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Coordinating intra-sector services in healthcare: Requirements and elements that managers should take into account

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  • Lettieri, Emanuele
  • Bartoli, Laura
  • Masella, Cristina

Abstract

This study furthers the on-going debate about the design of efficient, high-quality healthcare delivery by adding new insights about the coordination of intra-sector services. Insights come from an embedded single case study about the design of a Regional Agency in Lombardy (Northern Italy) to coordinate twelve previously autonomous Emergency Response Centres (ERCs) by means of a common management hierarchy. This case offered the possibility to investigate the peculiarities of intra-sector coordination and propose a conceptual framework to support healthcare managers in their design. This framework – that is based on and develops a previous contribution by Alter and Hage (1993) – points out three requirements (comprehensiveness, accessibility and compatibility) that coordinated intra-sector services should satisfy and four elements (services, resources (professionals and technologies), users’ needs, and information (operational data and feedbacks)) that should be taken into account in the design stage.

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  • Lettieri, Emanuele & Bartoli, Laura & Masella, Cristina, 2013. "Coordinating intra-sector services in healthcare: Requirements and elements that managers should take into account," European Management Journal, Elsevier, vol. 31(6), pages 591-601.
  • Handle: RePEc:eee:eurman:v:31:y:2013:i:6:p:591-601
    DOI: 10.1016/j.emj.2013.05.004
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