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The sanitary firms - public and private - are interested from a deep process of transformation from "places of care" to firms that disburse sanitary services in a context that, in relation to the expressed concepts by the quality, must have as a target the continuous improvement.

The national and regional laws and the derived norms have introduced the accreditation of the sanitary services -inspired to the quality ISO9000- similar to what happens in other European and international Countries to the purpose to improve the services and to protect the health of the citizens.

In this field the norms foresee interventions both on the clinical aspects, and on the organizational aspects, inseparable from the sanitary performance.

The sanitary firms, with the purpose to succeed in quantifying the cost of the disbursed services and to compare them to analogous structures, (benchmarking) have started deep reorganization processes .

The path to reach the attended results foresees the adoption and the implementation, inside the sanitary structures, of requisites that concern the general and clinical aspects.

The requisites that, for cultural sector, they are those to which we have tributed great attention they are those of general and structural character.
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