The MPPH should not be thought of as a separate entity than the Public Health, there is no dividing line between organic healthy and sick (in a hypothetical Gaussian the infinite shades of gray are very large majority compared to white and black). There is a diagnostic work (clinical and instrumental) that must be applied to MPPH. There is a risk diagnosys and therapy , which still has to be developed. We must therefore think MPPH integration with the hospital and its territorial structures (diagnostics, day hospitals, shelters short etc.) in order to:
-
Monitoring and documentation of the effects over time of MPPH on the functioning of organs and systems
-
Removal through integratation between public health and MPPH of avoidable events (metabolic syndrome, low motory activity syndrome, anxious-depressive syndromes, mitigating the effects of chronic conditions, etc)
-
Promote the culture of ex ante and not ex post
-
Ensure flexibility of quantity and quality of benefits and rehabilitation in particular, depending on the specific loads (breaks, chronicity, rare diseases, addiction, poverty etc.)
-
Promote MPPH full and equal dignity respect of local health institutions in Regional Health System (RHS