1,720,976 research outputs found
Definizione delle priorità di intervento in sanità: approcci socio-tecnici a confronto
No full textIncreasing responsibility of local authorities and increasing budget constraints raised interest in the implementation of socio-technical approaches for priority setting, such as PBMA and STAR. In this paper we compare these approaches in terms of techniques and decisional process used (phases, actors involved, length), providing examples of application in national and international contexts (Canada, UK and Tuscany). These approaches offer useful insights for the Italian healthcare sector on the improvement of the resource allocation process and the sharing and spreading of improvement initiatives, through an enhanced collaboration among decision makers, managers and professional
CEO's financial incentives in the Italian healthcare sector: a comparison across regional systems
No full textPaper presentato in XVI IRSPM Conference il 11-13 aprile 2012 presso Università Tor Vergata, Rom
Value for Money for Diabetes Pathway: An interdisciplinary and shared approach.
No full textBackground / Objectives
Since 2009, the MeS Laboratory, in collaboration with the London
School of Economics (LSE), has developed a priority setting project in Pisa and Empoli Local Health Authorities (LHAs), through the application of the Value for Money (VfM) methodology. In November 2010 professionals and researchers decided to focus on the diabetes pathway of Empoli LHA to identify interventions’ costs and benefits and define the priorities for action.
Methods / Design
The LHA professionals, consisting of diabetes specialists, general
practitioners, nurses, epidemiologists and representatives of the
Control Management unit, met with MeS researchers to share
criteria to define interventions’ target population, benefits, costs
and probabilities of success. Researchers analyzed the existing
literature and evidences to determine probabilities of success and
benefits, in terms of lifetime discounted QALYs, and estimated
interventions’ costs on the basis of LHA’s administrative documents and data. The comparison between the interventions is based on their VfM and it allows setting up an “efficient frontier” in order to prioritize them.
Results / Findings
Looking at the results of the efficient frontier, the priorities for
action are the two prevention interventions, related to amputation
and primary prevention for patients at risk. The following
interventions are the Disease Management Program, the monitoring of gestational diabetes and the specialist treatment. These results confirm international guidelines that promote prevention and integrated and proactive treatment models.
Conclusions / Implications
The VfM methodology represents a valuable support to healthcare
management to set priorities and reallocate resources. Moreover,
the shared decision-making encourages dialogue between different professionals to improve effectiveness and efficiency of health interventions
Relancer l’État atomique. Industrie, territoire et société en conflit autour du programme nucléaire italien (1975-1985)
No full textThis chapter examines the conflicts that accompanied the building of the Trino 2 nuclear power plant in the Piedmont region between the mid-1970s and the mid-1980s. It focuses in particular on the relationship between the Italian government, the public utility company ENEL (Ente nazionale per l’energia elettrica) in charge of building the plant, the region, the municipalities involved in the project, and the local population, organized around different associations and interest groups. The chapter focuses in particular on the forms of opposition carried out by farmers in an area devoted to rice and wine growing. During the 1970s, rice and wine growers emerged as a particularly important social and economic category, capable of influencing political decisions at a local and regional level. They promoted a vision of the territory that revolved around a high-quality agricultural production intended for export, especially in the European market. For them, the expansion of nuclear policies represented a dangerous threat. By establishing alliances with political parties and social movements and organizing demonstrations, rice and wine growers were able to slow down the plan to build the Trino 2 nuclear power plant
Going Beyond Counting First Authors in Author Co-citation Analysis
Get PDFThe 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
Get PDF“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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