Appropriatezza e qualità delle prestazioni riabilitative

Italian laws from 1992 to 1999, written in order to obtain efficient and effective National Health Service, introduced the notion of quality of therapies in the contest of the same medical system. In the rehabilitation field, we can identify a large number of quality' aims: Patient satisfaction and his rights, equal admittance to therapies, health workers' professionalism, organization quality and health welfare service integration. We can instead define appropriate all those therapies based on scientific evidences; therapies that can answer to Patients' needs and must be guaranteed by National Healt Service. Rehabilitation service must give care continuity, therapies efficacy. Moreover, it has to offer different frequency levels of therapies, taking in to account Patients' needs. Beside the control of the hospital activity must guarantee the efficiency source not at damage of the appropriateness and the quality of therapy: in doing so it safeguard people's health. Appropriate and congruous controls to rehabilitation are those that aim to prove extended and reiterated hospitalization and unapproprieted admission. Health Service better quality and approach, obviously supported with steady and financial resources, can be obtained only with a better use of the clinical and managerial resources.