La valutazione di base della disabilità come strumento di public management
di Luigi Croce (Consorzio SIR e Centro Domino per l’autismo)
e Federica Di Cosimo (Consulente familiare)
The reform introduced by legislative decree 62/2024 represents a crucial turning point in the Italian system for the recognition of disability, reframing the basic assessment no longer as a purely medico-legal act, but as a strategic gateway for access to rights, supports and public services (Ministry of labour and social policy, 2024). From this perspective, the assessment assumes a central function in policy implementation, with significant implications for public management in terms of process standardisation, reduction of territorial inequalities, governance of multidisciplinary teams, and accountability of administrative decisions (Borgonovi, 2012; Ongaro, 2015).This contribution proposes a methodological and operational model for the basic assessment of disability, grounded in the integration of the biopsychosocial approach of the International Classification of functioning, disability and health – Icf (World Health Organization, 2001) and the Relevance coefficient (Rc), a synthetic index designed as a support tool for public decision-making processes. The model is structured around five core variables and is operationalised through the Unified questionnaire for disability assessment (Quvd), conceived to ensure replicability, transparency and reduction of inter-rater variability. Preliminary results from a pilot application indicate a reduction in evaluative variability of approximately 60%, suggesting a significant improvement in terms of procedural equity and decisional consistency. The article discusses the implications of the model for the governance of disability policies, highlighting the potential of the Rc as a public management instrument capable of translating a complex normative reform into standardised, rights-oriented and time-sustainable administrative practices (Ongaro & Valotti, 2008; Hood, 2011).
