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Territorial care, how Sardinia redesigns community hospitals

More beds and a more widespread network across all Asl to cope with an ageing population: updated map of intermediate facilities in the Recovery and Resilience Plan

by Davide Madeddu

 (Photo by Marco Ottico/LaPresse)

2' min read

Translated by AI
Versione italiana

2' min read

Translated by AI
Versione italiana

Green light in Sardinia for the planning of community hospitals. The approval comes from the regional executive with the approval of the updated planning of community hospitals, within the framework of the broader reorganisation of territorial care envisaged by Ministerial Decree No. 77 and financed through the resources of the National Research Programme - Mission 6 Health.

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The measure redefines the distribution and number of beds in intermediate facilities throughout the region, with the aim of responding more effectively to the needs of a population characterised by a high ageing rate and a growing incidence of chronic diseases.

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"With this act, we are concretely strengthening proximity healthcare, building a more solid territorial network capable of responding to the real needs of citizens," said Region President Alessandra Todde, who is in charge of healthcare. The community hospitals represent a fundamental element in guaranteeing continuity of care, reducing improper admissions, and improving the quality of care throughout Sardinia'.

More beds

The new planning 'aims to gradually increase the number of beds, exceeding the minimum targets set at national level and reaching up to 0.3 beds per thousand inhabitants, in order to guarantee a greater capacity for taking care of post-acute patients and to decongest acute hospitals'.

Widespread Network

The plan updates the location of community hospitals on a territorial basis, defining a widespread network for all eight local health authorities. For each territory, the operating sites are identified, often within existing hospital wards or reconverted health facilities, and the relative allocation of beds, with funding mainly from the Pnrr. The distribution involves the entire island. In Northern Sardinia (Asl of Sassari and Gallura), facilities are planned in Sassari, Ozieri, Ittiri, Olbia, La Maddalena and Tempio Pausania; in the inland areas (Nuoro and Ogliastra) in Nuoro, Macomer, Sorgono and Lanusei. In the Centre-West (Oristano and Medio Campidano) in Ghilarza, Bosa and San Gavino. In the South (Sulcis Iglesiente and Cagliari) in Iglesias, Cagliari, Muravera and Isili.

"The model envisages both the re-use of already existing facilities, such as the Binaghi and Marino hospitals in Cagliari or the San Camillo in Sassari," the Region emphasises, "and the activation or completion of new sites, some of which have yet to be financed, thus guaranteeing homogeneous coverage close to the citizens, even in the most disadvantaged and inland areas. Overall, the planning defines a structured territorial network of intermediate care beds distributed throughout the region, with the aim of strengthening post-acute care and reducing the pressure on acute hospitals'. Then there is the activation of dedicated discharge modules (discharge rooms) in the main hospitals, to favour continuity of care and reduce the time spent in the wards.

Stronger Territory

"The intervention is part of an overall strategy to strengthen territorial assistance, in integration with the Community Homes and the Territorial Operations Centres, with the aim of improving the appropriateness of care paths and relieving the pressure on emergency rooms and hospitals," the Region concluded. The resolution will now be transmitted to the Regional Council for the acquisition of the opinion of the competent Commission, a step required by current legislation, before the final approval of the measure'.

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