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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.

Suggested Citation

  • 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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