
Figure 1
Stages for the management of chronic patients: macro-process and macro-activities [NCP, 2016].
Table 1
Current regional projects within the 3 macro-trends.
| DEMAND MANAGEMENT | MULTI-MORBIDITY AND FRAILTY | ORGANIZATION OF PATIENT JOURNEY | ||||
|---|---|---|---|---|---|---|
| REGION | PHM | AGREEMENTS WITH GPS | CHC PRIMARY CARE | INTERMEDIATE CARE | TRANSITIONAL CARE | EHEALTH |
| Basilicata | X | |||||
| Emilia Romagna | X | X | X | X | X | |
| Lazio | X | X | ||||
| Lombardy | X | X | X | X | ||
| AP Trento | X | X | ||||
| Puglia | X | X | X | X | ||
| Sardinia | X | X | ||||
| Sicily | X | X | X | |||
| Tuscany | X | X | X | X | ||
| Veneto | X | X | X | X | X | X |
