Dr. Giulia Gramignano, winner of the selection process, has been appointed director of the oncology department at San Gavino Monreale Hospital.

For ASL General Director Joseph Polimeni, this milestone marks a decisive turning point: "I am deeply pleased with the return of a truly effective leadership figure to lead such a crucial department, moving beyond the temporary (acting) position. Oncology is a fundamental pillar of the San Gavino Hospital's organizational chart and the entire medical department. The appointment of Dr. Giulia Gramignano is not a final destination, but rather the first step in a broader plan to reorganize the medical and hospital management of the area."

The facility receives an average of over 500 new oncology patients each year. Approximately 10,000 admissions and services were recorded at the hospital in 2025 alone. In 2025, a 40 percent rate of active outpatient mobility from other local health authorities was achieved. Furthermore, 70 percent of follow-up visits (follow-ups and initial visits) were successfully transferred from the hospital to the community thanks to the community outreach project launched between 2018 and 2024.

"Today," adds ASL General Director Joseph Polimeni, "oncology is no longer just about chemotherapy, radiotherapy, or surgery. There are many other innovative methods, such as immunotherapy and targeted therapy. We will increasingly move toward personalized medicine. This appointment is the first in a long series of changes to the organizational chart and organizational structures of our management, both hospital and regional," continues Joseph Polimeni. "One of the critical issues I've encountered so far has been the extreme lack of coverage in top management roles. This is the first competition, but we're already ready for the others."

The Hospital-Territory Oncology Complex Unit of the Medio Campidano Local Health Authority, part of the Medical Area Department, represents a cutting-edge model capable of integrating hospital care, community services, and palliative care. The unit has developed a skills-based organization, where each oncologist is responsible for specific tumor pathologies and works within multidisciplinary corporate and inter-corporate teams.

Particular attention is also paid to the human and social aspects of the disease, as Giulia Gramignano, director of the oncology complex, emphasizes: "A psychologist and a social worker work alongside the healthcare professionals, integrated into the care pathways and committed to supporting patients and their families. The data confirm the growth of our practice. Approximately 10,000 visits/services will be performed in 2025 at the hospital alone; overall, over 500 new patients are treated each year. Active mobility from other local health authorities (ASL) in the day hospital setting has always been significant, reaching 40% in 2025. The path undertaken by the Medio Campidano local health authority demonstrates how oncology can evolve towards a more sustainable, accessible, and responsive model to people's real needs. The challenge is not just to provide treatment, but to support the patient throughout their entire journey, reducing travel, enhancing local offices, and building a care network capable of combining specialized expertise, proximity, and continuity of care. Treating cancer means caring for a person and their family, a model that integrates specialized skills, psychological and social support, and a local network capable of providing quality care close to patients' homes. The goal is to ensure comprehensive care, because people's needs are not just medical.

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