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Integrated domiciliary care

What is Integrated domiciliary care?

Our National Health System guarantees vulnerable and care-dependent people suffering from ongoing diseases or their consequences the Integrated domiciliary care, which is the totality of medical and rehabilitative treatments and nursing interventions useful to stabilise the person’s clinical picture, limit their functional decline and improve their quality of life.

The new Ministerial Decree (DPCM LEA, January 12th 2017) defines the categories of citizens entitled to receive health and social assistance and also describes the scope and the care systems or facilities (home, institutions, day centres) in which health services (medical, nursing, psychological, rehabilitative, etc.) are provided and integrated with social benefits.

Domiciliary care (Article 22) is subdivided into 4 ascending levels of complexity, according to the type and level of assistance needed (from basic home care to advanced complex care).

Integrated domiciliary care is free and provided regardless of age and income.

What kind of activities?

Medi Care offers:

  • Medical assistance
  • Nursing assistance
  • Assistance with physiotherapy and speech therapy
  • Nursing and professional care support (providing personal care and assistance during meals).

Who is eligible for this service?

Integrated domiciliary care is for vulnerable people (newborns, children, adults and elderly people), individuals who are care-dependent or suffer from diseases that need domiciliary services and specialist care services and assistance.

Request for Integrated domiciliary care

The request for Integrated domiciliary care can be submitted to the local health authority (i.e. ASP) by:

  • The family doctor
  • The hospital
  • The social assistant
  • The patient or their family

Upon receipt of the request, ASP involves the General medical practitioner or the Pediatrician, in case they were not involved before, and carries out a thorough analysis of the patient’s psychophysical conditions with the support of a multidimensional evaluative Unit (i.e. Unità Valutativa Multidimensionale – UVM).

Once the assessment is complete, they will develop a personalised plan of assistance (i.e. Piano Assistenziale Individualizzato – PAI) that settles the necessary care and health actions to improve and restore the patient’s health. Upon receipt of the plan PAI, The Central operational office of Medi Care will send the workers to provide assistance.

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