Verso la rete regionale lombarda di Pancreas unit. Un possibile modello organizzativo analizzato attraverso il metodo Delphi

Pancreatic cancer represents a very complex clinical challenge in the modern healthcare scenario, with poor prognoses and a difficult treatment path. The Lombardy Region in Italy has recently promulgated the creation, within the regional healthcare system, of a network of Pancreas Units characterized by the presence of multidisciplinary clinical staff and a treatment path that sees a "Hub & Spoke" approach from a patient-centric perspective. The organizational model proposed by the Lombardy Region poses some organizational challenges and opens up the development and discussion of several managerial issues. Starting from these premises, the study aims to test a possible organizational model through a Delphi approach, involving a multidisciplinary panel of experts from leading healthcare institutions. The results underline the importance of a multidisciplinary approach to treatment that sees the involvement of non-traditional actors and operators from the world of research and industry and an alliance with a significant knowledge sharing among the Pancreas Units. Teamwork among healthcare professionals can facilitate the initiative's success, involving patients in healthcare co-production paths. Working on training is essential to bridge the skills gap of the staff in charge.