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[Comprehensive assessment in public health]
M Marceca1, A Mastromattei, A Pasquarella
1Agenzia di Sanità Pubblica del Lazio, Roma. marceca@asplazio.it
Annali Di Igiene : Medicina Preventiva E Di Comunita
|March 31, 2004
Summary
Italian healthcare is decentralizing, requiring standardized multidimensional assessment tools for equitable resource allocation. A new method helps select the best tools for evaluating health needs, especially for the elderly.
Area of Science:
- Health Services Research
- Gerontology
- Public Health Policy
Context:
- The Italian health system is transitioning to a federal structure, granting regional authorities greater public health management responsibilities.
- This shift necessitates robust evaluation methods to ensure equitable decision-making and resource allocation.
- Multidimensional assessment tools, primarily used for non-self-sufficient elderly populations, are crucial for evaluating health status and assistance needs.
Purpose:
- To examine and compare 21 multidimensional assessment tools used in Italy.
- To evaluate these tools based on standardized quantitative and quali-quantitative criteria.
- To propose a "Progressive exclusion method" for selecting the most suitable assessment tools.
Summary:
- A comparative analysis of 21 multidimensional assessment tools was conducted using standardized data collection and evaluation criteria.
- Both quantitative (number of items) and quali-quantitative (level of detail) aspects were analyzed.
- The study introduces a "Progressive exclusion method" to aid in selecting appropriate tools based on defined goals and user requirements.
Impact:
- Recommends the adoption of homogeneous, comprehensive multidimensional assessment tools at the regional level.
- Aims to foster a uniform approach to addressing assistance needs across different regions.
- Promotes transparent criteria for resource allocation within public health services.