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

Author

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  • 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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    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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