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Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici

Author

Listed:
  • Francesca Casalini
  • Chiara Seghieri
  • Michele Emdin
  • Sabina Nuti

Abstract

Nella gestione dei pazienti cronici, la tradizionale organizzazione per setting assistenziali contrapposti (ospedaleterritorio) fatica a garantire qualit? delle cure, assistenza personalizzata e sostenibilit? finanziaria complessiva. Le aziende sanitarie, pur riconoscendo l?ineludibile necessit? di lavorare in rete, adottano sistemi di programmazione e controllo impostati per setting assistenziale, che non permettono di misurare la capacit? di produzione di "valore" per il paziente in ottica di percorso. Scopo di questo studio ? la sperimentazione nel contesto italiano (Toscana) di una metodologia per identificare reti di professionisti che hanno in cura il paziente cronico (in questo caso con scompenso cardiaco) e misurare gli esiti e l?appropriatezza clinica dei percorsi di cui sono responsabili. La valutazione della performance per rete assistenziale pu? costituire uno strumento efficace per migliorare l?assistenza e introdurre una logica di accountability coerente con i nuovi modelli organizzativi.

Suggested Citation

  • Francesca Casalini & Chiara Seghieri & Michele Emdin & Sabina Nuti, 2017. "Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici," MECOSAN, FrancoAngeli Editore, vol. 2017(102), pages 35-59.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2017-102003
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    References listed on IDEAS

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    1. Nuti, Sabina & Seghieri, Chiara, 2014. "Is variation management included in regional healthcare governance systems? Some proposals from Italy," Health Policy, Elsevier, vol. 114(1), pages 71-78.
    2. Nuti, Sabina & Vola, Federico & Bonini, Anna & Vainieri, Milena, 2016. "Making governance work in the health care sector: evidence from a ‘natural experiment’ in Italy," Health Economics, Policy and Law, Cambridge University Press, vol. 11(1), pages 17-38, January.
    3. Vikram Patel & Gary S Belkin & Arun Chockalingam & Janice Cooper & Shekhar Saxena & Jürgen Unützer, 2013. "Grand Challenges: Integrating Mental Health Services into Priority Health Care Platforms," PLOS Medicine, Public Library of Science, vol. 10(5), pages 1-6, May.
    4. Bevan, Gwyn & Evans, Alice & Nuti, Sabina, 2018. "Reputations count: why benchmarking performance is improving health care across the world," LSE Research Online Documents on Economics 86469, London School of Economics and Political Science, LSE Library.
    5. Sabina Nuti & Chiara Seghieri & Milena Vainieri, 2013. "Assessing the effectiveness of a performance evaluation system in the public health care sector: some novel evidence from the Tuscany region experience," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 17(1), pages 59-69, February.
    6. Chin, M.H. & Goldman, L., 1997. "Factors contributing to the hospitalization of patients with congestive heart failure," American Journal of Public Health, American Public Health Association, vol. 87(4), pages 643-648.
    7. Nolte, Ellen & Knai, Cécile & Hofmarcher, Maria & Conklin, Annalijn & Erler, Antje & Elissen, Arianne & Flamm, Maria & Fullerton, Brigit & Sönnichsen, Andreas & Vrijhoef, Hubertus J. M., 2012. "Overcoming fragmentation in health care: chronic care in Austria, Germany and the Netherlands," Health Economics, Policy and Law, Cambridge University Press, vol. 7(1), pages 125-146, January.
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    Cited by:

    1. Silvana Secinaro & Davide Calandra & Carolina Cappa & Emanuele Bignamini, 2020. "La qualit? dei dati all?interno dell?evoluzione dei servizi territoriali: il caso del Servizio Dipendenze," MECOSAN, FrancoAngeli Editore, vol. 0(116), pages 31-51.
    2. Maria Chiara Demartini & Valentina Beretta, 2020. "La gestione della cronicit? nelle aziende sanitarie: una rassegna della letteratura," MECOSAN, FrancoAngeli Editore, vol. 0(116), pages 7-30.
    3. Fabio De Matteis, 2022. "Elementi di performance governance nei servizi sanitari: alcune evidenze empiriche sullo stato dell?arte nella sanità p," MECOSAN, FrancoAngeli Editore, vol. 2022(121), pages 7-30.

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