Primary Care Office - Veneto Region, Palazzo ex INAM - Rio Novo - Dorsoduro, 3493, 30123 Venezia, Italy.
Primary Care Office - Veneto Region, Palazzo ex INAM - Rio Novo - Dorsoduro, 3493, 30123 Venezia, Italy.
Health Policy. 2018 Nov;122(11):1149-1154. doi: 10.1016/j.healthpol.2018.08.008. Epub 2018 Sep 3.
This paper aims to illustrate the development of the Veneto Region's (Italy) new primary care model and to report on the preliminary results.
Achieving integrated management and continuity of care are the two main aims of the Veneto Region's health planning legislation for 2012-2016. Under this framework, and to meet new emerging population needs, it has become necessary to adopt a new primary care model that embraces multi-professional teams. In response the Veneto Region has developed the Integrated Medical Group (IMG), launched in 2016. The Integrated Medical Group is an innovative model at both the regional and national level and represents a key element of the health care system. It targets several goals: it provides more effective care than in the past; guarantees services within the region while optimizing the use of resources, through integrated patient care and its accompanying care pathways; it builds dialogue between hospitals and community based primary care services; develops relationships of trust between doctors and patients, pursuing shared team goals and enhances the different skills and roles of their constituent members. Regional legislation sets challenging objectives, stating that by the end 2017, 60% of all GPs in the region should conduct their activities as part of an IMG, with a further target of 80% by the end 2018.
本文旨在阐述意大利威尼托地区（Veneto Region）新的初级保健模式的发展，并报告初步结果。
实现综合管理和医疗连续性是威尼托地区 2012-2016 年卫生规划立法的两个主要目标。在此框架下，为了满足新出现的人口需求，有必要采用一种新的初级保健模式，该模式涵盖多专业团队。威尼托地区对此做出了回应，于 2016 年推出了综合医疗小组（Integrated Medical Group，IMG）。综合医疗小组在地区和国家层面都是一种创新模式，是医疗保健系统的关键要素。它有几个目标：提供比以往更有效的护理；在保证区域内服务的同时，通过整合患者护理及其伴随的护理路径来优化资源利用；在医院和社区初级保健服务之间建立对话；在共同的团队目标下发展医生和患者之间的信任关系，提升其成员的不同技能和角色；并加强信任关系。地区立法设定了具有挑战性的目标，规定到 2017 年底，该地区 60%的全科医生应作为综合医疗小组的一部分开展活动，到 2018 年底，这一比例进一步提高到 80%。
