Lean and Safety Management in primary care: guidelines to improve the continuity of care for chronic pathways

The project regards the adoption of LH in primary care, and particularly in chronic pathways, with the final aim of building a model based on best practices to improve the efficiency, efficacy, safety and continuity of care for frail patients. The project will follow a multiple case study approach, analysing and comparing different practices and models, with the purpose of identifying guidelines to create an integrated healthcare system based on a “lean and safety” perspective. From an academic perspective, the project enriches the current scientific literature, introducing a structured methodology to proactively manage risks and wastes in the new setting of chronic pathways in primary care. From a managerial perspective, the project contributes to identify guidelines to improve their coordination and integration, guaranteeing the sustainability, equity and accessibility of health services.