Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership
This working proposal aims to establish an Internal Medicine Network (IMN) model for the appropriate management of the poly-pathological complex patient in the different phases of his illness natural hystory. The IMN is based on an organization recalling the Hub and Spoke system already used for exi...
| Main Authors: | , |
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2016-10-01
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| Series: | Italian Journal of Medicine |
| Subjects: | |
| Online Access: | http://www.italjmed.org/index.php/ijm/article/view/764 |
| _version_ | 1797428618714939392 |
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| author | Filomena Pietrantonio Emilio Scotti |
| author_facet | Filomena Pietrantonio Emilio Scotti |
| author_sort | Filomena Pietrantonio |
| collection | DOAJ |
| description | This working proposal aims to establish an Internal Medicine Network (IMN) model for the appropriate management of the poly-pathological complex patient in the different phases of his illness natural hystory. The IMN is based on an organization recalling the Hub and Spoke system already used for existing specialized networks. The Internal Medicine Unit (IMU) is the natural destination of acutely ill patients suffering from systemic or multi-organ diseases. Three are the IMU specific tasks: i) to stabilize acute, severe, poly-pathologic and complex patients; ii) to develop difficult etiological diagnosis in these patients and in those who should necessarily be admitted to the hospital, not being possible, for different reasons, alternative routes; iii) to select the acute poly-pathological complex patient’s priorities. The expected results of a new model of integration system inside the IMN are: i) reduction and rationalization of expenditure in the medical area, increasing effectiveness, quality and safety guaranteeing patient centrality; ii) patients stratification based on characteristics of gravity, acute illness, estimated duration of hospitalization; iii) reduction of inappropriate hospital admissions ensuring connections between hospital and primary care units; iv) definition of different care pathways for patients hospitalized due to non-communicable diseases; v) implementation of new common medical records. The public-private partnership inside the IMN could be able to increase appropriateness reducing health costs. Patient-centered problems assessment, together with integration, cooperation, coordination and effective communication are some simple rules useful to achieve tangible results in a complex system and the IMN model represents its practical application. |
| first_indexed | 2024-03-09T09:01:28Z |
| format | Article |
| id | doaj.art-bcb8b460b87349829b0816102e195278 |
| institution | Directory Open Access Journal |
| issn | 1877-9344 1877-9352 |
| language | English |
| last_indexed | 2024-03-09T09:01:28Z |
| publishDate | 2016-10-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Italian Journal of Medicine |
| spelling | doaj.art-bcb8b460b87349829b0816102e1952782023-12-02T11:35:26ZengPAGEPress PublicationsItalian Journal of Medicine1877-93441877-93522016-10-01112859410.4081/itjm.2016.764582Internal medicine network: a new way of thinking hospital-territory integration and public-private partnershipFilomena Pietrantonio0Emilio Scotti1Internal Medicine Unit, Manerbio Hospital, ASST-Garda, Manerbio (BS)Acute Internal Medicine Unit, INI Research Institute and Clinic, Grottaferrata (RM)This working proposal aims to establish an Internal Medicine Network (IMN) model for the appropriate management of the poly-pathological complex patient in the different phases of his illness natural hystory. The IMN is based on an organization recalling the Hub and Spoke system already used for existing specialized networks. The Internal Medicine Unit (IMU) is the natural destination of acutely ill patients suffering from systemic or multi-organ diseases. Three are the IMU specific tasks: i) to stabilize acute, severe, poly-pathologic and complex patients; ii) to develop difficult etiological diagnosis in these patients and in those who should necessarily be admitted to the hospital, not being possible, for different reasons, alternative routes; iii) to select the acute poly-pathological complex patient’s priorities. The expected results of a new model of integration system inside the IMN are: i) reduction and rationalization of expenditure in the medical area, increasing effectiveness, quality and safety guaranteeing patient centrality; ii) patients stratification based on characteristics of gravity, acute illness, estimated duration of hospitalization; iii) reduction of inappropriate hospital admissions ensuring connections between hospital and primary care units; iv) definition of different care pathways for patients hospitalized due to non-communicable diseases; v) implementation of new common medical records. The public-private partnership inside the IMN could be able to increase appropriateness reducing health costs. Patient-centered problems assessment, together with integration, cooperation, coordination and effective communication are some simple rules useful to achieve tangible results in a complex system and the IMN model represents its practical application.http://www.italjmed.org/index.php/ijm/article/view/764Internal Medicine Networkpoly-pathological patientsintegrated careInternal Medicine core competenciesclinical data sharing. |
| spellingShingle | Filomena Pietrantonio Emilio Scotti Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership Italian Journal of Medicine Internal Medicine Network poly-pathological patients integrated care Internal Medicine core competencies clinical data sharing. |
| title | Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership |
| title_full | Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership |
| title_fullStr | Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership |
| title_full_unstemmed | Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership |
| title_short | Internal medicine network: a new way of thinking hospital-territory integration and public-private partnership |
| title_sort | internal medicine network a new way of thinking hospital territory integration and public private partnership |
| topic | Internal Medicine Network poly-pathological patients integrated care Internal Medicine core competencies clinical data sharing. |
| url | http://www.italjmed.org/index.php/ijm/article/view/764 |
| work_keys_str_mv | AT filomenapietrantonio internalmedicinenetworkanewwayofthinkinghospitalterritoryintegrationandpublicprivatepartnership AT emilioscotti internalmedicinenetworkanewwayofthinkinghospitalterritoryintegrationandpublicprivatepartnership |