At the same time, public reporting around performance measurement is increasingly being developed in Italy, but the potential for patients to make use of quality data and to be involved in quality assurance appears to be still rather scarce, notably in the areas of primary and community care. To this end, regions are assigned the task of providing methods for patient involvement (through patient organisations) in activities related to health planning, monitoring and evaluation of services at regional, organisation or district level. The importance of an assessment of the quality of health service by users was confirmed by the Presidential Decree of the Councils of Ministers of May 1995 (Service Charter), by the 2003 and 2006 National Health Plans, and by the national regulations on accreditation (Decree of the Council of Ministers of January 1994 (principles on health services delivery).