Abstract
Different rehabilitation models for persons diagnosed with disorders of consciousness have been proposed in Europe during the last decade. In Italy, the Ministry of Health has defined a national healthcare model, although, to date, there is a lack of information on how this has been implemented at regional level. The INCARICO project collected information on different regional regulations, analysing ethical aspects and mapping care facilities (numbers of beds and medical units) in eleven regional territories. The researchers found a total of 106 laws; differences emerged both between regions and versus the national model, showing that patients with the same diagnosis may follow different pathways of care. An ongoing cultural shift from a treatment-oriented medical approach towards a care-oriented integrated biopsychosocial approach was found in all the welfare and healthcare systems analysed. Future studies are needed to explore the relationship between healthcare systems and the quality of services provided.
| Original language | English |
|---|---|
| Pages (from-to) | 159-163 |
| Number of pages | 5 |
| Journal | Functional Neurology |
| Volume | 32 |
| Issue number | 3 |
| Publication status | Published - Jul 1 2017 |
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Keywords
- Disorders of consciousness
- Ethics
- Law
- Vegetative state
- Welfare
ASJC Scopus subject areas
- Neuroscience(all)
- Clinical Neurology
Cite this
Analysis of Italian regulations on pathways of care for patients in a vegetative or minimally conscious state. / Sattin, Davide; De Torres, Laura; Dolce, Giuliano; Arcuri, Francesco; Estraneo, Anna; Cardinale, Viviana; Piperno, Roberto; Zavatta, Elena; Formisano, Rita; D’Ippolito, Mariagrazia; Vassallo, Claudio; Dessi, Barbara; Lamberti, Gianfranco; Antoniono, Elena; Lanzillotti, Crocifissa; Navarro, Jorge; Bramanti, Placido; Marino, Silvia; Zampolini, Mauro; Scarponi, Federico; Avesani, Renato; Salvi, Luca; Ferro, Salvatore; Mazza, Luigi; Fogar, Paolo; Feller, Sandro; De Nigris, Fulvio; Martinuzzi, Andrea; Buffoni, Mara; Pessina, Adriano; Corsico, Paolo; Leonardi, Matilde.
In: Functional Neurology, Vol. 32, No. 3, 01.07.2017, p. 159-163.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Analysis of Italian regulations on pathways of care for patients in a vegetative or minimally conscious state
AU - Sattin, Davide
AU - De Torres, Laura
AU - Dolce, Giuliano
AU - Arcuri, Francesco
AU - Estraneo, Anna
AU - Cardinale, Viviana
AU - Piperno, Roberto
AU - Zavatta, Elena
AU - Formisano, Rita
AU - D’Ippolito, Mariagrazia
AU - Vassallo, Claudio
AU - Dessi, Barbara
AU - Lamberti, Gianfranco
AU - Antoniono, Elena
AU - Lanzillotti, Crocifissa
AU - Navarro, Jorge
AU - Bramanti, Placido
AU - Marino, Silvia
AU - Zampolini, Mauro
AU - Scarponi, Federico
AU - Avesani, Renato
AU - Salvi, Luca
AU - Ferro, Salvatore
AU - Mazza, Luigi
AU - Fogar, Paolo
AU - Feller, Sandro
AU - De Nigris, Fulvio
AU - Martinuzzi, Andrea
AU - Buffoni, Mara
AU - Pessina, Adriano
AU - Corsico, Paolo
AU - Leonardi, Matilde
PY - 2017/7/1
Y1 - 2017/7/1
N2 - Different rehabilitation models for persons diagnosed with disorders of consciousness have been proposed in Europe during the last decade. In Italy, the Ministry of Health has defined a national healthcare model, although, to date, there is a lack of information on how this has been implemented at regional level. The INCARICO project collected information on different regional regulations, analysing ethical aspects and mapping care facilities (numbers of beds and medical units) in eleven regional territories. The researchers found a total of 106 laws; differences emerged both between regions and versus the national model, showing that patients with the same diagnosis may follow different pathways of care. An ongoing cultural shift from a treatment-oriented medical approach towards a care-oriented integrated biopsychosocial approach was found in all the welfare and healthcare systems analysed. Future studies are needed to explore the relationship between healthcare systems and the quality of services provided.
AB - Different rehabilitation models for persons diagnosed with disorders of consciousness have been proposed in Europe during the last decade. In Italy, the Ministry of Health has defined a national healthcare model, although, to date, there is a lack of information on how this has been implemented at regional level. The INCARICO project collected information on different regional regulations, analysing ethical aspects and mapping care facilities (numbers of beds and medical units) in eleven regional territories. The researchers found a total of 106 laws; differences emerged both between regions and versus the national model, showing that patients with the same diagnosis may follow different pathways of care. An ongoing cultural shift from a treatment-oriented medical approach towards a care-oriented integrated biopsychosocial approach was found in all the welfare and healthcare systems analysed. Future studies are needed to explore the relationship between healthcare systems and the quality of services provided.
KW - Disorders of consciousness
KW - Ethics
KW - Law
KW - Vegetative state
KW - Welfare
UR - http://www.scopus.com/inward/record.url?scp=85031996884&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85031996884&partnerID=8YFLogxK
M3 - Article
AN - SCOPUS:85031996884
VL - 32
SP - 159
EP - 163
JO - Functional Neurology
JF - Functional Neurology
SN - 0393-5264
IS - 3
ER -