Communication and Information Committee, Italian Society of Physical and Rehabilitation Medicine (SIMFER), Rome, Italy -
Department of Rehabilitation Medicine and Neurorehabilitation, ASST Ospedale Metropolitano Niguarda, Milan, Italy.
Eur J Phys Rehabil Med. 2024 Oct;60(5):737-740. doi: 10.23736/S1973-9087.24.08628-3. Epub 2024 Aug 5.
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.
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.
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.
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.
意大利现有的住院康复活动报告系统存在长期存在的局限性。住院患者出院表单（HDF）主要使用 ICD 代码，这些代码不能充分捕捉患者的功能状态和康复需求，影响了护理的公平性和服务评估。因此，意大利卫生部（IMH）发起了一项倡议，旨在开发一种新的报告系统，专门用于住院康复环境。
一个工作组（WG）于 2019 年成立，由 IMH 的代表领导。它包括康复领域的科学协会和专业协会的成员、行政人员、政策制定者和其他专家。还咨询了患者和家庭协会的代表。WG 于 2020 年初向政治决策者提交了新版本的 HDF。它包括患者康复前后功能水平和临床情况复杂性的详细数据。在使用 ICD 代码时，优先考虑功能诊断。
2023 年，在 COVID-19 大流行中断一段时间后，卫生部的一项法令批准在全国范围内采用新的报告系统，试行期为一年，从 2024 年 1 月开始。
新的 HDF 有望改善数据收集，减少地方和地区差异，允许更好地比较各机构的绩效，并最终提高全国康复护理的质量和结果。物理和康复医学意大利学会（SIMFER）为系统的开发做出了重要贡献。
