1,721,098 research outputs found
La Primary Care con particolare attenzione al ruolo della medicina di base per l'efficienza e appropriatezza prescrittiva
No full textThe proper allocation of the Risk Management Nucleus in Healthcare System: some case studies in Apulia
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The healthcare sector in the era of Smart Health Strategy
No full textIn the last few years, the Italian Healthcare Sector have been the key player of a deep epidemiological transformation - among European countries - involving increasingly demand for healthcare services and ageing. The OCSE Report [2015] states that “if it is true that, to date, 12% of global population is older than 65 years, in the 2050 it will be 21%”, this declaration will be even more serious if we consider the impact on the ratio between health status and technology innovation (since a decade known as Smart Health). The main purpose of this paper is to try to define the role of the strategy in the Smart Health scenario, in order to describe the operative outlines and to discuss a priori about the Smart Health Strategy (SHS). Even more, the ratio between health status and technology innovation in building of a healthcare strategy seems to be an unused aspect in Italy: nowadays, it produce an info glut, especially by the side of the decision maker and the management of healthcare demand. As is well known, the strategy is important to co-create value. Therefore, ana-lysing implications of Smart Health Strategy, according to the construction of a model that is at the base of Change Management in Healthcare, require demonstrating its effectiveness through an empirical study. With the findings of “Pro Domo Sud” Project”, we want to define Smart Health Strategy according to the logic of “public and innovation management”, that is the innovative change in healthcare to support clinical government
Identity and the choice of writing system in the Achaemenid world
No full textThe paper investigates the choice of writing system as the visual representation of identity in a specific multilingual and multi-ethnic context of antiquity, namely, the Achaemenid Empire. In particular, the discussion focuses on the linguistic and socio-cultural environment in Lydia and Hellespontine Phrygia, the western satrapies of the Persian Empire, where various languages and writing systems were available. Through the cases study analyzed here it has been possible to detect the symbolic status of a language - as well as that of its writing system - in the expression of ethnic identity at the local community level. In the case of Lydia, the analysis of the seals inscriptions provides evidence of identity negotiation from individuals of the local elite who were engaging with Persian power. The bullae from Daskyleion reflect a different linguistic practice in the context of power relations. Interestingly, even though the central imperial authority did not take advantage of any specific language use, including Aramaic, as a means to impose power, the presence of seals in Aramaic in the Daskyleion archive seems to suggest that it had status as an international prestige language, imbuing the inscriber of any ethnicity with the might of imperial power
EARLY MENOPAUSE INFLUENCES OSTEOPENIC OR OSTEOPOROTIC STATUS IN POSTEMENOPAUSAL WOMEN: PRELIMINARY RESULTS FROM PROF PROJECT
No full textAims: There is evidence that demographic trends in Southern
Apulia are characterized by a huge proportion of elderly people
relative to general population, resulting in an ageing index which
is higher than in other Southern Italian regions and/or sub-regions. Within the PROF (Prevention of Osteoporotic Fractures)
project, aimed to foster synergic efforts between researchers and
clinicians, we investigated the correlation between early menopause and osteopenic or osteoporotic status in postmenopausal
women by quantitative bone ultrasonic evaluation (QUS)
DIABETES AND OBESITY AS INDEPENDENT RISK FACTORS FOR OSTEOPOROSIS IN POSTMENOPAUSAL WOMEN: A POPULATION STUDY
Full text linkLa fragilità ossea svelata dagli ultrasuoni può consentire la “produzione di salute” su larga scala: studio pilota in pazienti talassemici
Full text linkThe Value-Based Health Care model: A possible response to Covid-19 management
No full textIn recent days, due to the Covid-19 emergency, our health system has been called to respond to the strong pressure of the drastic increase in demand. Although the great efforts made by all the actors involved have reduced the dramatic impact of this emergency, the need for a profound restructuring of care and assistance services is now evident. Among the organizational models that address this need, Value-Based Health Care (VBHC) is among the most discussed. The determining factors for the success of the model are the alignment of all the stakeholders on a common goal, namely the value for the patient and the integration between the providers. There are many studies in the literature that focus on the ongoing transformation of the health systems of many countries into Value-Based systems, a clear picture does not yet emerge regarding the issues of implementation and the resulting benefits. Starting from the trend-starting articles on Value-Based Health Care, the work aims to create a theoretical framework through which to explain the advantages deriving from the application of the model compared to the current health emergency
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