Modelli organizzativi per la cura delle malattie croniche: il caso dei piani di disease management per la cura del diabete di tipo 2

Beginning from the concepts of differentiation and integration, this paper aims to stimulate the debate on the increasing inter-organisational integration involved in the pursuit of public health cross-boundary collaboration. Efforts are especially required in the context of chronic care. This article makes a preliminary analysis of the inter-organisational integration models adopted at the regional level for the coordination of factors involved in the service provision for type 2 diabetes. For this purpose, we analyse from an organisational point of view the different disease management programs included in the regional health plans for prevention. A fairly high variance in the characteristics of the disease management solutions across regions was found.