Post-stroke rehabilitation in Italy: inconsistencies across regional strategies.

摘要: BACKGROUND Remarkable differences among European countries have been found in stroke rehabilitation models, owing to the fact that services are embedded health care systems. Comprehensive data on service utilization by survivors Italy lacking, but would be instrumental improving efficiency and effectiveness of post-acute care, consequently, containing costs outcomes. AIM The purpose present study was survey Italian regional legislations order examine provision for Italy. DESIGN This is a cross-sectional, observational study. SETTING Post-stroke intra- extra-hospital rehabilitation. POPULATION All decrees resolutions as were collected from each region. METHOD examined means check list including quantitative qualitative characteristics, selected accordance with national official recommendations. Each completed then sent reference person, who filled section implementation indications compliance. RESULTS carried out November 2009 September 2010. documents 19 20 regions. results indicate there many, remarkable variations policies concerning post-stroke care. Instruments evaluation criteria allocating patients proper setting vary across regions, potential impact these clinical outcomes still lacking. CONCLUSION highlights issue that, Italy, delivery not uniform nation-wide varies substantially lack comprehensive strategy major obstacle availability. CLINICAL REHABILITATION IMPACT advocate need consistent strategic planning