20.500.12556/DiRROS-32422 Unfolding success factors and barriers in adapting Slovenia’s health promotion centre model to Bergamo province a PIET-T feasibility assessment with time-dependent care implications Background/Objectives: Health Promotion Centres (HPCs) in Slovenia represent a Euro- pean best practice for integrated prevention and health promotion. This study explores the feasibility of adapting the Slovenian HPC model to Bergamo Province, Lombardy, consider- ing local population needs and health system characteristics. Methods: We conducted a qualitative feasibility and policy analysis based primarily on documentary review, com- plemented by a webinar, a study visit to Slovenia, and expert consultations (conducted in two group discussions) with professionals from ATS (Agenzia Tutela della Salute) Bergamo and local ASST (Azienda Socio-Sanitaria Territoriale) providers. Data were analysed using the PIET-T framework (Population–Intervention–Environment–Transfer). Results: Eight key elements define the Slovenian model: (1) governance and stewardship; (2) structural financing; (3) standardized service portfolio; (4) systematic preventive referrals; (5) integra- tion with primary care and screening; (6) multidisciplinary teams with codified training; (7) community outreach and equity orientation; and (8) information systems and reporting. While Bergamo shares similar demographic and epidemiological profiles, differences in behavioral risk factors, project-based financing, fragmented initiatives, and limited digital integration necessitate adaptation. The comparative assessment highlighted key areas requiring contextual adaptation, including financing mechanisms, organisational coordina- tion, workforce capacity, digital interoperability, and approaches to equity. Conclusions: The Slovenian HPC experience demonstrates the potential of integrated, community-based health promotion. Its adaptation to Lombardy appears feasible if core components are preserved and tailored to local governance, population, and health system conditions. These organisational features may be particularly relevant for time-dependent conditions, such as acute cardiovascular and cerebrovascular events, by potentially supporting more timely risk-factor management and coordination across diagnostic and emergency path- ways. Rather than a blueprint for reform, this experience offers useful insights to reinforce prevention and health promotion within the ongoing territorial care reform in Lombardy. health promotion centres primary health care health promotion noncommunicable diseases time-dependent care acute cardiovascular events equity true false true Angleški jezik Ni določen Neznano 2026-09-10 13:34:50 2026-09-10 13:34:51 2026-09-12 11:11:56 0000-00-00 00:00:00 2026 0 0 Nasl. z nasl. zaslona; Opis vira z dne 12. 2. 2026; Soavtorji: Antonio Antonelli, Federica Bonomi, Giulio Borghi, Giulia Parisi, Isabella Trezzi, Nicola Rizzardi, Radivoje Pribakovic Brinovec, Maja Zupanc, Alberto Zucchi, Nicoletta Castelli; str. 1-12 [article no.] 21 Vol. 7 2026 0000-00-00 Zaloznikova Objavljeno NiDoloceno 2025-11-27 2026-01-16 2026-02-03 614 2673-3986 10.3390/epidemiologia7010021 268169987 https://www.mdpi.com/2673-3986/7/1/21 1 e287b291-acfa-11f1-92ee-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=50733 epidemiologia-07-00021.pdf epidemiologia-07-00021.pdf 1 C4C16339D0DBD879A903C59C71844884 9a903448efb84ae0e06b50a8a1df34cabc8437dd3230dcc96994a3135f31dc63 2c933a27-acfb-11f1-92ee-001a4af901a5 https://dirros.openscience.si/Dokument.php?lang=slv&id=50735 Nacionalni inštitut za javno zdravje 0 0 0