Innovative models of chronic care management: the case of Regione Lombardia

To date, there is much excitement to re-examine the reorganization of health systems and to re-direct the focus on the appropriateness. Chronic care management is affirming its importance in terms of economic and medical relevance. In this article, the research goal is to provide a rationalization of the main organizational models which are springing for the systems of primary care with a focus on chronicity. The effort is aimed at identifying the paradigms from which derive the various initiatives scattered around institutions and territories. In fact, in this work we try to contribute in terms of theoretical positioning. Then, the focus is on CREG model of Regione Lombardia: a new organizational model for taking care of chronic patients.