Clinical Governance of Home Care and 30-Day Stability

This prospective observational study evaluates the organization, quality, and outcomes of home care provided by the Health and Social Care District No. 4 of Barletta, Azienda Sanitaria Locale BT, Italy. It includes patients receiving integrated home care, scheduled general practitioner home visits, or temporary home care during the study period. The study will assess timeliness of care activation, care characteristics, and 30-day home stability. Home stability is defined as the absence of emergency department visits and unplanned hospital admissions within 30 days. The collected data will be used to identify organizational and clinical factors associated with outcomes and to support quality-improvement activities in community-based care.

Inclusion Criteria: * Age 18 years or older. * Resident of, or receiving primary care within, Health and Social Care District No. 4 of Barletta. * Activation of an Integrated Home Care (ADI), Scheduled General Practitioner Home Care (ADP), or Temporary Home Care (ADT) episode during the study enrollment period. * Availability of the administrative and clinical data required to assess care processes and 30-day outcomes. Exclusion Criteria: * Age younger than 18 years. * Home care episode initiated outside the study enrollment period. * Records that cannot be reliably linked across the data sources required for 30-day follow-up. * Duplicate records relating to the same participant and the same home care episode.