Background and Objective:
National Health Sistems suhould be oriented on a community-based approach, through proactive and proximity interventions to the detection of expressed and hidden needs. The aim of the work is to describe the launch of a pilot project in the Health District 9 Local Health Unit Rome 2, in the urban context of the metropolitan city of Rome, oriented towards the territorial activation of the specific resource of the Family and Community Nurse.

Methods:
The target population is represented by 45-65 year olds recruited from the databases of General Practitioners (GPs), not in therapy for oncological pathologies. Patients receive an invitation email from their GP for an interview with the Family and Community Nurse at their practice. During the interview a 30-item questionnaire is administered to identify behavioral risk areas, which correspond to intervention areas and health objectives that are re-evaluated in subsequent appointments.

Results:
Since February 2022, 3 Family and Community Nurses, 11 GPs were involved and 51 participants were enrolled. Of those recruited, 1 citizen out of 2 reported a change in lifestyle as early as the second interview. A mapping of the health services was carried out and an information brochure was drawn up in collaboration with the Prevention Department. Integrated care pathways have been created with Prevention Department, dietetics service, Addiction and Mental Healthcare Services, ““Psychological well-being”” desk of Rome Municipality.

Conclusion:
The interaction between the services has allowed the creation of a dimension that welcomes the citizen and the Family and Community Nurse thus becomes a tool for the realization of comprehensive Primary Health Care.