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Strutture residenziali fra scelte strategiche e sostenibilit? economica. Spunti di riflessioni da evidenze empiriche

Author

Listed:
  • Milena Vainieri
  • Cristiana Bettelli
  • Antonella Rosa
  • Claudio Travaglini

Abstract

Lo spostamento del fabbisogno assistenziale della popolazione dal livello ospedaliero a quello distrettuale, in particolare residenziale, e il progressivo invecchiamento demografico, stanno richiamando sempre piu l?attenzione degli studiosi e degli opinion leader delle politiche sanitarie, all?identificazione di soluzioni che possano rispondere ai bisogni della popolazione in modo sostenibile. Con l?ausilio di una cluster analisi questo articolo affronta il tema della sostenibilita economica di cinquanta strutture sanitarie assistenziali per anziani non autosufficienti e le scelte organizzativo-strategiche adottate da queste ultime: assetto proprietario, dimensione, livello di esternalizzazione e di differenziazione. Dall?analisi delle variabili utilizzate emergono tre differenti gruppi di strutture che sembrano rispondere a una diversa missione e che sono state denominate per questo: strutture generaliste, specialistiche e comunitarie. Le tre tipologie sostengono costi per giornata di assistenza erogata significativamente diversi. Alla luce delle evidenze empiriche riportate, gli autori propongono spunti di riflessione e implicazioni politico-manageriali.

Suggested Citation

  • Milena Vainieri & Cristiana Bettelli & Antonella Rosa & Claudio Travaglini, 2014. "Strutture residenziali fra scelte strategiche e sostenibilit? economica. Spunti di riflessioni da evidenze empiriche," MECOSAN, FrancoAngeli Editore, vol. 2014(92), pages 101-118.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2014-092006
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    References listed on IDEAS

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