Monitoraggio dell’impatto dei progetti regionali censiti e valutati in termini di miglioramento dell’assistenza fornita sul territorio “Assistenza H24 e riduzione degli accessi impropri al Pronto Soccorso”. Quali determinanti organizzativi e professionali di rilievo?

Monitoring the impact of regional projects selected and evaluated on the basis of improvement of primary healthcare provision “Around the clock healthcare services and reduction of inappropriate access to Accident and Emergency Departments”. Which are the major organizational and professional determinants? The Italian Health Ministry and Agenas monitor the impact of selected regional projects on primary healthcare services directed at non-urgent patients healthcare aiming to reduce inappropriate access to Accident & Emergency Departments (A&E). The goal of the project is to identify and evaluate the main organizational and professional determinants of around the clock healthcare services (ACHS) provision and drivers of reducing inappropriate attendances to A&E Departments. Inclusion criteria were chosen. A checklist was designed to identify professional and organizational deter- minants of projects. 93% of the projects involve out-of-hours Medical Services and 71% involve GPs; 93% deliver healthcare services 5/7 days; 29% provide ACHS and none provide care for less than 12 hours. The study suggests the analysis and monitoring methodology to evaluate results achieved by each project. A relevant role played by GPs group practice was shown. Further studies are needed to evaluate the impact of these organizational models.