Development of an Integrated Transitional Care Model: The Case of AOU Sant’Andrea, ASL Roma 1, ASL Roma 4, and ASL Roma 5

Journal title MECOSAN
Author/s Andrea Barbara, Ilaria Mussetto, Camilla Cipolla, Roberta Mochi, Maria Franca Mulas, Angelica Zazzera, Daniela Donetti, Giuseppe Quintavalle
Publishing Year 2024 Issue 2023/128
Language Italian Pages 19 P. 233-251 File size 0 KB
DOI 10.3280/mesa2023-128oa18673
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The Ministerial Decree no. 77 of 2022 introduced significant organizational innovations in territorial healthcare, such as the Local Operational Centers for remote assistance (LOCs), aimed at improving care continuity between hospitals and primary care. The study examines the development of an integrated model for transitional care in the Lazio Region, focusing on the case of AOU Sant’Andrea and ASL Roma 1, Roma 4, and Roma 5, exploring the operational model, challenges, and preliminary outcomes, highlighting the crucial role of LOCs in ensuring a smooth and coordinated care pathway. Early results showimprovements in reducing hospital stay times and increased patient satisfaction, presenting a replicable model for national implementation.

Keywords: ; Transitional care; Lazio Region; Hospital; Primary care; Continuity of Patient Care; Management

Andrea Barbara, Ilaria Mussetto, Camilla Cipolla, Roberta Mochi, Maria Franca Mulas, Angelica Zazzera, Daniela Donetti, Giuseppe Quintavalle, Lo sviluppo di un modello integrato di cure di transizione: il caso delle aziende AOU Sant’Andrea, ASL Roma 1, ASL Roma 4 e ASL Roma 5 in "MECOSAN" 128/2023, pp 233-251, DOI: 10.3280/mesa2023-128oa18673