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Governance delle reti sanitarie: i Dipartimenti Inter-Aziendali Regionali (DIAR) nel nuovo sistema sanitario ligure

Author

Listed:
  • Walter Locatelli
  • Angela Testi
  • Filippo Ansaldi
  • Marta Giachello
  • Cinzia Panero
  • Valentino Tisa
  • Cecilia Trucchi

Abstract

Il lavoro prende spunto dalla recente riforma del sistema sanitario ligure verso un modello a rete, volto a rispondere ai bisogni di salute delle persone, integrando i processi di cura dei singoli erogatori. La caratteristica piu rilevante e costituita dal coordinamento delle ASL preesistenti, attraverso l?istituzione dei Dipartimenti Inter- Aziendali Regionali (DIAR) e di un?azienda capogruppo, A.Li.Sa. Lo studio ha due obiettivi. In primo luogo si descrive come, per accompagnare la delicata fase del cambiamento, si sia proceduto a intervenire sul contesto culturale di riferimento con un?attivita di formazione ai professionisti in collaborazione con l?Universita. In secondo luogo, si illustrano le attivita preliminari e i primi risultati prodotti dalla riforma, con riferimento al caso dell?area chirurgica del DIAR cardiovascolare.

Suggested Citation

  • Walter Locatelli & Angela Testi & Filippo Ansaldi & Marta Giachello & Cinzia Panero & Valentino Tisa & Cecilia Trucchi, 2019. "Governance delle reti sanitarie: i Dipartimenti Inter-Aziendali Regionali (DIAR) nel nuovo sistema sanitario ligure," MECOSAN, FrancoAngeli Editore, vol. 2019(109), pages 57-81.
  • Handle: RePEc:fan:mesame:v:html10.3280/mesa2019-109004
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    1. Wagstaff, Adam & Lindelow, Magnus & Jun, Gao & Ling, Xu & Juncheng, Qian, 2009. "Extending health insurance to the rural population: An impact evaluation of China's new cooperative medical scheme," Journal of Health Economics, Elsevier, vol. 28(1), pages 1-19, January.
    2. Johar, Meliyanni, 2009. "The impact of the Indonesian health card program: A matching estimator approach," Journal of Health Economics, Elsevier, vol. 28(1), pages 35-53, January.
    3. Ida-Elisabeth Andersen & Birgit Jæger, 1999. "Scenario workshops and consensus conferences: Towards more democratic decision-making," Science and Public Policy, Oxford University Press, vol. 26(5), pages 331-340, October.
    4. Fulop, Naomi & Protopsaltis, Gerasimos & King, Annette & Allen, Pauline & Hutchings, Andrew & Normand, Charles, 2005. "Changing organisations: a study of the context and processes of mergers of health care providers in England," Social Science & Medicine, Elsevier, vol. 60(1), pages 119-130, January.
    5. Judy L. Baker, 2000. "Evaluating the Impact of Development Projects on Poverty : A Handbook for Practitioners," World Bank Publications - Books, The World Bank Group, number 13949.
    6. Timotijevic, Lada & Khan, Shumaisa S. & Raats, Monique & Braun, Susanne, 2019. "Research priority setting in food and health domain: European stakeholder beliefs about legitimacy criteria and processes," Food Policy, Elsevier, vol. 83(C), pages 116-124.
    7. Karan, Anup & Yip, Winnie & Mahal, Ajay, 2017. "Extending health insurance to the poor in India: An impact evaluation of Rashtriya Swasthya Bima Yojana on out of pocket spending for healthcare," Social Science & Medicine, Elsevier, vol. 181(C), pages 83-92.
    8. Daniela Cristofoli & Josip Markovic & Marco Meneguzzo, 2014. "Governance, management and performance in public networks: How to be successful in shared-governance networks," Journal of Management & Governance, Springer;Accademia Italiana di Economia Aziendale (AIDEA), vol. 18(1), pages 77-93, February.
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    Cited by:

    1. 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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