Lauria Laura, Bortolus Renata, Battilomo Serena, Lega Ilaria, Pizzi Enrica, Tamburini Cristina, Donati Serena
Centro nazionale per la prevenzione delle malattie e la promozione della salute, Istituto superiore di sanità, Roma.
Direzione generale della prevenzione sanitaria, Ministero della salute, Roma.
Epidemiol Prev. 2021;45(5):331-342. doi: 10.19191/EP21.5.A001.096.
in 2017, the Italian Ministry of Health funded the project "Analysis of the activities of the network of the Family Care Centers (FCCs) to relaunch their role" aimed at updating the state of the art of the national FCCs. The project was coordinated by the Italian National Institute of Health (INIH). The present paper focuses on a selection of the project's results.
to describe some characteristics of the regional and Local Health Unit governance of the FCCs, and the care offered by the FCCs in different fields of activity.
online census survey on three organizational levels of the FCCs: regional governance, coordination at the Local Health Unit level, and at the single FCC level. Data were collected through dedicated web forms via a national network of reference professionals.
all the Italian Regions and Autonomous Provinces, 207 Local Health Unit coordinators, and 1,859 FCC's professionals were involved. Nineteen Regions (response rate: 100%), 183 coordinators (response rate: 88.4%), and 1,557 FCCs professionals (response rate: 83.7%) participated in the survey.
the project found a lack of FCCs and of FCCs health professionals throughout the country compared to the national reference standards for these services, and a great interregional variability in the FCCs governance. Women's health according to a life-course approach is the centre of the FCCs activities, although assistance modalities differ by geographic area.
to relaunch the FCCs role, it is urgent to strengthen their network throughout the country, their multidisciplinary teams, and their integration with other social and health services.
2017年,意大利卫生部资助了“家庭护理中心(FCCs)网络活动分析以重新发挥其作用”项目,旨在更新全国FCCs的现状。该项目由意大利国家卫生研究所(INIH)协调。本文重点关注该项目的部分成果。
描述FCCs在地区和地方卫生部门管理方面的一些特征,以及FCCs在不同活动领域提供的护理服务。
针对FCCs的三个组织层面进行在线普查:地区管理、地方卫生部门层面的协调以及单个FCC层面。数据通过专门的网络表格,经由全国参考专业人员网络收集。
涉及意大利所有地区和自治省、207名地方卫生部门协调员以及1859名FCC专业人员。19个地区(回复率:100%)、183名协调员(回复率:88.4%)以及1557名FCC专业人员(回复率:83.7%)参与了调查。
该项目发现,与这些服务的国家参考标准相比,全国范围内FCCs及其卫生专业人员短缺,且FCCs管理存在很大的地区差异。基于生命历程方法的妇女健康是FCCs活动的核心,尽管不同地理区域的援助方式有所不同。
为重新发挥FCCs的作用,迫切需要在全国范围内加强其网络、多学科团队以及与其他社会和卫生服务的整合。