- Weakness and chronic or degenerative diseases highlight the need to reconsider the access system to social and sanitary services. Such an access is connoted by a communicational route, which from time to time will require listening, information, guidance, mediation, reassurance and promotion of adequate lifestyles. The e-Care system represents an original way to manage that communicational route. Specifically, the e-Care project in Bologna has highlighted numerous innovative aspects through its organisational sides and its achieved good results. These are: access personalisation; making the city user responsible; involving associations and voluntary services in order to fulfil those needs of a life quality that affect the health, the times and the circumstances of the service fruition.Keywords: e-Care; access personalisation; old people; health care; third sector.