Profound attention to those in need of treatment and those battling cancer. Thus, at the complex facility of the Nostra Signora di Bonaria hospital, directed by Giulia Gramignano, approximately 10,000 admissions and services were recorded in 2025 alone .
Last year, the 40 percent active mobility rate from other local health authorities (ASLs) for day hospital services was reached. Furthermore, 70 percent of check-up visits (follow-ups and initial visits) were successfully transferred from the hospital to the community thanks to the territorialization project launched between 2018 and 2024.
The data confirms the growth of the practice. Over 500 new patients are admitted each year , and particular attention is paid to the human and social aspects of the disease. Alongside the healthcare professionals, a psychologist and a social worker work closely with the care teams and are committed to supporting patients and their families.
"Innovation isn't just measured in the drugs we use or the technologies we purchase. It's also measured," explains Dr. Giulia Gramignano, "in the ability to build new organizational models that better meet patient needs. Bringing oncology to the community, maintaining the same specialized quality as the hospital and providing psychological and social support, has been our most important innovation. Treating cancer means caring for a person and their family —a model that integrates specialized expertise, psychological and social support, and a community network capable of providing quality care close to patients' homes. The goal is to ensure comprehensive care, because people's needs aren't just healthcare."
The Medio Campidano Local Health Authority's complex hospital-community oncology unit represents a cutting-edge model capable of integrating hospital care, community services, and palliative care. The oncology unit has developed a skills-based organization, where each oncologist is responsible for specific tumor pathologies and works within multidisciplinary teams within the organization and across organizations.
The path undertaken by the Medio Campidano Local Health Authority demonstrates how oncology can evolve toward a more sustainable, accessible model that meets the real needs of patients. The challenge is not just to provide treatment, but to support patients throughout their journey, reducing travel, leveraging local facilities, and building a care network capable of combining specialized expertise, proximity, and continuity of care.