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L?analisi delle politiche di riduzione dei cesarei attraverso il Dynamic Performance Management: la valutazione del percorso nascita in un?azienda sanitaria

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  • Enzo Bivona
  • Federico Cosenz

Abstract

Da tre decenni l?Organizzazione Mondiale della Sanit? considera appropriata una percentuale di cesarei tra il 10-15%. Tuttavia, molti Paesi tuttora si trovano a fronteggiare valori molto pi? elevati e le politiche adottate dai decisori pubblici spesso mostrano di essere poco efficaci. Il presente lavoro prende avvio dall?analisi del percorso nascita introdotto in Sicilia e propone il ricorso all?approccio del Dynamic Performance Management per investigare le cause sottostanti l?andamento dei parti cesarei. Lo studio ha consentito di costruire un modello di System Dynamics, successivamente personalizzato con i dati di un?azienda sanitaria. L?analisi dei risultati delle simulazioni evidenzia la necessit? di adottare una politica orientata a coordinare in modo sistemico gli investimenti nelle tre aree che costituiscono il percorso nascita.

Suggested Citation

  • Enzo Bivona & Federico Cosenz, 2017. "L?analisi delle politiche di riduzione dei cesarei attraverso il Dynamic Performance Management: la valutazione del percorso nascita in un?azienda sanitaria," MECOSAN, FrancoAngeli Editore, vol. 2017(102), pages 85-104.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2017-102005
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