| Title: | 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 |
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| Authors: | ID Crotti, Giacomo (Author)
ID Pribaković Brinovec, Radivoje (Author)
ID Zupanc, Maja (Author) |
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| Files: |  URL - Source URL, visit https://www.mdpi.com/2673-3986/7/1/21
 PDF - Presentation file, download (246,73 KB)
MD5: C4C16339D0DBD879A903C59C71844884
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| Language: | English |
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| Typology: | 1.01 - Original Scientific Article |
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| Organization: |  NIJZ - National Institute of Public Health
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| Abstract: | 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. |
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| Keywords: | health promotion centres, primary health care, health promotion, noncommunicable diseases, time-dependent care, acute cardiovascular events, equity |
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| Publication status: | Published |
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| Publication version: | Version of Record |
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| Submitted for review: | 27.11.2025 |
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| Article acceptance date: | 16.01.2026 |
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| Publication date: | 03.02.2026 |
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| Year of publishing: | 2026 |
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| Number of pages: | str. 1-12 |
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| Numbering: | Vol. 7, [article no.] 21 |
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| PID: | 20.500.12556/DiRROS-32422  |
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| UDC: | 614 |
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| ISSN on article: | 2673-3986 |
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| DOI: | 10.3390/epidemiologia7010021 |
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| COBISS.SI-ID: | 268169987 |
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| Note: | 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;
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| Pub. date in DiRROS: | 10.09.2026 |
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| Views: | 66 |
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| Downloads: | 43 |
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