The new hospital discharge form for inpatient rehabilitation in Italy: a step forward to promote the role of rehabilitation in the healthcare system.

Autor:	Boldrini P; Communication and Information Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy - paolobold@gmail.com., Beretta G; Department of Rehabilitation Medicine and Neurorehabilitation, ASST Ospedale Metropolitano Niguarda, Milan, Italy.; President of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Fiore P; Unit of Neuromotor Rehabilitation, Istituti Clinici Maugeri IRCSS, Bari, Italy.; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Damiani C; Department of Neuromotor Rehabilitation, IRCSS San Raffaele, Rome, Italy.; General Secretary, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Agostini L; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Andreoli E; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Unit of Physical Medicine and Rehabilitation, A.O.U. IRCCS Policlinico S.Orsola-Malpighi, Bologna, Italy., Bargellesi S; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Rehabilitation Medicine, ASL "Serenissima", Venice, Italy., Bernetti A; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Experimental Medicine, University of Salento, Lecce, Italy., de Sire A; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Medical and Surgical Sciences, Magna Grecia University, Catanzaro, Italy., Galeri S; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Struttura Complessa Riabilitazione Specialistica, ASST Papa Giovanni XXIII, Bergamo, Italy., Iolascon G; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Medical and Surgical Specialties and Dentistry, Luigi Vanvitelli University of Campania, Naples, Italy., Mauro GL; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Precision Medicine in the Medical and Surgical Areas, University of Palermo, Palermo, Italy., Rusca L; Executive Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Rehabilitation Medicine ASL Biella, Biella, Italy., Checchia GA; Department of Rehabilitation Medicine, ASL "Euganea", Padua, Italy.; College of Arbitrators, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Lombardi B; College of Arbitrators, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy.; Department of Physical Medicine and Rehabilitation, Azienda USL Toscana Centro, Prato, Italy., Moretti A; Department of Medical and Surgical Specialties and Dentistry, Luigi Vanvitelli University of Campania, Naples, Italy.; College of Arbitrators, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy., Costa M; Specialized Rehabilitation Unit, General Hospital "A. Cardarelli", Naples, Italy.; General Secretary, Italian Union of PRM specialists (SIMMFiR), Naples, Italy.
Jazyk:	angličtina
Zdroj:	European journal of physical and rehabilitation medicine [Eur J Phys Rehabil Med] 2024 Oct; Vol. 60 (5), pp. 737-740. Date of Electronic Publication: 2024 Aug 05.
DOI:	10.23736/S1973-9087.24.08628-3
Abstrakt:	Background: In Italy, longstanding limitations in the existing reporting system of the inpatient rehabilitation activities have been reported. The Hospital Discharge form (HDF) primarily uses ICD codes that inadequately capture the functional status and rehabilitation needs of patients, impacting equity of care and service evaluation. Therefore, the Italian Ministry of Health (IMH) launched an initiative aimed at developing a new reporting system to be specifically adopted in the inpatient rehabilitation setting. Methods: A working group (WG), lead by representatives of IMH, was established in 2019. It included members of scientific societies and professional associations in rehabilitation, administrators, policy makers, and other experts. Representatives of the Associations of Patients and Families were also consulted. The WG submitted the new version of the HDF to the political decision makers in early 2020. It includes detailed data on patients' functional levels before and after rehabilitation, and the complexity of clinical conditions. In using the ICD codes, priority is given to functional diagnoses. Results: In 2023, after a period of interruption due to the COVID-19 pandemic, a Ministry of Health Decree sanctioned the adoption of the new reporting system nationwide after a one-year trial period, starting on January 2024. Conclusions: The new HDF is expected to improve data collection, reduce local and regional disparities, allow better comparison of the performances of the structures, and ultimately enhance the quality and outcomes of rehabilitation care across the country. The Italian Society of Physical and Rehabilitation Medicine (SIMFER) gave an important contribution in the development of the system.
Databáze:	MEDLINE
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