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Fostering the intersection between primary care and hospital: hints from a survey and the PRIME (PRIMary care-hospital Embedding) project

Published:November 03, 2022DOI:https://doi.org/10.1016/j.ejim.2022.10.023
      great debate is ongoing in Italy and in other countries about the challenges faced by primary care, among which its reduced efficacy and lack of workforce turnover [

      Rossi R.C. La crisi dei medici di famiglia. Corr Salut 2019.

      ,

      Somaschi M. 2022: la fine della medicina generale? - Quotidiano Sanità. Quotid Sanità 2022. https://www.quotidianosanita.it/lettere-al-direttore/articolo.php?articolo_id=102425 (accessed October 6, 2022).

      ,
      • Grumbach K.
      • Bodenheimer T.
      • Cohen D.
      • Phillips R.L.
      • Stange K.C.
      • Westfall J.M.
      Revitalizing the U.S. primary care infrastructure.
      ]. Some even envisage “the end of the family doctor” [
      • Cooney K.
      Has Covid-19 precipitated the end of the family doctor?.
      ]. As a matter of fact, the World Health Organization defines primary care as “the most equitable, effective, and cost-effective way to enhance the health of populations” and fosters an integrated and synergistic approach between primary care and hospital/secondary care, a view that we totally support [

      World Health Organisation. Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery 2016.

      ,

      World Health Organisation. Integrating health services. Tech Ser Prim Heal Care 2018:1–14.

      ,
      • De Lorenzo R.
      • Montagna M.
      • Bossi E.
      • Vitali G.
      • Taino A.
      • Cilla M.
      • et al.
      A pilot study of the efficacy and economical sustainability of acute COVID-19 patient management in an outpatient setting.
      ]. Lately however, in most countries hospitals have been the primary focus of healthcare expenditures with the aim of making them the core of the healthcare infrastructure.

      Keywords

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      References

      1. Rossi R.C. La crisi dei medici di famiglia. Corr Salut 2019.

      2. Somaschi M. 2022: la fine della medicina generale? - Quotidiano Sanità. Quotid Sanità 2022. https://www.quotidianosanita.it/lettere-al-direttore/articolo.php?articolo_id=102425 (accessed October 6, 2022).

        • Grumbach K.
        • Bodenheimer T.
        • Cohen D.
        • Phillips R.L.
        • Stange K.C.
        • Westfall J.M.
        Revitalizing the U.S. primary care infrastructure.
        N Engl J Med. 2021; 385: 1156-1158https://doi.org/10.1056/nejmp2109700
        • Cooney K.
        Has Covid-19 precipitated the end of the family doctor?.
        BMJ. 2022; 376https://doi.org/10.1136/bmj.o320
      3. World Health Organisation. Strengthening people-centred health systems in the WHO European Region: framework for action on integrated health services delivery 2016.

      4. World Health Organisation. Integrating health services. Tech Ser Prim Heal Care 2018:1–14.

        • De Lorenzo R.
        • Montagna M.
        • Bossi E.
        • Vitali G.
        • Taino A.
        • Cilla M.
        • et al.
        A pilot study of the efficacy and economical sustainability of acute COVID-19 patient management in an outpatient setting.
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