The Tuscany Region has assumed an important role in quality topic in order to keep patients experiences and views in healthcare choices, in order to have an integral improvement effort in the whole. In this context, several tools have been developed. The Charter of healthcare services is the document, where each healthcare local unit describes the offered services and the quality levels to be guaranteed. The patient can find and require it to the Public relations office in the healthcare local unit. Finally in order to develop this system, the following activities have been started and developed: The Health Services Guide - 2009, sent to all Tuscan Families; The Regional Observatory of Healthcare service’s Charter, an effective informative system able to relay many information from the different healthcare local units and to enable them to carry ahead improvement actions in order to face problems and patient’s satisfaction with regional resource; The Forum with the citizen associations and promotion of the patient’s rights, an other moment of comparison and participation, in order to ensure that patients have a say in improve local health services; the "Citizens Academy", which has the aim to educate citizens and patients to the health themes.
Keywords: Partecipazione, diritti, empowerment, carta dei servizi, forum associazioni cittadini, sanità toscana