意大利卫生区的特点及其对初级卫生保健政策的影响:社会人口趋势分析。

Elisa Gabrielli, Irene Schenone, Alessandro Roberto Cornio, Ambrogio Cerri, Marcello DI Pumpo, Anastasia Troia, Elena Sciurpa, Sara Fantini, Giovanni Paladini, Giorgio Sessa
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引用次数: 0

摘要

导言:卫生区(HD)是意大利国家卫生服务的重要组成部分,负责确保初级卫生保健(PHC)服务以满足社区卫生需求。意大利政府制定了一项国家战略改革计划,即 "国家恢复和复原计划"(PNRR),从 2022 年开始,采取一系列卫生干预措施来重组初级卫生保健机构,其中最主要的改革是第 77/2022 号部长令(DM77)。我们的研究旨在提供社会人口数据描述,并评估 HDs 之间的相关性,从而为初级保健改革中的保健干预优先事项提出建议:我们通过对多个来源的数据进行横截面记录链接来进行分析,以比较组织和社会人口变量。我们创建了一个数据集,其中包括意大利 21 个大区的人口、土地面积、平均年龄、老龄化指数、老年抚养比、出生率和死亡率等高清数据。从社会经济角度看,还整合了内陆地区项目数据:结果:考虑到人口、社会经济和地理方面的因素,我们的研究确定了具有可比性的房屋署群体。这项研究为了解意大利在实施 DM77 之前的情况提供了一个基线。研究还强调,居民人数不能成为定义意大利 HD 组织和初级保健改革的唯一考虑变量,研究提供了考虑到地理位置、人口数据和社会经济方面的相互关联的变量:通过认识人口、社会经济和地理因素的相互作用,政策制定者可以调整干预措施以满足不同的社区需求,从而确保建立一个更有效、更公平的初级保健系统。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Characteristics of the health districts in Italy and their implication in primary health care policies: an analysis of socio-demographic trends.

Introduction: The Health District (HD) is a critical component of Italy's National Health Service, responsible for ensuring Primary Health Care (PHC) services in response to community health needs. The Italian government established a national strategic reform program, the National Recovery and Resilience Plan (PNRR), starting in 2022, with a series of health interventions to reorganize the PHC setting, the main reform being the Ministerial Decree 77/2022 (DM77). Our study aimed to provide a description of socio-demographic data and to assess the correlation between HDs, in order to suggest health intervention priorities in PHC reforms.

Materials and methods: We conducted our analysis using a cross-sectional record linkage of data from multiple sources to compare organizational and socio-demographic variables. A dataset was created with each of the 21 Italian Regions' HDs data of population, land area, mean age, ageing index, old-age dependency ratio, birth rate and death rate. The Inland Areas Project data was integrated for a socio-economic perspective.

Results: Our study identified comparable groups of HDs, considering demographical, socio-economic and geographical aspects. The study provides a baseline understanding of the Italian situation prior to the implementation of DM77. It also highlights that inhabitants number cannot be the only variable to take into account for the definition of Italian HDs organisation and PHC reform, providing intercorrelated variables that take into account geographic location, demographic data, and socio-economic aspects.

Conclusion: By acknowledging the interplay of demographic, socio-economic, and geographic factors, policymakers can tailor interventions to address diverse community needs, ensuring a more effective and equitable PHC system.

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