Management of the quality of the health-care
Clinical and ethical aspects
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One of the most frequent topics of discussion in clinical and public health medicine is the difficulty to guarantee high quality levels in hospital and outpatients care and - at the same time - to contain the constantly increasing costs. The Italian National Health Service - as it happens in most Western countries - is now deeply involved in this field, but the information and training levels of health care professionals seems - so far - inadequate to the task. However, studies concerning a more rational use of financial resources are more frequent than in the past. Among them, the appropriateness of hospital admissions is a recurrent theme. The Authors analyze the possible new fields of intervention, strongly encouraged by the recently approved "DRGs-based" prospective payment system for italian hospitals and by the shortly incoming "hospital accreditation" legislation. Finally, the matter is analyzed from the point of view of personalistic bioethics.
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