The plan is there, on paper. Now it must be translated into concrete actions within the established time frame. Even if the difficulties are already emerging: the personnel will not be sufficient and the money has to be found.

The regional council (led by the vice-president Giuseppe Fasolino) has approved the "general provision for the planning of territorial assistance", which redesigns the island's health system. Seventy pages of programs for which deadlines have also been set.

There are two prerequisites for the design. The first: the Sardinian population is getting older. Two: "In such a vast and sparsely populated area", we read, "the road network is not adequately structured to guarantee a rapid connection between the various geographical areas, with an important impact on access to public services and in particular -sanitary”.

The main objective therefore is to bring doctors and the population closer and try not to make everyone end up in the hospital, therefore in the major centres.

The Region has set itself a deadline within which to conclude all the interventions: December 2026. But what does the plan consist of?

First of all, it aims at the "implementation of integrated patient management through the strengthening of hospital-territorial integration and the activation of care pathways".

It should happen through the "preparation of shared operational protocols for the development of models and tools to ensure continuity of care for the chronic patient and in particular during the transition between the different levels of assistance" and the "continuous training of multidisciplinary teams" .

Then further “community houses” will be created, ie “territorial auxiliary structures of the Regional Health Service, which collect the extra-hospital offer of the health service, integrated with the social service”. A further 55 are planned, compared to the 14 already existing: 50 to be financed through the Pnrr, while the remaining 5 through additional resources still to be found. They will also be the "privileged venue where, in the same physical space, the territorial services that provide health and social services are located, also providing for the presence of the primary care psychologist, within them as an ideal context for the creation of listening points".