Home care and short-run nursing homes: organizational aspects of their integration with oncological organizations.
Social-health care to oncological elderly patients implies interconnection among oncological hospital and sub-district services and acknowledgement of a sole access channel. The project requires the formation of an inter-administrative coordination group and of functional transmural units with evaluational and operative roles. Various care levels (protected hospital admission and discharge, continuity visits, evaluational-therapeutic integration during treatment, palliative cures) implicate specific criterion of eligibility and actions to rationalize organization, coordination and distribution of interventions. Efficiency and effectiveness depend on integration with the services that supply material and with the diagnostic and ambulatory ones. The mid-term prospectives of the integration regard computerization of diagnostic, therapeutic, care and rehabilitation courses of patients (Regional Computerized Register of Disability) and formation of polyfunctional centres that concern home, residential and hospital intervention. Powerful technological instruments and the new organizational forms now available should encourage the formation of a morally upright society.
Zavaroni
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C
Programming and Planning Area, Regional Health Authority of Friuli Venezia Giulia, Udine, NE, Italy. carlo.zavaroni@sanita.fvg.it
D000368:Aged; D000369:Aged, 80 and over; D003266:Continuity of Patient Care / Q000458:organization & administration; D019033:Delivery of Health Care, Integrated; D017408:Guidelines as Topic; D006299:Health Services for the Aged / Q000458:organization & administration; D018575:Home Care Services, Hospital-Based / Q000458:organization & administration*; D006801:Humans; D007558:Italy; D009369:Neoplasms / Q000628:therapy; D009735:Nursing Homes / Q000458:organization & administration*; D016522:Oncology Service, Hospital / Q000458:organization & administration*