How to promote changes in primary care? The Florentine experience of the House of Community
Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2023-09-01
|
| Series: | Frontiers in Public Health |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1216814/full |
| _version_ | 1797692546603810816 |
|---|---|
| author | Chiara Milani Giulia Naldini Lorenzo Baggiani Marco Nerattini Guglielmo Bonaccorsi |
| author_facet | Chiara Milani Giulia Naldini Lorenzo Baggiani Marco Nerattini Guglielmo Bonaccorsi |
| author_sort | Chiara Milani |
| collection | DOAJ |
| description | Primary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called “Houses of Community (HoC)”. The Florence LHD (Tuscany)—in direct collaboration with the University of Florence—has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a “permeable” multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services. |
| first_indexed | 2024-03-12T02:29:13Z |
| format | Article |
| id | doaj.art-a415ffb3fb1149b9bf077737e8a86444 |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-03-12T02:29:13Z |
| publishDate | 2023-09-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-a415ffb3fb1149b9bf077737e8a864442023-09-05T09:52:28ZengFrontiers Media S.A.Frontiers in Public Health2296-25652023-09-011110.3389/fpubh.2023.12168141216814How to promote changes in primary care? The Florentine experience of the House of CommunityChiara Milani0Giulia Naldini1Lorenzo Baggiani2Marco Nerattini3Guglielmo Bonaccorsi4Department of Health Science, University of Florence, Florence, ItalyDepartment of District Healthcare Network, Azienda USL Toscana Centro, Florence, ItalyDepartment of District Healthcare Network, Azienda USL Toscana Centro, Florence, ItalyHealth Society of Florence, Florence, ItalyDepartment of Health Science, University of Florence, Florence, ItalyPrimary care (PC) has a central role in promoting health and preventing diseases, even during health emergencies. The COVID-19 pandemic has shown how strengthening comprehensive primary healthcare (c-PHC) services is key to ensuring community health. The Italian government decided to support PHC by investing resources from the Next Generation EU (NextGenEu) plan in the development of local health districts (LHDs) and local PC centers called “Houses of Community (HoC)”. The Florence LHD (Tuscany)—in direct collaboration with the University of Florence—has represented the experimental context in which a c-PHC-inspired organizational model has been proposed and included the HoC as the nearest access point to PC services. Through multiprofessional collaboration practices, HoCs provide continuity of care as well as health and social integration. Different levels of action must coexist to initiate, implement, and sustain this new PC model: the organizational and managerial level, the experimentation of a new model of care, and the research level, which includes universities and LHD through participatory research and action approaches. This process benefits from health professionals' (HPs) participation and continuous assessment, the care for working relationships between HPs and services, an appropriate research methodology together with a “permeable” multidisciplinary research group, and educational programs. In this context, the HoC assumes the role of a permanent laboratory of experimentation in PC, supporting the effectiveness of care and answering what the Next Gen EU plan has been foreseeing for the rethinking of Italian territorial services.https://www.frontiersin.org/articles/10.3389/fpubh.2023.1216814/fullprimary health care (MeSH)House of HealthHouse of Communitycollaborative practiceParticipatory Action Research (PAR)interprofessional education (IPE) |
| spellingShingle | Chiara Milani Giulia Naldini Lorenzo Baggiani Marco Nerattini Guglielmo Bonaccorsi How to promote changes in primary care? The Florentine experience of the House of Community Frontiers in Public Health primary health care (MeSH) House of Health House of Community collaborative practice Participatory Action Research (PAR) interprofessional education (IPE) |
| title | How to promote changes in primary care? The Florentine experience of the House of Community |
| title_full | How to promote changes in primary care? The Florentine experience of the House of Community |
| title_fullStr | How to promote changes in primary care? The Florentine experience of the House of Community |
| title_full_unstemmed | How to promote changes in primary care? The Florentine experience of the House of Community |
| title_short | How to promote changes in primary care? The Florentine experience of the House of Community |
| title_sort | how to promote changes in primary care the florentine experience of the house of community |
| topic | primary health care (MeSH) House of Health House of Community collaborative practice Participatory Action Research (PAR) interprofessional education (IPE) |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2023.1216814/full |
| work_keys_str_mv | AT chiaramilani howtopromotechangesinprimarycaretheflorentineexperienceofthehouseofcommunity AT giulianaldini howtopromotechangesinprimarycaretheflorentineexperienceofthehouseofcommunity AT lorenzobaggiani howtopromotechangesinprimarycaretheflorentineexperienceofthehouseofcommunity AT marconerattini howtopromotechangesinprimarycaretheflorentineexperienceofthehouseofcommunity AT guglielmobonaccorsi howtopromotechangesinprimarycaretheflorentineexperienceofthehouseofcommunity |