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Background In recent years the behavioral changes in citizenship induced by social hardships, often caused by an increase in the unemployment rate, there has been an increase in health expenditure due to the increased incidence of sexually transmitted diseases (HIV, HCV, etc.), psychiatric diseases and voluntary termination of pregnancy (IVG). In the year 2020, January-May period, during the Covid-19 emergency, worldwide, there is also an increase in cases of HIV and other sexually transmitted diseases. The increase in the aging of the population due to a reduction in demographic growth, due to the social and economic hardship that young Italians have been experiencing for years, will lead to a consequential increase in health spending. 

Purpose and objectives This study stems from the idea of modifying health care systems by trying to create a centralized model not only on needs, but on prevention, in order to reduce the costs induced by a low "quality life" of citizens. The proposed model can be used for various sector studies, but in this case it aims at the design, programming and implementation of a model dedicated to sexually transmitted diseases, pathologies caused by the administration of drugs of abuse and the economic and social conditions that induce IVG. The main objective of the project is to define a care response configured according to the integrated social and health network model, equipped with suitable professionalism and technological resources as well as operational characteristics marked by maximum organizational flexibility, to guarantee, through functional integration, timeliness of taking charge and the appropriateness of welfare and social assistance interventions. The integrated network design allows access to services even to social categories characterized by particular fragility. In addition, the levels of socio-health integration guarantee the conduct of educational and information interventions right into the school groups of the population, with the aim of contributing to the construction of a more responsible and aware socio-cultural context (empowerment). Finally, the introduction of proactive remote assistance tools can allow the early interception of hidden needs for assistance, health and listening.

Key words: sexually transmitted diseases, drugs of abuse, voluntary termination of pregnancy, diagnostic and therapeutic care pathway, hospital/territory organizational model

Malattie sessualmente trasmissibili, sostanze d’abuso ed interruzioni volontarie di gravidanza: nuovi modelli assistenziali ospedale/territorio in funzione delle esigenze economiche, sanitarie e sociali della popolazione

DOI 10.23753/htafocus2021.01.002

Marina Bruno, Velia Bruno, Filippo Coiro, Francesco Giuffrida, Francesco Maraglino, Marco Marchetti

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