Sardinia Reaches landmark Agreement to Bolster General Medicine Services
Cagliari, September 30, 2025 – A new regional supplementary agreement for general practitioners was signed tonight at the Regional Health Department, marking a important step forward for primary care in the Autonomous Region of Sardinia.The agreement, reached in the presence of health sector union representatives and Regional Health Councilor Armando Bartolazzi, addresses long-standing concerns and aims to revitalize medical infrastructure across the territory.
Councilor Bartolazzi hailed the agreement as “an significant result, expected for 15 years,” emphasizing its potential to dramatically improve working conditions and quality of life for doctors while strengthening territorial medicine.
The agreement outlines several key provisions designed to enhance healthcare delivery and support general practitioners. Central to the plan is the establishment and operationalization of AFTs – Territorial Functional Aggregations – groupings of GPs designed to provide more coordinated and continuous care, ultimately reducing inappropriate emergency room visits. doctors participating in AFTs will receive an allowance of 10.7 euros per patient.
Further financial support is included through an increased IT allowance, rising from 100 to 200 euros monthly, and the extension of study allowances to 70% of doctors, at a rate of 6 euros per assisted patient.
The agreement also addresses national recovery and resilience plan (PNRR) targets, requiring general practitioners to integrate at least 10% of their suitable patients into the Assistenza Domiciliare Integrata (ADI – Integrated Home Assistance) program during 2025 and 2026. A specific indemnity of 2,000 euros per month will be provided to doctors practicing in disadvantaged areas experiencing a lack of assistance, as outlined in regional law 24/2025, article 9, paragraph 28, and will also address medical presence requirements in community homes and hospitals.
The clinical governance allowance, previously in effect, will be recognized retroactively from april 4, 2024, to December 31, 2024, based on objectives set within the Air 2010 framework. A transitional rule ensures the continuation of AFT allowances through the formal establishment of the AFT structures.
Bartolazzi also highlighted a crucial provision mandating local health authorities (ASLs) to provide replacements for general practitioners absent due to illness, maternity leave, or accident.”This provision was strongly desired by me,” he stated, “to demonstrate concrete support for the profession, particularly following the tragic loss of Dr. Maddalena Carta.”
