Costruzione di un modello di valutazione del processo di presa in carico dei lavoratori ex esposti ad amianto nella Regione Toscana

SUMMARY (Definition of a performance assessment plan of the health surveillance programme for former asbestos workers in Tuscany Region, Italy) - In Tuscany Region (Italy), a public programme aimed at providing health surveillance for former asbestos workers recently started, following a common approach to asbestos-related diseases as defined by a regional group of experts. A performance assessment plan of the post occupational surveillance programme was drafted by the Institute for Study, Prevention and Cancer Network, and discussed within the Regional Committee, in order to monitor its equity, accessibility and to improve its effectiveness.The performance evaluation plan, partly designed with the PRECEDE-PROCEED model, provides for the periodic assessment of: structure, process and outcome indicators, obtained by the programme database; health care workers’ and patients’ perspectives, obtained by two specific questionnaires. Site visits over the regional facilities will also be performed as a tool for peer training. Expected benefits of the performance evaluation of this programme are multidisciplinary interactions between professionals, the development of audit techniques during site visits, the adequate and fair management of health needs and continuous training of involved healthcare personnel.