), pages 296-304.
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