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Internal and Emergency Medicine

, Volume 8, Issue 7, pp 595–599 | Cite as

Continuity of care: an Italian clinical experience

  • Roberto TarquiniEmail author
  • Davide Coletta
  • Gianluigi Mazzoccoli
  • Gian Franco Gensini
IM - ORIGINAL

Abstract

Recently, there is a growing interest in the concept of “continuity of care,” since patients, being older and more complex, are increasingly seen by an array of providers in a wide variety of organizations and places. Different models of continuity of care have been proposed, yet no single model of care coordination has been proven to be universally applicable across patient (and disease) populations. In the present paper, we introduce a novel model of continuity of care, the Ospedale Santa Verdiana, in Castelfiorentino (Tuscany, Italy), and its first period (1 year) of implementation, since January 2010. There are two main cornerstones: (a) the clinical and urgent need to bridge the gap between primary care and hospital care; and (b) the development and implementation of a model of continuity and coordination of care, which target the so-called complex patient. It is not specific for a single disease but it works “across diseases.” There are three driving forces: (a) “primary care” since one of the two Hospital Coordinators is a primary care physician; (b) “hospital care” since patients in the decompensated phase often require hospitalization; and (c) the “University of Florence”, which is the “glue”. The duties of the Hospital Coordinator, who is an assistant professor at University of Florence, are to guarantee an efficacious and dynamic communication between primary care physicians and hospitalists, and by creating a school for practitioners of the continuity and coordination of care, to make this model exportable.

Keywords

Continuity of care Health organization Quality of care 

Notes

Conflict of interest

None.

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Copyright information

© SIMI 2012

Authors and Affiliations

  • Roberto Tarquini
    • 1
    Email author
  • Davide Coletta
    • 1
  • Gianluigi Mazzoccoli
    • 3
  • Gian Franco Gensini
    • 2
  1. 1.Department of Continuity for AssistanceCastelfiorentino, University of FlorenceFlorenceItaly
  2. 2.Heart and Vessel DepartmentAzienda Ospedaliero-Universitaria Careggi, University of FlorenceFlorenceItaly
  3. 3.Department of Internal Medicine and Chronobiology UnitScientific Institute and Regional General Hospital Casa Sollievo della Sofferenza, S. Giovanni RotondoFoggiaItaly

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