Prestileo Tullio, Siracusa Lucia, Verdone Laura, La Rosa Giuseppe, Zimmerhofer Federica, Mazza Maria Grazia, Corrao Salvatore
Unità Operativa di Patologie Infettive nelle Popolazioni Vulnerabili e Centro Assistenza Stranieri, Dipartimento di Medicina Interna, ARNAS Ospedale Civico di Cristina Benfratelli, Palermo.
Associazione Nazionale per la Lotta all'AIDS (ANLAIDS) Sicilia, Immigrant Take Care Advocacy (I.Ta.C.A.) network, Palermo.
Epidemiol Prev. 2024 Jul-Oct;48(4-5):117-123. doi: 10.19191/EP24.4-5.S1.122.
This paper describes the experience carried out in a general hospital, implemented in collaboration with a city network of associations involved in the care of migrant populations. Considering the vulnerability of these populations, the difficulty of access to healthcare facilities, and the linguistic and cultural barriers, an organisational model was designed characterised by the concentration of highly complex care (hub centre) supported by a network of peripheral reception centres (spoke centres) responsible for selecting patients and sending them to the centre of reference with the aim of offering screening for sexually transmitted infections, tuberculosis, taking charge of pathologies, including non-infectious ones, treatment, and follow-up. The effectiveness of the model was measured in relation to the continuum of care and its effectiveness with reference to the Joint Commission International guidelines.