Università degli Studi di Modena e Reggio Emilia
Corso di laurea in infermieristica - Sede di Modena
Thesis Title | Nurse and primary health care: comparison between italian and spanish experience |
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Name | Iavarone Sofia |
Supervisor(s) | Minozzi Cinzia |
Academic Year | 2018/19 |
Thesis type | Non research thesis |
Abstract
In response to an increasing complexity of the populations health needs, this thesis concerns how the countries of Italy and Spain have decided to organize their primary care services and to prepare their nurses. The background is the internship made in both local context.
Initially, the health systems were briefly analysed with reference to the laws that led to their formation, and to the organizational and welfare principles on which they are based.
However, it is with the introduction to the Alma Ata Declaration that we get to the heart of the matter. The two countries have worked in different ways to face the enormous challenge of primary care: Spain has introduced Health Care Centres, particularly the Catalan model, while in Italy, through the Balduzzi Law, the different regions have taken various measures. Emilia Romagna, for example, has introduced the Health Care Houses.
Regarding the goals, the WHO have proposed a new role: the Family Health Nurse. While in Spain this figure has been legitimized since 2003, in Italy there have been several experimentations in many regions.
The possibility of a direct observation, experienced through the internships, has meant that this thesis could be developed in the perspective of an exchange of point of views. The items examined are: the territorial system, because the internships were in a Health Care Center in Catalunya and the service of Home Care in Carpi; the nursing education, thanks to the perspective of the nursing students; the role and the autonomy of the nurse out-of-hospital.