[Accreditation of hospital and local health unit management]. 
The authors state that an authoritative Clinical Director of a General Hospital, an active and efficient leadership of a Public Health District or Local Health Unit are very important to allow Italian Health Care System to cope with present and future challenges.  The medical management must be professionally specialistic and be object of accreditation.  This must be the target of professional training so that Medical Management Staff can have the necessary competence to carry complex management activities correctly out.