The real estate fund that will build the “spoke” houses will entrust them to interested doctors on rent or leasing
Enpam presented the developments of the spoke community homes project at the Italian Society of General Medicine (Simg) during a meeting held at the Ministry of Health. “Without prejudice to the individual nature of the relationship of trust with the patient, the aggregation between doctors leads to greater professional satisfaction for white coats and high quality assistance for citizens”, said the president of the social security institution of doctors and dentists, Alberto Oliveti, explaining the details of the initiative.
In recent weeks, a memorandum of understanding was signed between Legacoop (which associates through Sanicoop over 50% of the approximately 150 medical cooperatives operating in the national territory) and FIMMG (Italian Federation of General Practitioners). (click here to download the complete text of the agreement), precisely with theobjective of developing the healthcare offer of general practitioners with the management and organizational support of service medical cooperatives.
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Concretely – reports a note -, Enpam has entrusted a real estate fund with the task of creating professional offices throughout the national territory suitable for team work, equipped with efficient interconnection (for telemedicine, the electronic health record and applications of artificial intelligence) and specific technologies for primary care. The “Spoke” community homes, self-managed by family doctors and paediatricians affiliated with the NHS, aim to position themselves as a true and effective connection of proximity between the citizen’s home, understood as the first place of care, and the community homes financed with Pnrr funds. The real estate fund that will build the “spoke” houses will entrust them to interested doctors on rent or leasing.
Compared to the centralized “hub” community houses envisaged by the Pnrr – we read on the institution’s website -, the “spoke” community houses will be characterized by greater capillarity and effective proximity to the territory. Furthermore, they will not be publicly owned but the result of the initiative of freelancers affiliated with the NHS. Concretely, the teams of interested doctors will be able to identify the property to be used as a spoke community home; the premises will then be purchased, renovated and equipped by a real estate fund and then rented or leased to the same doctors who will work there.
Doctors will be able to organize themselves in the way they prefer, for example by forming a cooperative or a company between professionals with another legal form. It will not necessarily be necessary to start from scratch: you can also use existing co-ops or companies and/or convert already functioning professional studios. In the case of leasing – which differs from rent because it ultimately allows doctors to become owners – there is the possibility of getting help from the Guarantee Fund for freelancers promoted by the State and co-financed by Enpam. From a professional point of view the goal is to help pass from a model with the hospital at the center to a progressive territorial-hospital integration, starting from the home as the first place of care. The professional studios organized in “spoke” community houses will naturally be connected with the “hub” community houses.
