title: [The Community Care as a model of social and health integration at the local level].
abstract: The article develops a hypothesis for improving primary care services through health care solutions that can exceed the models in use (essentially hierarchical and based on tasks) in favor of new relational, multi-sectoral and network approaches that could privilege the integration of social and health services at the regional and district level (Community care). A qualitative methodological approach which analyzes the role of social networks in Community care, some national and international experiences of primary care models and the evaluation of the different role given to primary care both in the hierarchical-pyramidal approach and in the horizontal one (network approach). Some Italian regions are experimenting effective organizational models of care such as Primary Care Teams, Primary Care Units, Regional teams, Departments of Primary Care, Houses of Health ... At international level, it should be mentioned the Chronic Care Model (CCM), recently identified by WHO as a reference model, and adopted by the Tuscany Region (Italy). People-centered health care projects need shared interventions by competent and functional multiprofessional teams: the best outcome for the patient depends on the good interaction between individuals. It's necessary that relationships between members of the group are based on interdependence, integration and consistency to avoid risks of group illusion.
authors.affiliation: Dirigente Infermieristico AUSL Rimini. Email address: luciana_ridolfi@hotmail.com.
authors.forename: Luciana
authors.initials: L
authors.lastname: Ridolfi
mesh_terms: D003153:Community Health Services; D019033:Delivery of Health Care, Integrated; D006801:Humans; D007558:Italy; D008962:Models, Theoretical; D011320:Primary Health Care / Q000592:standards*; D012944:Social Support