Characteristics of the demand for Home and Residential Care ASL CN2 Alba–Bra. Jan 2024 – Sept 2025

Abstract

This report analyses the characteristics of the demand for care at the first assessment of patients seeking home care and residential care within ASL CN2–Alba-Bra, in the period between January 2024 and September 2025.
Accordingly, the report is structured into two sections: the first describes the demand for care at the first assessment in Home Care, while the second describes the demand for care at the first assessment in Residential Care.
Home Care: Among the 18,470 first assessments carried out in home care, the largest share concerns Scheduled Home Care (ADP), accounting for 41.3% of cases, followed by the Home Nursing Service (SID) (36.0%), Integrated Home Care (ADI) (20.9%), and Home Palliative Care (1.5%). Rehabilitative care (RRF) represents 0.3%.
Patients typically present with advanced age, multimorbidity and frequent cognitive or behavioural impairment. In ADP (7,627 assessments), almost 90% of users are at least 75 years old, with a clear predominance of women (68.7%). More than half exhibit moderate or severe cognitive impairment, and the clinical profile is dominated by chronic–degenerative conditions. ADI (3,863 assessments) involves a similar population: approximately 71% are aged 75 or older. Activation times remain very rapid, though with a slight slowdown in 2025. The RRF setting (48 cases) mainly includes patients with fractures, arthropathies or neurological sequelae; although limited in number, these cases require intensive rehabilitative interventions.
Residential Care: Based on 2,579 first assessments, Temporary Health Residential Care (CAVS) clearly predominates, accounting for more than four-fifths of cases (81.7%), confirming its role as the main response to post-acute and hospital-to-community transition needs. Other types of care — ordinary residential care (11.4%), temporary non-medical residential care (6.4%), and semi-residential care (0.5%) — show a smaller weight and a slight decline over the observation period.
The user profile is predominantly geriatric and frail, with a high incidence of functional and cognitive impairment, and with a significant component of social or family-related motivations in non-medical pathways.