Position paper sulle politiche per la cronicità e sugli interventi per la gestione dello scompenso cardiaco

Journal title MECOSAN
Author/s Valeria Tozzi, Angelica Zazzera, Lucia Ferrara, Paolo Bordon, Immacolata Cacciapuoti, Manlio Cipriani, Giovanni De Luca, Maria Rosaria Di Somma, Marco Gabbianelli, Domenico Gabrielli, Maria Cristina Ghiotto, Francesco Locati, Isabella Mastrobuono, Luca Merlino, Lorenzo Roti, Paolo Tecleme
Publishing Year 2020 Issue 2019/111
Language Italian Pages 29 P. 83-111 File size 387 KB
DOI 10.3280/MESA2019-111005
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The work represents a position paper on chronic diseases policies and management models. It is the result of a Consensus Conference with 14 stakeholders that took place between October and November 2018. After an analysis of chronic diseases policies in 10 Italian regions, the paper focuses on management models for one specific chronic disease, heart failure, around which the regional intervention has centred. This paper aims at: 1) ascertain the state of the art of Italian policies on chronic diseases by mapping regional plans, programs and projects; 2) understand the main trends affecting policies on chronic diseases and heart failure, through a compared analysis of the mapped legislation; 3) identify the characteristics of regional projects related to chronic disease management and, where available, to hearth failure management through the selection of those representing regional tendencies. Our findings show that chronic diseases are developing according to some trends including demand management, comorbidity and frailty management and management of service usage. The paper ends with 8 statements representing the point of view of the expert panel group who took part to the Consensus Conference.

Keywords: Regional policy, chronic diseases, hearth failure, regional projects, chronic diseases management, management models.

  1. Barr V.J., Robinson S., Marin-Link B., Underhill L., Dotts A., Ravensdale D. & Salivaras S. (2003). The expanded Chronic Care Model: an integration of concepts and strategies from population health promotion and the Chronic Care Model. Healthcare Quarterly, 7(1).
  2. Barzan E., Longo F., Petracca F., Tozzi V.D. (2017). La presa in carico dei pazienti cronici in Lombardia: quale governance e quali indeterminatezze nel modello. Mecosan, 103: 31-48.
  3. CEIS – Centre for Economic and International Studies (2017). The “Double Expansion of Morbidity” Hypothesis: Evidence from Italy.
  4. Chen H. (2012). Theory-driven evaluation: Conceptual framework, application and advancement. In: Strobl R., Lobermeier O., Heitmeyer W. (eds). Evaluation von Programmen und Projekten für eine demokratische Kultur. Wiesbaden: Springer VS.
  5. Ciani O., Federici C., Furnari A., Tarricone R. (2018). Gli esiti del Servizio Sanitario Nazionale. In: Cergas Bocconi (a cura di). L’aziendalizzazione della Sanità in Italia. Rapporto OASI 2018. Milano: Egea.
  6. Fattore G., Morando V., Tozzi D.V. (2018). Governo della domanda e Population Health Management: Regioni a confronto nell’utilizzo di database amministrativi e nelle scelte di policy e management. In: Cergas Bocconi (a cura di). L’aziendalizzazione della Sanità in Italia. Rapporto OASI 2018. Milano: Egea.
  7. Ferrara L., Morando V., Tozzi V.D. (2017). Configurazioni aziendali e modelli di transitional care: la gestione della continuità ospedale-territorio. In: Cergas Bocconi (a cura di). L’aziendalizzazione della Sanità in Italia. Rapporto OASI 2017, Capitolo 12. Milano: Egea.
  8. Istituto Nazionale di Statistica (2018). Annuario Statistico Italiano 2018. -- Disponibile al sito: https://www.istat.it/it/files/2018/12/Asi-2018.pdf. Ultimo accesso 10 dicembre 2018.
  9. Istituto Superiore di Sanità (2013). Manuale metodologico: come organizzare una conferenza di consenso. -- Disponibile al sito: http://www.psy.it/wp-content/uploads/2018/02/Manuale-Metodologico-Consensus.pdf.
  10. Lega F. (2012). La gestione del cambiamento strategico nelle Aziende Sanitarie Pubbliche. In: Strategia e performance management nelle Aziende Sanitarie Pubbliche. Milano: Egea, pp. 81-88.
  11. McAlister F.A., Lawson F.M.E., Teo K.K., Armstrong P.W. (2001). A systematic review of randomized trials of disease management programs in heart failure. Am J Med, 110: 378-384.
  12. Search date 1999; primary sources Medline, Embase, Cinahl, Sigle, Cochrane Controlled Trials Register, the Cochrane Effective Practice and Organization of Care Study Register, hand searches of bibliographies of identified studies, and personal contact with content experts.
  13. Ministero della Salute, Direzione Generale della Programmazione Sanitaria (2016). Piano Nazionale della Cronicità. -- Disponibile al sito: http://www.salute.gov.it/imgs/C_17_pubblicazioni_2584_allegato.pdf.
  14. Morando V. & Tozzi V.D. (2016). Lo zibaldone delle cure intermedie. In: Cergas Bocconi (a cura di). Rapporto OASI 2016. Milano: Egea.
  15. Naylor M.D., Aiken L.H., Kurtzman E.T., Olds D.M. & Hirschman K.B. (2011). The importance of transitional care in achieving health reform. Health affairs, 30(4): 746-754.
  16. Rapporto ISTAT sulla mortalità in Italia (2017). -- https://www.istat.it/it/archivio/199352.
  17. Rapporti ISTISAN 10/43 (2010). -- http://old.iss.it/binary/publ/cont/dieci43web.pdf.
  18. Tedeschi P. & Tozzi V. (2004). Il governo della domanda: tutela della salute, committenza, programmazione-acquisto-controllo. Milano: McGraw-Hill.
  19. Tozzi V.D., Pacileo G., Morando V. & Blasi F. (2015). Population health management: Il caso della broncopneumopatia cronica costruttiva (BPCO). Milano: Egea.
  20. World Health Organization (2006). Gaining Health: The European Strategy for the Prevention and Control of Noncommunicable Diseases. -- Disponibile al sito: http://www.euro.who.int/__data/assets/pdf_file/0008/76526/E89306.pdf

Valeria Tozzi, Angelica Zazzera, Lucia Ferrara, Paolo Bordon, Immacolata Cacciapuoti, Manlio Cipriani, Giovanni De Luca, Maria Rosaria Di Somma, Marco Gabbianelli, Domenico Gabrielli, Maria Cristina Ghiotto, Francesco Locati, Isabella Mastrobuono, Luca Merlino, Lorenzo Roti, Paolo Tecleme, Position paper sulle politiche per la cronicità e sugli interventi per la gestione dello scompenso cardiaco in "MECOSAN" 111/2019, pp 83-111, DOI: 10.3280/MESA2019-111005