Enhancing patient accessibility of primary care: the redesign of Italian territorial medicine

Antonio Diglio (), Chiara Morlotti (), Giuseppe Bruno (), Mattia Cattaneo (), Stefano Paleari () and Carmela Piccolo ()
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Antonio Diglio: University of Naples Federico II
Chiara Morlotti: University of Bergamo
Giuseppe Bruno: University of Naples Federico II
Mattia Cattaneo: University of Bergamo
Stefano Paleari: University of Bergamo
Carmela Piccolo: University of Naples Federico II

Health Care Management Science, 2025, vol. 28, issue 3, No 9, 527-547

Abstract: Abstract Ensuring widespread accessibility of healthcare services is a crucial policy objective. Accordingly, the Italian National Recovery and Resilience Plan (NRRP) has prioritized territorial medicine, channeling post-pandemic investments toward the restructuring of primary care services. A notable change is the establishment of Community Healthcare Centers (CHCs). This paper investigates how CHCs contribute to the accessibility of healthcare in urban and rural areas. By leveraging a comprehensive dataset of general practitioners’ availability and estimating future demand-and-supply scenarios, we examine the impact of CHCs under two different capacity allocation strategies. Strategy 1—Capacity expansion—involves allocating additional service hours of general practitioners to CHCs in order to maximize accessibility. Strategy 2—Capacity redistribution—accounts for the persistent shortage of healthcare professionals faced by Italy in the recent years by reallocating a portion of general practitioners’ current services from their existing workplace locations to CHCs. Our results indicate that CHCs have the potential to maintain current accessibility levels and also enhance them in the years to come. Moreover, we demonstrate that simply redistributing the current capacity can improve future accessibility. Finally, we show that a mix of the capacity expansion and redistribution strategies (Strategy 3) can maximize accessibility in the future, limiting the need for new professional staff.

Keywords: Healthcare services; Healthcare management; Community healthcare centers; Primary care; General practitioners (search for similar items in EconPapers)
Date: 2025
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DOI: 10.1007/s10729-025-09721-x

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