Evidence map›Paper›PMID 41369843›Full record

ReviewAging clinical and experimental research2025

The evolution toward integrated community health care for older people in Italy.

A Marengoni, A Zucchelli, A Padovani, E Belli, L Cajazzo, E Burato

Abstract readReview
In one paragraph

Review in Aging clinical and experimental research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

A MarengoniDepartment of Clinical and Experimental Sciences, University of Brescia, Viale Europa 11, Brescia, 25123, IT, Italy. alessandra.marengoni@unibs.it.
A ZucchelliDepartment of Clinical and Experimental Sciences, University of Brescia, Viale Europa 11, Brescia, 25123, IT, Italy.
A PadovaniDepartment of Clinical and Experimental Sciences, University of Brescia, Viale Europa 11, Brescia, 25123, IT, Italy.
E BelliPrimary Care Unit, ASST Spedali Civili Brescia, Brescia, Italy.
L CajazzoManagement Unit, ASST Spedali Civili Brescia, Brescia, Italy.
E BuratoManagement Unit, ASST Spedali Civili Brescia, Brescia, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The progressive aging of the Italian population and the increasing prevalence of multimorbidity and frailty call for a reorganization of health and social care services. In this paper we aim to critically examine Ministerial Decree 77/2022, within Mission 6 of the National Recovery and Resilience Plan, which establishes new models and standards for community-based care and offers an unique opportunity to deliver care that is closer to people's homes, fostering a holistic approach that combines clinical expertise, social support, and technological innovation. The reform places Community Houses and Health Districts at the core of integration between hospitals, general practitioners, and social services. The care of frail older adults relies on population stratification through validated tools, such as the Primary Care Frailty Index (PC-FI), and on the development of individualized care plans that integrate multidisciplinary interventions. Although general practitioners remain central in the health care system, geriatricians may play a pivotal role in multidimensional assessment, pharmacological management, health promotion, and the coordination of care teams. Telemedicine and digital tools support continuity of care and ensure traceability of clinical processes. Indicators of accessibility, equity, appropriateness, acceptability, and effectiveness are proposed, including the use of Patient-Reported Outcome and Experience Measures proposed for the evaluation of its impact. The reform's success will depend on overcoming methodological and operational barriers, reducing regional disparities, and ensuring that clinical expertise, social support, and technological innovation deliver measurable benefits for frail older adults.

Indexed as

Community Health ServicesDelivery of Health Care, IntegratedHealth Services for the AgedAgedAged, 80 and overFrail ElderlyFrailtyHumansItalyPrimary Health CareTelemedicineCommunity careCommunity houseFrailtyGeriatricianOlder personsPrimary care physician

Identifiers

PMID41369843
PMCPMC12775111

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.