1.1 Definition and presentation
Home care is a health care service provided for dependent, elderly and disabled individuals and delivered in their own homes.
Worldwide, life expectancy is gradually lengthening, and in Italy first and foremost, the phenomenon has accelerated sharply, placing the country at the top of the European rankings. In addition, the Italian population is gradually aging, with the age group of those over 60 exceeding that of those over 30. The above two trends on the one hand could stimulate demand, but the market is still expected to be affected by the growing interest in preventive medicine and health and personal care, limiters in the potential pool of those in need of medical care.
Home care according to the Italian health care system can be divided into four categories:
- Level I
- Level II
- Level III
In Italy, home care is entirely paid for by the health care system for the first 30 days after hospital discharge and then divided equally between the referring municipality and the private sector.
1.2 The fast-growing global market
The home health care market is growing rapidly worldwide, mainly due to the increasing number of elderly people. according to the WHO (***), the number of people over the age of ** reached *** million in **** and is expected to double to *.* billion by ****.
In Europe, market growth is driven by government policy support ...
1.3 The Italian market
in Italy, the number of non-self-sufficient elderly, that is, people aged ** years and older who are unable to perform activities of daily living independently and without the need for assistance, is approximately *.* million. This is a number that has grown significantly in the past decades and is destined to increase further ...
1.4 Impact of Covid-19
The coronavirus epidemic has affected the market in several ways. People involved in the home health care market are by definition the most vulnerable to the virus, so countries have had to develop appropriate responses to protect them. During the Covid-** emergency, home care services were strengthened in order to limit ...
2.1 Main determinants of demand
The main driver of the home health care market is clearly the progressive aging of the population, a consistent trend in countries of the Western world over the past decades. Italy is one of the countries where life expectancy is among the highest in Europe and one of the countries with ...
2.2 Characteristics of the Application
On average, about ** hours of care delivered mostly by nursing staff(***) were devoted to each patient. Specifically, the hours devoted to each elderly patient were **, of which ** were delivered by nursing staff, while the hours devoted to each terminally ill patient amounted to **, of which ** were delivered by nursing staff. Hours ...
2.3 Conditions requiring home care
There are several types that require home medical care. The most frequent, and requiring the most attention are listed below.
Dementia and Alzheimer 's are among the diseases that require the most care given the severe motor-cognitive impediment caused and the chronicity of the disease that causes aprogressive decline in cognitive ...
2.4 Market trends
Thus, two main macro-trends in Italian society and public health policies impacting the Italian home care market can be identified Demographic and social changes The profile of the population is changing, with the proportion of the elderly increasing relative to the young. As people age, they become increasingly dependent on outside ...
3.1 Market structure
The activities that characterize the home care process can be of three types:
Health maintenance(***). These are activities that aim to ensure the general well-being and health of the person to prevent disability and illness. Short-term care for temporary conditions(***). These are those activities that aim to provide brief medical treatment ...
3.2 A sector divided between public and private
State spending on different programs to assist the dependent elderly was ** billion in ****. As seen, there are different ways in which the state provides services to the dependent elderly, and thus there are different expenditure items to consider.
Monetary transfers amounted to *.* billion euros entirely absorbed by spending on the Accompaniment ...
3.3 Geographic Distribution of Health Authorities Offering Home Health Care
Geographically, the region that has offered the most Integrated Home Care is Piedmont with ** Health Authorities, followed by Latium with ** and Sicily and Veneto with *. A total of *** Health Authorities have offered this type of service.
Regarding the totality of home medical services offered, three main organizational models can be found ...
3.4 The difficulties of the industry
The home care market is quite competitive for several structural reasons. First, it is a market with low barriers to entry and exit with fairly limited fixed costs. The only nonlabor costs are transportation costs, which are higher in rural areas. The main difference with other branches of the health sector ...
4.1 The costs of the service
As seen in Italy there is a strong heterogeneity of organizational and care models. This has led over the years to the development of different ways of reporting on home care, both between regions and between health authorities themselves. While in some realities the number of accesses performed is counted, in ...
4.2 The prices
The following table gives an idea of market prices for home care by type of care
4.3 The development of telemedicine
The development of telemedicine has had a major impact on the field and deserves special attention. This term refers to the use of digital information and communication technologies, such as computers and mobile devices, to access health services remotely and manage health care. This is a segment of e-health that is ...
4.4 New trends
The market is undergoing a major revolution, also aided by the effect of Covid on the industry. The development of the Internet of Things (***), a neologism for objects gaining "intelligence" through the ability to be able to communicate data and access external information, is playing a primary role in the digitization ...
The National Health Service (***).
The care aims to stabilize the clinical picture, limit functional decline and improve the person's quality of life in his or her familiar environment, avoiding, as far as possible, recourse to hospitalization or a residential facility. In any case, the ASL ensures continuity between hospital care and ...
5.2 The enhancement of home care through the NRP
The National Recovery and Resilience Plan is the plan approved in **** by Italy to revive its economy after the COVID-** pandemic to enable the country's green and digital development. The total amount of money paid by the EU to Italy will be ***.* billion euros. The plan is divided into several missions, ...
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