1,720,994 research outputs found
Digital transformation in healthcare : challenges and opportunities in policy and management
No full textGli ospedali privati accreditati: struttura, attività e attrazione di mobilità interregionale
No full textLo studio analizza l’insieme degli erogatori privati accreditati evidenziandone la rilevanza dal punto di vista economico, delle caratteristiche dimensionali e dei livelli quantitativi e qualitativi di attività. Inoltre, approfondisce il tema della mobilità ospedaliera interregionale, analizzando nel
dettaglio i flussi generati dagli erogatori privati accreditati
I CReG lombardi: stato dell’arte e risultati preliminari
No full textIl capitolo approfondisce l’evoluzione e lo stato dell’arte della sperimentazione dei CReG (Chronic Related Groups) avviata nel 2011 in Regione Lombardia
La struttura e le attività del SSN
Full text linkIl capitolo approfondisce l'andamento strutturale e dell'attività del Servizio Sanitario Nazionale (SSN)
Gli erogatori privati accreditati: inquadramento ed evoluzione dei grandi player ospedalieri
No full textAnalisi del settore della sanità privata italiana con focus sugli erogatori ospedalier
Management of chronic patients in Lombardy: which governance and which indeterminateness in the model
No full textl sistema sanitario lombardo ha recentemente avviato una serie di interventi normativi volti a riordinare l’assetto istituzionale e organizzativo dei propri servizi sanitari e socio-sanitari e il proprio modello di presa in carico della cronicita. L’architettura finale del sistema risulta tuttavia indeterminata, dipendendo fortemente dal livello di adesione allo schema degli attori delle cure primarie, dal peso sistemico che assumeranno gli erogatori pubblici e privati e dall’evoluzione del processo di integrazione e coordinamento che li vedra coinvolti. Questo elaborato si pone l’obiettivo di analizzare nel dettaglio le indeterminatezze del modello di presa in carico lombardo, discutendo per ognuna di esse le principali criticita emergenti e proponendo delle proposte di policy che possano supportare i policy makers nell’implementazione di azioni correttive finalizzate a favorire l’evoluzione del modello verso una configurazione che risponda efficacemente ai bisogni della collettivita
La struttura e le attività del SSN
No full textIl capitolo 3 del Rapporto OASI 2016, in linea con le precedenti edizioni dello stesso, approfondisce l'andamento delle struttura e dell'attività, ospedaliera e ambulatoriale, del Servizio Sanitario Nazionale
Distinguishing features in the assessment of mHealth apps
Full text linkIntroduction: The unparalleled surge in digital health adoption during the COVID-19 pandemic has emphasized the potential of mHealth apps. However, the quality of available evidence is generally low, and regulatory frameworks have focused on apps with medical purposes only, overlooking apps with significant interactions with patients that may require stronger oversight. Areas covered: To support this expanded evidence generation process, we identified the reasons that distinguish mHealth apps compared to medical devices at large and that should differentially feature their assessment. mHealth apps are characterized by the iterative nature of the corresponding interventions, frequent user interactions with a non-linear relationship between technology usage, engagement and outcomes, significant organizational implications, as well as challenges associated with genericization, their broad diagnostic potential, and price setting. Expert Opinion: The renewed reliance experienced during the pandemic and the unprecedented injection of resources through recovery instruments can further boost the development of apps. Only robust evidence of the benefits of mHealth apps will persuade health-care professionals and beneficiaries to systematically deploy them. Regulatory bodies will need to question their current approaches by adopting comprehensive evaluation processes that adequately consider the specific features of mHealth apps.</p
Development features and study characteristics of mobile health apps in the management of chronic conditions:A systematic review of randomised trials
Full text linkCOVID-19 pandemic challenges have accelerated the reliance on digital health fuelling the expanded incorporation of mobile apps into healthcare services, particularly for the management of long-term conditions such as chronic diseases (CDs). However, the impact of health apps on outcomes for CD remains unclear, potentially owing to both the poor adoption of formal development standards in the design process and the methodological quality of studies. A systematic search of randomised trials was performed on Medline, ScienceDirect, the Cochrane Library and Scopus to provide a comprehensive outlook and review the impact of health apps on CD. We identified 69 studies on diabetes (n = 29), cardiovascular diseases (n = 13), chronic respiratory diseases (n = 13), cancer (n = 10) or their combinations (n = 4). The apps rarely adopted developmental factors in the design stage, with only around one-third of studies reporting user or healthcare professional engagement. Apps differed significantly in content, with a median of eight behaviour change techniques adopted, most frequently pertaining to the ‘Feedback and monitoring’ (91%) and ‘Shaping knowledge’ (72%) categories. As for the study methodologies, all studies adopted a traditional randomised control trial (RCT) design, with relatively short follow-ups and limited sample sizes. Findings were not significant for the majority of studies across all CD, with most RCTs revealing a high risk of bias. To support the adoption of apps for CD management, this review reinforces the need for more robust development and appropriate study characteristics to sustain evidence generation and elucidate whether study results reflect the true benefits of apps or a biased estimate due to unsuitable designs.</p
Harnessing digital health technologies during and after the COVID-19 pandemic: context matters
Full text linkA common development observed during the COVID-19 pandemic is the renewed reliance on digital health technologies. Prior to the pandemic, the uptake of digital health technologies to directly strengthen public health systems had been unsatisfactory; however, a relentless acceleration took place within health care systems during the COVID-19 pandemic. Therefore, digital health technologies could not be prescinded from the organizational and institutional merits of the systems in which they were introduced. The Italian National Health Service is strongly decentralized, with the national government exercising general stewardship and regions responsible for the delivery of health care services. Together with the substantial lack of digital efforts previously, these institutional characteristics resulted in delays in the uptake of appropriate solutions, territorial differences, and issues in engaging the appropriate health care professionals during the pandemic. An in-depth analysis of the organizational context is instrumental in fully interpreting the contribution of digital health during the pandemic and providing the foundation for the digital reconstruction of what is to come afte
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