L'assistenza sanitaria alla popolazione anziana in Italia: Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano)

Translated title of the contribution: Health care for older people in Italy: The U.L.I.S.S.E. project (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano - a computerized network on health care services for older people)

F. Lattanzio, C. Mussi, E. Scafato, C. Ruggiero, G. Dell'Aquila, M. G. Cupido, C. Pedone, F. Mammarella, L. Galluzzo, G. Salvioli, U. Senin, P. U. Carbonin, R. Bernabei, Antonio Cherubini

Research output: Contribution to journalArticle

Abstract

Introduction. The U.L.I.S.S.E. study is an observational multicenter prospective 1-year study aimed at describing older patients cared for in hospitals, home care or nursing homes in Italy. Methods. Overall, 23 acute geriatric or internal medicine hospital units, 11 home care services and 31 nursing homes participated in the study. The only exclusion criterion was age lower than 65 years. The patient's evaluation was performed using comprehensive geriatric assessment instruments, i.e. the interRAI Minimum Data Set, while data on service characteristics were recorded using ad-hoc designed questionnaires. Results. The older subjects who are in need of acute and long term care in Italy have similar characteristics: mean age is higher than 80 years, they have a high level of disability in ADL, complex multimorbidity, and receive several drugs. The prevalence of cognitive impairment is especially high in nursing homes, where almost 70% of residents suffer from it and 40% have severe impairment. On the other hand, there is a shortage of health care services, which appear heterogeneous and fragmented. Discussion. Health care services for older people in Italy are currently inadequate to manage the complexity of older patients. An important effort should be undertaken to create a more integrated health care system.

Original languageItalian
Pages (from-to)147-154
Number of pages8
JournalGiornale di Gerontologia
Volume59
Issue number3
Publication statusPublished - 2011

Fingerprint

Nursing Homes
Italy
Health Services
Home Care Services
Delivery of Health Care
Integrated Delivery of Health Care
Home Nursing
Geriatric Assessment
Hospital Units
Long-Term Care
Activities of Daily Living
Internal Medicine
Geriatrics
Observational Studies
Comorbidity
Pharmaceutical Preparations

ASJC Scopus subject areas

  • Ageing
  • Geriatrics and Gerontology

Cite this

L'assistenza sanitaria alla popolazione anziana in Italia : Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano). / Lattanzio, F.; Mussi, C.; Scafato, E.; Ruggiero, C.; Dell'Aquila, G.; Cupido, M. G.; Pedone, C.; Mammarella, F.; Galluzzo, L.; Salvioli, G.; Senin, U.; Carbonin, P. U.; Bernabei, R.; Cherubini, Antonio.

In: Giornale di Gerontologia, Vol. 59, No. 3, 2011, p. 147-154.

Research output: Contribution to journalArticle

Lattanzio, F, Mussi, C, Scafato, E, Ruggiero, C, Dell'Aquila, G, Cupido, MG, Pedone, C, Mammarella, F, Galluzzo, L, Salvioli, G, Senin, U, Carbonin, PU, Bernabei, R & Cherubini, A 2011, 'L'assistenza sanitaria alla popolazione anziana in Italia: Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano)', Giornale di Gerontologia, vol. 59, no. 3, pp. 147-154.
Lattanzio, F. ; Mussi, C. ; Scafato, E. ; Ruggiero, C. ; Dell'Aquila, G. ; Cupido, M. G. ; Pedone, C. ; Mammarella, F. ; Galluzzo, L. ; Salvioli, G. ; Senin, U. ; Carbonin, P. U. ; Bernabei, R. ; Cherubini, Antonio. / L'assistenza sanitaria alla popolazione anziana in Italia : Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano). In: Giornale di Gerontologia. 2011 ; Vol. 59, No. 3. pp. 147-154.
@article{f665b4223cb44f8683c008e8a8fe84a6,
title = "L'assistenza sanitaria alla popolazione anziana in Italia: Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano)",
abstract = "Introduction. The U.L.I.S.S.E. study is an observational multicenter prospective 1-year study aimed at describing older patients cared for in hospitals, home care or nursing homes in Italy. Methods. Overall, 23 acute geriatric or internal medicine hospital units, 11 home care services and 31 nursing homes participated in the study. The only exclusion criterion was age lower than 65 years. The patient's evaluation was performed using comprehensive geriatric assessment instruments, i.e. the interRAI Minimum Data Set, while data on service characteristics were recorded using ad-hoc designed questionnaires. Results. The older subjects who are in need of acute and long term care in Italy have similar characteristics: mean age is higher than 80 years, they have a high level of disability in ADL, complex multimorbidity, and receive several drugs. The prevalence of cognitive impairment is especially high in nursing homes, where almost 70{\%} of residents suffer from it and 40{\%} have severe impairment. On the other hand, there is a shortage of health care services, which appear heterogeneous and fragmented. Discussion. Health care services for older people in Italy are currently inadequate to manage the complexity of older patients. An important effort should be undertaken to create a more integrated health care system.",
keywords = "Acute hospital care, Community service, Comprehensive geriatric assessment, Home care, Nursing home",
author = "F. Lattanzio and C. Mussi and E. Scafato and C. Ruggiero and G. Dell'Aquila and Cupido, {M. G.} and C. Pedone and F. Mammarella and L. Galluzzo and G. Salvioli and U. Senin and Carbonin, {P. U.} and R. Bernabei and Antonio Cherubini",
year = "2011",
language = "Italian",
volume = "59",
pages = "147--154",
journal = "Giornale di Gerontologia",
issn = "0017-0305",
publisher = "Pacini Editore s.r.l.",
number = "3",

}

TY - JOUR

T1 - L'assistenza sanitaria alla popolazione anziana in Italia

T2 - Il progetto U.L.I.S.S.E. (Un Link Informatico sui Servizi Sanitari Esistenti per l'anziano)

AU - Lattanzio, F.

AU - Mussi, C.

AU - Scafato, E.

AU - Ruggiero, C.

AU - Dell'Aquila, G.

AU - Cupido, M. G.

AU - Pedone, C.

AU - Mammarella, F.

AU - Galluzzo, L.

AU - Salvioli, G.

AU - Senin, U.

AU - Carbonin, P. U.

AU - Bernabei, R.

AU - Cherubini, Antonio

PY - 2011

Y1 - 2011

N2 - Introduction. The U.L.I.S.S.E. study is an observational multicenter prospective 1-year study aimed at describing older patients cared for in hospitals, home care or nursing homes in Italy. Methods. Overall, 23 acute geriatric or internal medicine hospital units, 11 home care services and 31 nursing homes participated in the study. The only exclusion criterion was age lower than 65 years. The patient's evaluation was performed using comprehensive geriatric assessment instruments, i.e. the interRAI Minimum Data Set, while data on service characteristics were recorded using ad-hoc designed questionnaires. Results. The older subjects who are in need of acute and long term care in Italy have similar characteristics: mean age is higher than 80 years, they have a high level of disability in ADL, complex multimorbidity, and receive several drugs. The prevalence of cognitive impairment is especially high in nursing homes, where almost 70% of residents suffer from it and 40% have severe impairment. On the other hand, there is a shortage of health care services, which appear heterogeneous and fragmented. Discussion. Health care services for older people in Italy are currently inadequate to manage the complexity of older patients. An important effort should be undertaken to create a more integrated health care system.

AB - Introduction. The U.L.I.S.S.E. study is an observational multicenter prospective 1-year study aimed at describing older patients cared for in hospitals, home care or nursing homes in Italy. Methods. Overall, 23 acute geriatric or internal medicine hospital units, 11 home care services and 31 nursing homes participated in the study. The only exclusion criterion was age lower than 65 years. The patient's evaluation was performed using comprehensive geriatric assessment instruments, i.e. the interRAI Minimum Data Set, while data on service characteristics were recorded using ad-hoc designed questionnaires. Results. The older subjects who are in need of acute and long term care in Italy have similar characteristics: mean age is higher than 80 years, they have a high level of disability in ADL, complex multimorbidity, and receive several drugs. The prevalence of cognitive impairment is especially high in nursing homes, where almost 70% of residents suffer from it and 40% have severe impairment. On the other hand, there is a shortage of health care services, which appear heterogeneous and fragmented. Discussion. Health care services for older people in Italy are currently inadequate to manage the complexity of older patients. An important effort should be undertaken to create a more integrated health care system.

KW - Acute hospital care

KW - Community service

KW - Comprehensive geriatric assessment

KW - Home care

KW - Nursing home

UR - http://www.scopus.com/inward/record.url?scp=79960057292&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=79960057292&partnerID=8YFLogxK

M3 - Articolo

AN - SCOPUS:79960057292

VL - 59

SP - 147

EP - 154

JO - Giornale di Gerontologia

JF - Giornale di Gerontologia

SN - 0017-0305

IS - 3

ER -