IDEAS home Printed from https://ideas.repec.org/a/fan/mesame/vhtml10.3280-mesa2019-112002.html
   My bibliography  Save this article

Organizzazione della Struttura Complessa di Medicina interna per intensit? di cure: l?Area critica di Medicina interna

Author

Listed:
  • Francesco Ventrella
  • Francesca Fortunato

Abstract

Negli ospedali con organizzazione tradizionale, cioe basata su reparti specialistici non organizzati per intensita di cure, i pazienti "mediamente critici" a volte sono ricoverati in rianimazione, ove ricevono un eccesso di prestazioni con spreco di risorse, a volte vanno nei comuni reparti, ove pero creano effetti distorsivi, in quanto attraggono la gran parte delle risorse, sottraendo assistenza agli altri pazienti, pur ricevendo un?intensita di cure inferiore alle loro necessita. Per evitare queste distorsioni e opportuno creare aree assistenziali di tipo semintensivo, quale l?Area critica di Medicina interna. Gli autori, dopo analisi della letteratura sull?organizzazione degli ospedali per intensita di cura, sottolineano i vantaggi dell?applicazione di tali principi non all?intero ospedale, ma all?interno dei Dipartimenti o delle Unita Operative di Medicina interna. Partendo da alcune esperienze gia realizzate in maniera spontanea in singole strutture con l?attivazione di alcuni posti letto monitorati di terapia semintensiva, propongono un progetto applicativo strutturato per la creazione dell?Area critica di Medicina interna, redatto con l?utilizzo di alcuni strumenti del project management (WBS, OBS, diagramma di Gantt, matrice delle responsabilita, analisi SWOT).

Suggested Citation

  • Francesco Ventrella & Francesca Fortunato, 2019. "Organizzazione della Struttura Complessa di Medicina interna per intensit? di cure: l?Area critica di Medicina interna," MECOSAN, FrancoAngeli Editore, vol. 2019(112), pages 7-39.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2019-112002
    as

    Download full text from publisher

    File URL: http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=66192&Tipo=ArticoloPDF
    Download Restriction: Single articles can be downloaded buying download credits, for info: https://www.francoangeli.it/DownloadCredit
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Lior Fuchs & Victor Novack & Stuart McLennan & Leo Anthony Celi & Yael Baumfeld & Shinhyuk Park & Michael D Howell & Daniel S Talmor, 2014. "Trends in Severity of Illness on ICU Admission and Mortality among the Elderly," PLOS ONE, Public Library of Science, vol. 9(4), pages 1-11, April.
    2. Cheng, Shou-Hsia & Jan, I-Shiow & Liu, Pin-Chun, 2008. "The soaring mechanic ventilator utilization under a universal health insurance in Taiwan," Health Policy, Elsevier, vol. 86(2-3), pages 288-294, May.
    3. Stefano Villa & Marta Barbieri & Federico Lega, 2009. "Restructuring patient flow logistics around patient care needs: implications and practicalities from three critical cases," Health Care Management Science, Springer, vol. 12(2), pages 155-165, June.
    4. Giuseppe De Filippis & Chiara Serpieri & Graziella Costamagna & Arianna Vitale & Angela Del Sal & Maria Cristina Favero Fra & Daniela Dearca & Patrizia Lantero & Silvia Scoffone & Marika Giacometti & , 2015. "Riorganizzazione per intensit? di cura: la sfida dell?Ospedale Mauriziano di Torino," MECOSAN, FrancoAngeli Editore, vol. 2015(94), pages 115-135.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Karsten Schwarz & Michael Römer & Taïeb Mellouli, 2019. "A data-driven hierarchical MILP approach for scheduling clinical pathways: a real-world case study from a German university hospital," Business Research, Springer;German Academic Association for Business Research, vol. 12(2), pages 597-636, December.
    2. Jie Bai & Andreas Fügener & Jan Schoenfelder & Jens O. Brunner, 2018. "Operations research in intensive care unit management: a literature review," Health Care Management Science, Springer, vol. 21(1), pages 1-24, March.
    3. Mei-Chuan Hung & Hsin-Ming Lu & Likwang Chen & Ming-Shian Lin & Cheng-Ren Chen & Chong-Jen Yu & Jung-Der Wang, 2012. "Cost per QALY (Quality-Adjusted Life Year) and Lifetime Cost of Prolonged Mechanical Ventilation in Taiwan," PLOS ONE, Public Library of Science, vol. 7(9), pages 1-10, September.
    4. Carina Fagefors & Björn Lantz & Peter Rosén, 2020. "Creating Short-Term Volume Flexibility in Healthcare Capacity Management," IJERPH, MDPI, vol. 17(22), pages 1-18, November.
    5. Liberati, Elisa Giulia & Gorli, Mara & Scaratti, Giuseppe, 2016. "Invisible walls within multidisciplinary teams: Disciplinary boundaries and their effects on integrated care," Social Science & Medicine, Elsevier, vol. 150(C), pages 31-39.
    6. Hsin-Ju Tang & Hsin-Yi (Jean) Tang & Chia-Ming Chang & Pei-Fang Su & Ching-Huey Chen, 2020. "Functional Status in Older Intensive Care Unit Survivors," Clinical Nursing Research, , vol. 29(1), pages 5-12, January.
    7. Justin T. Kistler & Ramkumar Janakiraman & Subodha Kumar & Vikram Tiwari, 2021. "The Effect of Operational Process Changes on Preoperative Patient Flow: Evidence from Field Research," Production and Operations Management, Production and Operations Management Society, vol. 30(6), pages 1647-1667, June.
    8. Veneklaas, W. & Leeftink, A.G. & van Boekel, P.H.C.M. & Hans, E.W., 2021. "On the design, implementation, and feasibility of hospital admission services: The admission lounge case," Omega, Elsevier, vol. 100(C).
    9. Farouq Halawa & Sreenath Chalil Madathil & Alice Gittler & Mohammad T. Khasawneh, 2020. "Advancing evidence-based healthcare facility design: a systematic literature review," Health Care Management Science, Springer, vol. 23(3), pages 453-480, September.
    10. Villa, Stefano & Prenestini, Anna & Giusepi, Isabella, 2014. "A framework to analyze hospital-wide patient flow logistics: Evidence from an Italian comparative study," Health Policy, Elsevier, vol. 115(2), pages 196-205.
    11. Mahar, Stephen & Bretthauer, Kurt M. & Salzarulo, Peter A., 2011. "Locating specialized service capacity in a multi-hospital network," European Journal of Operational Research, Elsevier, vol. 212(3), pages 596-605, August.
    12. Mariani, Laura & Cavenago, Dario, 2014. "Defining hospital's internal boundaries. An organisational complexity criterion," Health Policy, Elsevier, vol. 117(2), pages 239-246.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:fan:mesame:v:html10.3280/mesa2019-112002. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Stefania Rosato (email available below). General contact details of provider: http://www.francoangeli.it/riviste/sommario.aspx?IDRivista=180 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.