Governance systems which are based on assumptions of purposive-rational action have received significant criticism. For example the quality and performance frameworks of the English NHS function on the basis of incentives and sanctions, and have been critiqued in terms of both the logic on which...

Resource scarcity and increasing service demand lead health systems to cope with choices within constrained budgets. The aim of the paper is to describe the study carried out in the Tuscan Health System in Italy on how to set priorities in the disinvestment process for re-allocation. The...

Healthcare providers often look for feedback from patient surveys. Does health-professional awareness of patient survey results improve communication between patients and providers? To test this hypothesis, we analyzed the data of two surveys on organizational-climate and patient experience in...

Since 80’s the introduction of New Public Management principles has promoted the use of performance measurement to drive a more efficient, effective and accountable public sector. The adoption of a sophisticated and comprehensive multidimensional performance measurement system, which looks...

Le opportunità ed i vantaggi derivanti dall’esternalizzazione e dalla centralizzazione dei processi aziendali, evidenziati in letteratura nel contesto privato, sono riscontrabili anche nel contesto sanitario pubblico? L’articolo si propone di compiere una prima valutazione dei risultati...

Regional healthcare performance evaluation system (PES) can help optimize healthcare resources on regional basis and to improve the performance of healthcare services provided. The Tuscany region in Italy is a good example in meeting these requirements. China is yet to build such a system based...

The Italian National Health System, which follows a Beveridge model, provides universal healthcare coverage through general taxation. Universal coverage provides uniform healthcare access to citizens and is the characteristic usually considered the added value of a welfare system financed by tax...

The study demonstrated how a patient choice model could be used by decision makers for developing successful policies that takes into account different healthcare needs, balancing responsiveness with care continuity, equity and appropriateness. Considering that a primary care centre would...

La ricerca rappresenta una delle tre attività che contraddistinguono la triplice mission delle Aziende Ospedaliero- Universitarie. Questo articolo analizza metodi e proposte di indicatori bibliometrici di monitoraggio della ricerca che possono essere parte dei sistemi di valutazione...