Littérature scientifique sur le sujet « Casa del Mutilato (Florence, Italy) »

Abstract Issue According to the Alma Ata Declaration, Comprehensive Primary Health Care (C-PHC) addresses the main health problems in the community, promotes participation and involves all health related sectors. In Italy the so called Case della Salute model aims at realizing these principles. The purpose of the project is to understand how this model should be implemented in order to better answer the community needs. In the outskirts of Florence there is an area mostly made of public housing, devoted to people with housing and economic problems. There it is Casa della Salute (a health center where a PHC multidisciplinary team works), which could represent the key to cope with health inequalities and to create a network with the multiple associations rooted in the community. The implementation of an experimental model of C-PHC needs to involve local population, community actors, health professionals and researchers in a process of action-research. Results • An epidemiological study described a heavily deprived population compared with the rest of the city, with a burden of mortality especially affecting those most deprived and women. Mental health and addictions showed a deep need of care. A map of the neighbourhood was created in order to analyse formal and informal resources.The health needs of the community were deepened using social and ethnographic methodologies (semi-structured interviews, participant observation and focus groups with health workers, associations' representatives and individuals).Standing multi professional briefings were launched in order to facilitate the process of taking care of complex situations as a team. Lessons Preliminary results show the need for stronger collaborations with the actors in the community; further exploration of health related topics; community participation in the process of informing and transforming health practices; involvement of health workers in interprofessional practices to create a shared knowledge. Key messages Local health networks need a methodology to expand knowledge of peoples’ needs. Complexity in health and inequalities require a paradigm based on social determinants of health such as PHC.

In the optimistic opening of Elizabeth Barrett Browning’s Casa Guidi Windows (1851), street song appears as a sign of political regeneration. Hearing a little child singing ‘O bella libertà’ in a street in Florence in 1847, Barrett Browning projects a future for Italy in which the poetry of loss and lament will be replaced by a modern song of enlightenment and freedom. These hopes, raised by the revolutions of 1848, were crushed in the defeats that followed, and the second part of Casa Guidi Windows reflects with mordant irony on these events. The figure of the child in the street is replaced by that of her own child, born in 1849; yet Barrett Browning returns, in a number of later poems, to the child singing of liberty, especially in poems written in the last year of her life, when the prospects for a united Italy were again resurgent.