1,720,966 research outputs found
La programmazione degli investimenti pubblici come strumento di cambiamento: il caso del Fondo per le aree sottoutilizzate
No full textIn molti studi teorici e pratici, il livello del potenziale miglioramento del settore pubblico, che può essere stimolato attraverso il cambiamento di regole e comportamenti, è molto frequentemente sottostimato. Il presente contributo ha lo scopo di mostrare che le regole sono alla base del processo di cambiamento, ma le persone sono l’elemento essenziale e il driver per il miglioramento. Si prende in considerazione il caso della programmazione degli investimenti pubblici afferenti al Fondo per le Aree Sottoutilizzate (FAS). Le nuove regole, introdotte nel 2002, in tema di programmazione delle risorse del Fondo, hanno non solo provocato modifiche nelle procedure della programmazione, ma hanno anche introdotto, attraverso un processo di apprendimento, un nuovo modo di concepire l’investimento sensibilizzando le persone che gestiscono il FAS a condividere logiche innovative
I processi decisionali nelle amministrazioni pubbliche
No full textIl contributo delinea le caratteristiche dei modelli politico, istituzionale ed aziendale nelle amministrazioni pubbliche, e descrive i principali contributi teorici sui processi decisional
Le decisioni sull'acquisizione e l'impiego delle risorse pubbliche
No full textIl contributo affronta il tema dell'allocazione e redistribuzione delle risorse da parte delle amministrazioni pubbliche e approdondisce le scelte di acquisizione ed impiego delle risorse pubblich
Italia ed Europa, un confronto in sanità: il progetto EU Health Basket
No full textIl capitolo sintetizza la ricerca Health Basket (progetto EU del 6° programma quadro) e presenta i dati più significativi per l'Itali
La corruzione nelle amministrazioni pubbliche: danni sociali e politiche di contrasto
No full textIl capitolo analizza le tipologie e le determinanti della corruzione nel settore pubblico. Propone e discute le possibili strategie di intervento
Systematic review of urinary incontinence and overactive bladder cost-of-illness studies
No full textObjective: Systematise all the international available evidence on the burden of disease because of UI and OAB on society.
Materials and Methods: A systematic search of Medline and Embase databases was conducted on June 30th, 2008, aimed at retrieving studies concerning the cost of UI and OAB, any time.
Results: Out of 161 abstracts retrieved, 25 studies were included in the review. Key findings emerged from the review process: (i) prevalence rates vary depending upon definitions used, populations studied, and methods employed, (ii) estimates of direct healthcare costs should take into account the hidden nature of incontinence since the most affected individuals do not seek treatment, (iii) biases may occur when estimating the burden of disease using claims data as these concern only people seeking care and treated for their symptoms, and (iv) direct costs of incontinence would likely be higher, if a greater proportion of patients with UI and/or OAB sought care. From an economic perspective, investing more resources in early diagnosis and initial treatment could potentially reduce the costs of treating late-stage disease and its consequences. This study illustrates also that healthcare systems never pursued clearly this direction: in OAB communitydwellers the cost of diagnosing and treating is less than the cost of treating its related consequences (e.g. skin irritations, urinary tract infections, falls), 29% and 48.4% of direct costs respectively. Whilst in UI community-dwellers, the cost of treating consequences is still high, being 18.2% of direct costs.
Conclusions: UI and OAB are associated with significant cost to the individual, institution and society. Understanding the magnitude of the impact of these pelvic floor disorders is important to health care providers, payers, and public policymakers in establishing health care priorities, taking advantage of potential savings, and allocating scarce resources for its appropriate management
Impact on Quality of Life of Urinary Incontinence and Overactive Bladder: A Systematic Literature Review
No full textThe paper provides a systematization of the scientific evidence on quality of life of patients affected by urinary incontinence (UI) and overactive bladder (OAB) through a systematic literature review. A single search strategy was performed through the databases and papers collected are reviewed by independent researchers finally, including 39 papers. A strong heterogeneity of studies emerged from the evidence. The multidimensionality of the consequences produced by UI and OAB increased the attention on the identification of the most affected dimension of life quality (i.e. physical, emotional) and on the attempt of predicting life quality impairment through specific variables. © 2010 Elsevier Inc. All rights reserved
Going Beyond Counting First Authors in Author Co-citation Analysis
Full text linkThe present study examines one of the fundamental aspects of author co-citation analysis (ACA) - the way co-citation
counts are defined. Co-citation counting provides the data on which all subsequent statistical analyses and mappings
are based, and we compare ACA results based on two different types of co-citation counting - the traditional type that
only counts the first one among a cited work's authors on the one hand and a non-traditional type that takes into
account the first 5 authors of a cited work on the other hand. Results indicate that the picture produced through this non-traditional author co-citation counting contains more coherent author groups and is therefore considerably clearer. However, this picture represents fewer specialties in the research field being studied than that produced through the traditional first-author co-citation counting when the same number of top-ranked authors is selected and analyzed. Reasons for these effects are discussed
Variations on the Author
Full text link“Variations on the Author” discusses two of Eduardo Coutinho’s recent films (Um Dia na Vida, from 2010, and Últimas Conversas, posthumously released in 2015) and their contribution to the general question of documentary authorship. The director’s filmography is characterized by a consistent yet self-effacing form of authorial self-inscription: Coutinho often features as an interviewer that rather than express opinions propels discourses; an interviewer that is good at listening. This mode of self-inscription characterizes him as an author who is not expressive but who is nonetheless markedly present on the screen. In Um Dia na Vida, however, Coutinho is completely absent form the image, while Últimas Conversas, on the contrary, includes a confessional prologue that moves the director from the margins to the center of his films. This article examines the ways in which these works stand out in the filmography of a director who offers new insights into the notion of cinematic authorship
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