Family nurse practitioners, primary care and chronicity/frailty
Veronica Banfi (Administrative Office )
The approval of the regional social-health reform is questioning the profession on new career paths, new experiments to be performed to show the nursing ability to provide appropriate, economically sustainable – even better, convenient - responses to the ever growing needs of chronicity. In this scenario, the commission will be engaged with projects that may test the family nurse figure, who would deal with the assistance, in collaboration with the family doctor, working in a specific portion of the territory/district, such as the neighbourhood of a big city.
The commission will collaborate in regional working groups set up to investigate the role and functions of this professional, as well as the remuneration aspects. The identification of a "patient care" rate that does not covers the individual performance, but rather the entire patient clinical path in terms of continuity of care and adequacy of therapy is being considered.
The profession is now ready to experience a new path that makes integration and multidisciplinary a key strength. In fact, the family nurse – as professional responsible for the specialist nursing care delivered in the territory – must take care of the whole person with the autonomous management of needs.
Nurses may take care of patients directly at home, thus reducing ER visits, hospitalisations and health costs.
A test was started on a small scale with the “Accompanying-Listening” IPASVI Project in Milan, where Family Nurses worked on suburb districts, as provided for in the Objective 21 of WHO.
This transition towards local care processes with caring and follow-up of chronicity/disability will promote the maintenance of employment levels.