title: [Quality sharing between the national health service and citizens: a diagnostic and therapeutic planning experience at the "S. Maria" Hospital in Terni].
abstract: The Diagnostic and Therapeutic Programs are instruments of clinical management. The authors report on their experience with the construction of a Diagnostic and Therapeutic Program in the field of breast cancer. This is the result of collaboration between the Breast Unit, an administrative team and a computer team at the "S. Maria" Hospital in Terni. The implementation of the guidelines in the hospital setting makes it possible to systematise the clinical activities, to quantify the economic impact for each disease, and to plan any changes in the use of resources. The application of this method, moreover, makes it possible to develop a common language between medical and nursing staff which can be easily understood by the patients and to inform patients adequately with regard to the diagnostic and therapeutic program they will have to comply with for their respective conditions.
authors.affiliation: Struttura Semplice Dipartimentale di Senologia e Chirurgia Ricostruttiva, Azienda Ospedaliera "S. Maria" - Terni.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Sanguinetti
authors.forename: Daniela
authors.initials: D
authors.lastname: Donetti
authors.forename: Daniela
authors.initials: D
authors.lastname: Estevan
authors.forename: Diamante
authors.initials: D
authors.lastname: Pacchiarini
authors.forename: Lorenzina
authors.initials: L
authors.lastname: Bolli
authors.forename: Filippo
authors.initials: F
authors.lastname: Calzolari
authors.forename: Michele
authors.initials: M
authors.lastname: D'Ajello
authors.forename: Roberta
authors.initials: R
authors.lastname: Lucchini
authors.forename: Claudia
authors.initials: C
authors.lastname: Misso
authors.forename: Luigi
authors.initials: L
authors.lastname: Macchitella
authors.forename: Nicola
authors.initials: N
authors.lastname: Avenia
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis* / Q000628:therapy*; D003663:Decision Trees; D006739:Hospital Administration / Q000592:standards*; D006801:Humans; D007558:Italy; D009313:National Health Programs / Q000592:standards*; D011787:Quality of Health Care