Appropriatezza delle prescrizioni di ausili, ortesi e protesi: sviluppo di protocolli e linee guida
Record number: 280
Last update: December 2009
Type of document: Thesis
Last update: December 2009
Type of document: Thesis
Author: Cassio A
Editorial data: Tesi Corso di Perfezionamento "Tecnologie per l'Autonomia". Università Cattolica e Fondazione Don Gnocchi, a.a. 2008-2009
Year of publication: 2009
Abstract:
(text automatically translated from Italian) The appropriatness of an assistive device measure based on its effectiveness in catching up the objectives for which it has been chosen and to its efficiency, for the entire cycle of life, regarding the economic investment. Prescription appropriate straight addresses to having and having subjects need and implies one accurate assesment of the patient and the environment of life. In the ***AUSL of Piacenza, recently, has been put into effect of the modifications in the process of supply of the assistive devices, in order to contain the prosthetic expense and in order to control the ***prescrittiva appropriatness. In order to obtain this control the Company has reduced one or two, for every Operating Unit, the number of the ***prewriters and of it it has divided the ***prescrittive competences. In order to exceed the ***criticità of the reduction of the ***prewriters, in the Department of Rehabilitation, a work group is person in charge to reach, through the examination of the scientific literature available in ***protesico-ortesica matter and of the experiences of the other ***AUSL, to a consent for a ***prescrittive ***autoregolamentazione and ***uniformazione, creating therefore a distributed control that better the effectiveness and the system effectiveness. If it adopts ***dall' the Company to you, these Protocols of ***prescrittiva appropriatness will come diffuse and experimented. This experimentation will come supported from simple assesments for the verification of effectiveness and carried out efficiency of the prescription. The course of these indicators will come confronted with the course of the prosthetic expense.
(text automatically translated from Italian) The appropriatness of an assistive device measure based on its effectiveness in catching up the objectives for which it has been chosen and to its efficiency, for the entire cycle of life, regarding the economic investment. Prescription appropriate straight addresses to having and having subjects need and implies one accurate assesment of the patient and the environment of life. In the ***AUSL of Piacenza, recently, has been put into effect of the modifications in the process of supply of the assistive devices, in order to contain the prosthetic expense and in order to control the ***prescrittiva appropriatness. In order to obtain this control the Company has reduced one or two, for every Operating Unit, the number of the ***prewriters and of it it has divided the ***prescrittive competences. In order to exceed the ***criticità of the reduction of the ***prewriters, in the Department of Rehabilitation, a work group is person in charge to reach, through the examination of the scientific literature available in ***protesico-ortesica matter and of the experiences of the other ***AUSL, to a consent for a ***prescrittive ***autoregolamentazione and ***uniformazione, creating therefore a distributed control that better the effectiveness and the system effectiveness. If it adopts ***dall' the Company to you, these Protocols of ***prescrittiva appropriatness will come diffuse and experimented. This experimentation will come supported from simple assesments for the verification of effectiveness and carried out efficiency of the prescription. The course of these indicators will come confronted with the course of the prosthetic expense.