L’impatto dell’aziendalizzazione sulla dimensione territoriale della sanità. Un arretramento senza ritorno?

The establishment of the National Health Service in Italy in 1978 was also marked by a significant investment in territorial health care. In the early 1990s, the reorganisation of the healthcare system focused on the sus￾tainability of healthcare expenditure and the cost of services. This led to a weakening of many activities in which the territorial dimension was central, such as health education, public participation and prevention, which are not remunerated as individual services. The effects of this change were ev￾ident during the pandemic, when the system struggled to provide adequate care for people. In recent years, the National Recovery and Resilience Plan has again allocated resources for community and community-based health care. However, if the underlying issues that led to its decline are not ad￾dressed first, there is a risk that the problem will not be solved at all.