ABSTRACT
The growth of health request points out the necessity to answer in a different way to the social-sanitary needs of the population, in order to guarantee and organize services focused on the person's needs, which must be highly appropriated, timely, efficacious, and characterized by an efficient administration of the resources. The Lombardy Region, adopting these suggestions, through the regional law 31/97, reorganized the Regional Health-Care System, basing on two essential elements: the persons' centrality and their chance to chose among the existing types of treatments. Since July 1st, 2003 also the home care service of Aziende Sanitarie Locali (Local Health Centre) in Lombardy, has substantially modified the previous organization, introducing the social-sanitary voucher, that allowed the "weak" patients, to buy the integrated social-sanitary assistance services, done by professionally qualified people, directly from accreditated firm by Regional Health-Care Service. The purpose of the descriptive research is to know, after three years since the beginning of this process, the situation in the fifteen Aziende Sanitarie Locali of Lombardy Region, through the analysis and the comparison of the adopted organization models. The data collecting is based on three sources: contacts with Lombardy Region; delivery of a questionnaire-interview to all the Aziende Sanitarie Locali; internet consultation. From the data processing it is evident that, to an only model suggested by the Lombardy Region, the thirteen Aziende Sanitarie Locali that answered to the questionnaire, adopted a polyhedric organizational choices, that, of courses, affect the characteristics and the way to supply the service.
