Observational analysis proposes a model balancing autonomy and accountability in primary care, suggesting improvements for Italy's health system crisis.
Introduction Over a decade ago, the authors of this manuscript anticipated the current crisis in the Italian National Health Service with the publication The Perfect Storm/La tempesta perfetta,1 forecasting the unsustainable trajectory of the system in the face of demographic, epidemiological and organisational trends.
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Cricelli et al. (2026) studied this question.
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