<?xml version="1.0" encoding="utf-8" standalone="yes"?>
<TEI xmlns="http://www.tei-c.org/ns/1.0">
  <teiHeader>
    <fileDesc>
      <titleStmt>
        <title type="main" level="a">L’evoluzione del quadro epidemiologico pediatrico: la sfida della cronicità e della complessità assistenziale</title>
        <author>
          <persName n="1">
            <forename>Simona</forename>
            <surname>Vergna</surname>
            <placeName type="affiliation">AOU Meyer, University Hospital, Italy</placeName>
          </persName>
          <persName n="2">
            <forename>Silvia</forename>
            <surname>Boretti</surname>
            <placeName type="affiliation">AOU Meyer, University Hospital, Italy</placeName>
          </persName>
        </author>
        <respStmt>
          <resp>This is a section of <title>Formare professionisti dell’educazione, della scuola, della cura</title>(DOI: <idno type="DOI">10.36253/979-12-215-0943-4</idno>) by </resp>
          <name>Vanna Boffo</name>
        </respStmt>
      </titleStmt>
      <publicationStmt>
        <publisher>Firenze University Press</publisher>
        <pubPlace>Florence</pubPlace>
        <date when="2026">2026</date>
        <idno type="DOI">https://doi.org/10.36253/979-12-215-0943-4.15</idno>
        <availability>
          <p>Available for academic research purposes</p>
          <p>Open Access</p>
          <p>Copyright Author(s)</p>
          <licence source="text" target="https://creativecommons.org/licenses/by/4.0/legalcode">
            <p>Content licence CC BY 4.0</p>
          </licence>
          <licence source="metadata" target="https://creativecommons.org/publicdomain/zero/1.0/legalcode">
            <p>Metadata licence CC0 1.0</p>
          </licence>
        </availability>
      </publicationStmt>
      <sourceDesc>
        <p>This is original content, published for academic research purposes</p>
      </sourceDesc>
    </fileDesc>
    <encodingDesc>
      <appInfo>
        <application version="2.2" ident="Booksflow">
          <desc>Digital edition XML powered by Booksflow</desc>
        </application>
      </appInfo>
    </encodingDesc>
    <profileDesc>
      <abstract xml:lang="en">
        <p>Given the enormous progress in the treatment of diseases and the increase in survival rates, the pediatric world is also undergoing substantial change, with a significant rise in the number of children with chronic and/or complex diseases who require new models of care. The National Health Service (NHS) is therefore directing its efforts accordingly. Diagnostic, therapeutic, and care pathways (PDTA), integrated clinical networks, home care, and intermediate care represent the pillars on which this innovative approach must be built — all while strengthening hospital – community integration.
The university hospital “Azienda Ospedaliera Universitaria Meyer” (AOU Meyer), with its 250 multispecialty beds, is at the center of this process, creating synergies with all stakeholders involved in the care of these children. Family involvement in integrated care is the cornerstone of this pathway. Care and education go hand in hand: ensuring educational continuity and addressing care, psychological, and environmental needs are inseparable within a context of ‘global care’.</p>
      </abstract>
      <textClass>
        <keywords>
          <list>
            <item>Care</item>
            <item>Child</item>
            <item>Chronicity</item>
            <item>Integration</item>
            <item>School</item>
          </list>
        </keywords>
      </textClass>
    </profileDesc>
  </teiHeader>
  <text>
    <body>
      <p>It is available online at https://doi.org/10.36253/979-12-215-0943-4.15<ref target="https://doi.org/10.36253/979-12-215-0943-4.15" /></p>
      <div>
        <listBibl>
          <head>References</head>
          <bibl n="222964">AOU Meyer. 1960. Cenni storici e recenti sviluppi. Firenze: Vallecchi Editore Officine Grafiche. &amp;lt;https://www.meyer.it/images/pdf/ospedale-meyer-cenni-storici-e-recenti-sviluppi-1960.pdf&amp;gt; (2025-11-10).</bibl>
          <bibl n="223232">AOU Meyer. 2025. Dati istituzionali interni.</bibl>
          <bibl n="222994">Agenzia Regionale di Sanit&amp;#224; Toscana. 2016. Relazione di attivit&amp;#224; 2016. Regione Toscana. &amp;lt;https://www.ars.toscana.it/images/agenzia/Relazione_attivita_2016.pdf&amp;gt; (2025-11-10).</bibl>
          <bibl n="223113">Boffo, Vanna, a cura di. 2022. La scuola in Ospedale. Tirocinio e formazione degli insegnanti. Firenze: Editpress.</bibl>
          <bibl n="223123">
            <bibl>Bury, Michael. 1982. “Chronic Illness as Biographical Disruption.” Sociology of Health &amp;amp; Illness 4 (2): 167-82.</bibl>
            <idno type="DOI">10.1111/1467-9566.ep11339939</idno>
          </bibl>
          <bibl n="223205">Bronfenbrenner, Urie. 1986. Ecologia dello sviluppo umano. Bologna: Il Mulino.</bibl>
          <bibl n="222906">Ministero della Salute. 2022a. Regolamento recante la definizione di modelli e standard per lo sviluppo dell’assistenza territoriale nel Servizio sanitario nazionale. Decreto del 23 maggio 2022. &amp;lt;https://www.gazzettaufficiale.it/eli/id/2022/06/22/22G00085/SG&amp;gt; (2025-11-10).</bibl>
          <bibl n="222877">Ministero della Salute. 2022b. Riconoscimento del carattere scientifico dell’ente di diritto pubblico “Azienda ospedaliero-universitaria Meyer”, in Firenze, nella disciplina di “pediatria” (22A04888). Decreto del 2 agosto 2022. &amp;lt;https://www.gazzettaufficiale.it/atto/serie_generale/caricaDettaglioAtto/originario?atto.dataPubblicazioneGazzetta=2022-08-27&amp;amp;atto.codiceRedazionale=22A04888&amp;amp;elenco30giorni&amp;gt; (2025-11-10).</bibl>
          <bibl n="223096">Ministero della Salute. 2024. Linee di indirizzo per l’integrazione ospedale-territorio. Roma: Ministero della Salute.</bibl>
          <bibl n="222983">Fondazione dell’Ospedale Pediatrico Anna Meyer ETS. Bilancio Sociale 2024. Firenze. &amp;lt;https://www.fondazionemeyer.it/contrib/uploads/2025/05/ONLINE_Bilancio_Sociale24.pdf&amp;gt; (2025-11-10).</bibl>
          <bibl n="222889">Regione Toscana. 2012. Approvazione del progetto “Riorganizzazione della rete delle cure primarie e sviluppo delle AFT e UCCP in Toscana” (Delibera della Giunta regionale 1044 del 26 novembre 2012). &amp;lt;https://www.regione.toscana.it/bancadati/atti/Contenuto.xml?id=121616&amp;amp;nomeFile=Delibera_n.1044_del_26-11-2012&amp;gt; (2025-11-10).</bibl>
          <bibl n="222899">Regione Toscana. 2015. Riordino dell&amp;#39;assetto istituzionale e organizzativo del sistema sanitario regionale. Legge regionale 28 dicembre 2015, n. 84. &amp;lt;https://raccoltanormativa.consiglio.regione.toscana.it/articolo?urndoc=urn:nir:regione.toscana:legge:2015-12-28;84&amp;gt; (2025-11-10).</bibl>
          <bibl n="222940">Rete Pediatrica Toscana. 2021. We People: Il magazine della Rete Pediatrica Toscana (n. 3). Firenze: Rete Pediatrica Toscana. &amp;lt;https://retepediatrica.toscana.it/wp-content/uploads/2022/01/We-people-n-3-2021.pdf&amp;gt; (2025-11-10).</bibl>
          <bibl n="223017">Tronto, Joan C. 2006 (1993). Confini morali. Un argomento politico per l’etica della cura, a cura di Alessandra Facchi, traduzione di Nicola Riva. Parma: Diabasis.</bibl>
          <bibl n="223188">Zanobini, Alberto. 2023. Il coraggio del futuro. Milano: La nave di Teseo (La cura).</bibl>
          <bibl n="222957">World Health Organization. 2016. Integrated Care Models: an Overview [Working Document]. Copenhagen: World Health Organization. &amp;lt;https://iris.who.int/items/ba7389a2-6ac5-4cb1-803d-75e1ac6d8f00&amp;gt; (2025-11-10).</bibl>
          <bibl n="222890">World Health Organization. 2018. Continuity and Coordination of Care: a Practice Brief to Support Implementation of the WHO Framework on Integrated People-Centred Health Services. Geneva: World Health Organization. &amp;lt;https://iris.who.int/server/api/core/bitstreams/7c938c63-5570-4c0e-95f2-d310bb647704/content&amp;gt; (2025-11-10).</bibl>
        </listBibl>
      </div>
    </body>
  </text>
</TEI>