Giusti Martina, Beux Alessandro, Calandra Teresa, Lorusso Stefano, Gazzaniga Paolo Amilcare, Bonaccorsi Guglielmo, Greco Giuseppe, Persiani Niccolo
Department of Experimental and Clinical Medicine, University of Florence, Florence, Italy.
Centro Studi SAPIS Foundation, Italian National Federation of Orders of Radiographers and Technical, Rehabilitation, and Prevention Health Professions Research Centre, Rome, Italy.
Front Public Health. 2025 Jul 1;13:1603708. doi: 10.3389/fpubh.2025.1603708. eCollection 2025.
In 2021, the National Recovery and Resilience Plan (PNRR) outlined the foundational pillars for Italy's economic recovery following the COVID-19 pandemic. Within PNRR's Mission 6 "Health", guidelines were established to reform the Italian healthcare system, focusing on community-based services and digitalization. This ambitious reform aims to shift from a hospital-centred model to a patient-centred one that promotes integrated provision of social and healthcare services.
The lack of institutional working groups to incorporate input from all Italian recognized healthcare professionals into PNRR's implementation, the National Federation of Orders of Radiographers and Technical, Rehabilitative, and Prevention Health Professionals (FNO TSRM & PSTRP) addressed this gap by initiating a study.
The contributions from the 19 Italian Allied Health Professionals (AHPs) affiliated with the FNO TSRM & PSTRP were collected to identify priority areas and formulate actionable recommendations aimed at enhancing the organizational model of reformed Italian healthcare system outlined by the PNRR, which had been predominantly focused on nursing care.
Adopting a multi-professional and multidisciplinary approach could better address social and health needs of the population by leveraging the expertise of all registered Italian health professionals. This approach aligns Italian healthcare system with European standards, addressing issues such as task shifting and shortages in professional resources. Ultimately, this study provides concrete insights for Italian policymakers and healthcare leaders to foster greater inclusion of Italian AHPs in the design and implementation of the current and future reforms on national healthcare system.
2021年，《国家复苏与韧性计划》（PNRR）勾勒出了意大利在新冠疫情后经济复苏的基础支柱。在PNRR的“健康”使命6中，制定了改革意大利医疗体系的指导方针，重点关注社区服务和数字化。这项雄心勃勃的改革旨在从以医院为中心的模式转变为以患者为中心的模式，促进社会和医疗服务的综合提供。
由于缺乏将所有意大利认可的医疗专业人员的意见纳入PNRR实施的机构工作组，放射技师与技术、康复及预防健康专业人员国家联合会（FNO TSRM & PSTRP）通过开展一项研究填补了这一空白。
收集了隶属于FNO TSRM & PSTRP的19名意大利辅助医疗专业人员（AHP）的意见，以确定优先领域并制定可操作的建议，旨在加强PNRR所概述的意大利改革后医疗体系的组织模式，该模式此前主要侧重于护理。
采用多专业和多学科方法可以通过利用所有注册意大利医疗专业人员的专业知识更好地满足民众的社会和健康需求。这种方法使意大利医疗体系与欧洲标准保持一致，解决任务转移和专业资源短缺等问题。最终，本研究为意大利政策制定者和医疗领导者提供了具体见解，以促进意大利AHP更多地参与国家医疗体系当前及未来改革的设计和实施。
