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Innovatori, indecisi, bisognosi o autonomi. I medici di medicina generale tra integrazione e accountability

Author

Listed:
  • Sara Barsanti
  • Manila Bonciani
  • Federico Vola
  • Luca Pirisi

Abstract

L?assistenza primaria in Italia sta subendo una radicale riforma con l?introduzione delle Aggregazioni Funzionali Territoriali (AFT), ovvero gruppi obbligatori di medici di medicina generale che si associano per rispondere insieme sia ai bisogni della popolazione assistita, sia per implementare le logiche del governo clinico. La Toscana gi? a partire del 2014 ? stata una delle prime Regioni a formalizzare le AFT negli Accordi Regionali e Aziendali e a nominare i coordinatori di AFT, ovvero medici di medicina generale che hanno il compito di guidare l?AFT nella programmazione e revisione di obiettivi di governo. A partire da un questionario rivolto ai coordinatori di AFT toscani, gli autori hanno analizzato la percezione dei coordinatori rispetto all?innovazione rappresentata dalla AFT, sia in termini di fiducia verso la logica di integrazione monoprofessionale (fiducia verso l?organizzazione), sia in termini di difficolt? percepita rispetto all?assolvimento del proprio incarico (fiducia verso il ruolo). Sulla base di tali criteri, gli autori hanno delineato, per il contesto della Toscana, 4 differenti gruppi di coordinatori con percezioni simili verso l?innovazione manageriale e organizzativa della medicina generale.

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  • Sara Barsanti & Manila Bonciani & Federico Vola & Luca Pirisi, 2016. "Innovatori, indecisi, bisognosi o autonomi. I medici di medicina generale tra integrazione e accountability," MECOSAN, FrancoAngeli Editore, vol. 2016(98), pages 9-39.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2016-098002
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    References listed on IDEAS

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    1. Luca Pirisi & Elisabetta Reginato, 2022. "La digitalizzazione a supporto del processo di implementazione del nuovo modello di assistenza territoriale della ASL di Sassari," MECOSAN, FrancoAngeli Editore, vol. 2022(123), pages 149-165.

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