Position paper sulle politiche per la cronicità e sugli interventi per la gestione dello scompenso cardiaco

The work represents a position paper on chronic diseases policies and management models. It is the result of a Consensus Conference with 14 stakeholders that took place between October and November 2018. After an analysis of chronic diseases policies in 10 Italian regions, the paper focuses on management models for one specific chronic disease, heart failure, around which the regional intervention has centred. This paper aims at: 1) ascertain the state of the art of Italian policies on chronic diseases by mapping regional plans, programs and projects; 2) understand the main trends affecting policies on chronic diseases and heart failure, through a compared analysis of the mapped legislation; 3) identify the characteristics of regional projects related to chronic disease management and, where available, to hearth failure management through the selection of those representing regional tendencies. Our findings show that chronic diseases are developing according to some trends including demand management, comorbidity and frailty management and management of service usage. The paper ends with 8 statements representing the point of view of the expert panel group who took part to the Consensus Conference.