Community Health Centres in Tuscany Region (Casa della Salute)P. Salvadori, Local Health Authority of Empoli, lorence, Italy p.salvadori@usl11.toscana.it

Purpose: Tuscan region has the goal of having, at least, 120 Community Health Centres (CHCs) in the coming years. Obviously we can't have a CHC for each of the current 280 municipalities. In fact probably the larger municipalities will also have more than 1 CHC and smaller ones anyone.

Context: a CHC is a building with integrated health and social services. It contains, at least, the following services:

1.family and pediatric medicine, 2.nursing, 3.administrative personnel, the latter through the direct presence of medical specialists or telemedicine.State of the art: the CHCs open are 36.

4.social care 5.specialist care

open 7/7 days; 55%

open 6/7 days; 30%

open 24/24 h.; 22%

with 1° level diagn.; 92%

with telemed.; 22%

with CCM; 78%

with fist aid; 20%

0%

10%

20%

30%

40%

50%

60%

70%

80%

90%

100%

Statement for debate: the increase of chronic diseases can only be faced with this type of integrated structures, in which to develop the proactive medicine and the Chronic Care Model. We need, therefore, that all countries, in opposite to an acute care hospital, develop CHCs in territory and form an alliance between CHCs.

Citizens in charge to a CHC have -6 % of hospital inpatients admissions, with a savings of 18 € / year / person