[Home care service integrated into community nursing service in milan: 5 years of experience]

In Italy the "Elderly Objective Project"--approved with a special resolution of Chamber and Senate in January 1992 out of the National Health Plan"--placed the domiciliary assistance within a network of territorial services, with the purpose to answer to the elderly needs, in social-welfare and health, in their own home context, looking over to avoid unnecessary admissions in hospital and promote early admissions. The achievement of these directions of these directions have created a kind of services which shows an extreme heterogeneity in organization, typology and intensity of service delivered, as well as in the monitoring strategy, beside the estimation of efficiency and quality of interventions. To contribute to knowledge and progress of efficacy interventions for domiciliary cares, the author suggests a descriptive analysis of domiciliar assistance, existing since 1993 in the USSL 41 of Milan, and a consideration, from a nursing pont of view, about the collected data.