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Conoscere il passato per capire il presente e orientare il futuro 了解过去，了解现在，指导未来
Mecosan Pub Date : 2020-10-01 DOI: 10.3280/mesa2020-114001
E. Borgonovi
{"title":"Conoscere il passato per capire il presente e orientare il futuro","authors":"E. Borgonovi","doi":"10.3280/mesa2020-114001","DOIUrl":"https://doi.org/10.3280/mesa2020-114001","url":null,"abstract":"","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44313563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Sfide manageriali Covid-19: next steps 新冠肺炎管理挑战：下一步行动
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113009
D. Vecchio, Mario, Longo, Francesco
{"title":"Sfide manageriali Covid-19: next steps","authors":"D. Vecchio, Mario, Longo, Francesco","doi":"10.3280/MESA2020-113009","DOIUrl":"https://doi.org/10.3280/MESA2020-113009","url":null,"abstract":"Covid emergency provides to health care managers rapidly changing and challenging scenarios, where severe and impacting decisions have to be suddenly taken The paper discusses the next possible managerial steps: Covid pick overcoming, downsizing of Covid capacity and the implementation of separate clinical settings for Covid and Covid-free patients, the activation of a task force for immediate intervention for possible new outbreaks, the no-Covid waiting lists management There are also at least three permanent critical processes to tackle: building a collective narrative about the events in order to foster a new organizational identity, preparing some extra capacity for new picks and for service flexibility, managing litigations For each step and process, the paper discusses possible managerial challenges Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46652823","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Ripartire dalle cure primarie: priorità e lezioni imparate alla luce della Pandemia Covid-19 从初级保健开始：新冠肺炎大流行背景下的优先事项和经验教训
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113026
E. Vendramini
{"title":"Ripartire dalle cure primarie: priorità e lezioni imparate alla luce della Pandemia Covid-19","authors":"E. Vendramini","doi":"10.3280/MESA2020-113026","DOIUrl":"https://doi.org/10.3280/MESA2020-113026","url":null,"abstract":"Primary Care Management has been a pivotal issue in the national and international debate in the last years GP National contract has been focused on the introduction of managerial, organizational and clinical tools since early 2000 The paper is aimed at analysing the first implications of the pandemic and the lessons learnt This not just as a milestone for other issues in the future but to manage the needs of elderly people, mainly chronic patients Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42164337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Disuguaglianze della salute e conseguenze della pandemia 健康不平等和新冠疫情的后果
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113005
A. Gugiatti
{"title":"Disuguaglianze della salute e conseguenze della pandemia","authors":"A. Gugiatti","doi":"10.3280/MESA2020-113005","DOIUrl":"https://doi.org/10.3280/MESA2020-113005","url":null,"abstract":"The health emergency following the Coronavirus pandemic risks calling into question the importance of national and regional strategies to deal with inequalities in health and in health services The analysis of the environmental, social and economic determinants of health, on the other hand, is fundamental for tackling future choices in the health sector with greater balance Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42153911","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Dall'ospedale alla co-produzione collettiva: come attivare la comunità per il contrasto al Covid-19 从医院到集体合作生产：如何激活社区抗击新冠肺炎
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/mesa2020-113032
D. Cepiku, F. Giordano, A. Magi, E. Aloisantoni
{"title":"Dall'ospedale alla co-produzione collettiva: come attivare la comunità per il contrasto al Covid-19","authors":"D. Cepiku, F. Giordano, A. Magi, E. Aloisantoni","doi":"10.3280/mesa2020-113032","DOIUrl":"https://doi.org/10.3280/mesa2020-113032","url":null,"abstract":"This short paper, starting from an analysis on how the Covid-19 pandemic is managed in Italy, aims at putting forward a proposal entailing an alternative approach The central thesis is that the focus of emergency management policies was – and still is – on hospitals, leaving the territory exposed We propose a community-based approach, similar to those effectively used in low-income countries to deal with global health problems Such a proposal, which has several clinical, social and economic benefits including capillarity, early detection and greater ownership, is discussed with key informants from public and non profit institutions at the forefront of the fight of Covid-19 in Italy Several conditions that enable co-production are identified including the existence of a well-functioning territorial medicine, trust and co-production management mechanisms A community co-production approach is applicable to other high-income countries with healthcare systems operating beyond maximum capacity Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48123065","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Tre conferme: direzioni, aziende, regioni 三个确认：方向、公司、地区
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/mesa2020-113010
F. Lega, V. Petronella, A. Triarico, C. Nicora
{"title":"Tre conferme: direzioni, aziende, regioni","authors":"F. Lega, V. Petronella, A. Triarico, C. Nicora","doi":"10.3280/mesa2020-113010","DOIUrl":"https://doi.org/10.3280/mesa2020-113010","url":null,"abstract":"The Covid-19 emergency has challenged both the institutional configuration of the Italian NHS and the management of health organizations and hospitals The political debate and media coverage have often highlighted the regionalization and the capacity of leaders of health organizations as limitations or causes of failures in managing the pandemic Vice versa, a more in depth and fact-based analysis of what took place in the last months shows how the management of health organizations and the supervision of health services at regional level were strengths in coping with the emergency This work illustrates why Italian NHS should invest more in consolidating the corporatization process of health organizations and the regional governance of health sector Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49644839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
L'applicazione delle disruptive technology (DLT, blockchain, smart contract e token) alla gestione del rischio epidemiologico 颠覆性技术（DLT、区块链、智能合约和代币）在流行病风险管理中的应用
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113016
A. Nisio, F. Pellecchia
{"title":"L'applicazione delle disruptive technology (DLT, blockchain, smart contract e token) alla gestione del rischio epidemiologico","authors":"A. Nisio, F. Pellecchia","doi":"10.3280/MESA2020-113016","DOIUrl":"https://doi.org/10.3280/MESA2020-113016","url":null,"abstract":"The work proposes the implementation of blockchain technology to encourage contrast to the spread of Covid-19 The need to overcome the lockdown phase and, at the same time, put in place useful tools to avoid the recurrence of widespread infections, obliges to use already existing and consolidated technologies, which allow, in the urgency of the decisions to be taken, to make compatible the recovery of the social and economic life, protection of individual rights and freedoms The proposal aims to digitize, streamline, deburocratise, speed up, improve procedures and processes aimed at easy and non-intrusive certification of “non-infected” subjects Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48944561","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Quando burocrazia è sinonimo di velocità: l'Huoshenshan di Wuhan, il Javits Center Emergency Hospital a New York e l'Ospedale Fiera di Milano 当官僚主义意味着速度:武汉的胡申山、纽约的贾维茨中心紧急医院和米兰的米兰市立医院
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113019
G. Valotti, D. Cristofoli, Alex Turrini
{"title":"Quando burocrazia è sinonimo di velocità: l'Huoshenshan di Wuhan, il Javits Center Emergency Hospital a New York e l'Ospedale Fiera di Milano","authors":"G. Valotti, D. Cristofoli, Alex Turrini","doi":"10.3280/MESA2020-113019","DOIUrl":"https://doi.org/10.3280/MESA2020-113019","url":null,"abstract":"We analyze how the same type of public intervention (the transformation of a convention center into a hospital for Covid-19 patients) has occurred in three different contexts (Wuhan, New York and Milan) We highlight which models has led to a timely and efficient public intervention aimed at fighting Covid-19 local epidemic The comparative analysis reveals that there is no single path to success: according to different contextual conditions, different factors are fundamental to ensure government timeliness and efficiency We argue that the same factors are important also in situations of “ordinary emergency”, which normally occurs as, physiologically, governments have to cope with unlimited needs and scarce resources availability Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45288893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Applicazione e potenziamento del PIP (Pandemic Influenza Preparedness Framework) in ambito OMS: un'arma in più per affrontare le fasi successive al picco da Covid-19 世卫组织大规模流感准备框架的应用和增强:处理covi -19峰值后阶段的额外武器
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113002
S. Brunelli, C. Falivena, L. Anselmi
{"title":"Applicazione e potenziamento del PIP (Pandemic Influenza Preparedness Framework) in ambito OMS: un'arma in più per affrontare le fasi successive al picco da Covid-19","authors":"S. Brunelli, C. Falivena, L. Anselmi","doi":"10.3280/MESA2020-113002","DOIUrl":"https://doi.org/10.3280/MESA2020-113002","url":null,"abstract":"Pandemic Influenza Preparedness (PIP) Framework, developed by the World Health Organization, is the only existing framework to face a global pandemic crisis It is aimed to define a line of intervention which overcomes characteristics of health systems and allows the Member States at accessing to vaccines and other benefits Besides reviewing its evolution, this article attempts to explore whether – and how – PIP could support future political and economic challenges engendered by Covid-19 In the absence of a new global agreement, PIP may represent the first outline of a framework for reacting to the present pandemic crisis Moreover, a revised and more robust version of PIP may increase preparedness to future health crises Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41460147","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
La gestione delle operations in tempo di crisi: le prime 10 lezioni apprese dalle Aziende Sanitarie 危机管理:卫生公司学到的前10个教训
Mecosan Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113020
M. Marsilio, A. Prenestini
{"title":"La gestione delle operations in tempo di crisi: le prime 10 lezioni apprese dalle Aziende Sanitarie","authors":"M. Marsilio, A. Prenestini","doi":"10.3280/MESA2020-113020","DOIUrl":"https://doi.org/10.3280/MESA2020-113020","url":null,"abstract":"Operations management is a central topic to address standardization issues, redesign of patient and medical supplies processes and flows with the aim of eliminating or reducing variability This work aims to contribute to the debate on hospitals’ ability to deal with the Covid-19 pandemic emergency The experiences of seven healthcare organizations located in the most affected Italian regions were analyzed: Lombardy, Emilia-Romagna, Piedmont and Tuscany There are six fundamental drivers managed by the healthcare organizations to tackle the crisis: i) the organizational structure and decision support systems;ii) hospital networks for the management of patient flows;iii) asset management and physical lay out;iv) the redesign of medical supplies flows;v) the skills of professionals;vi) new health technologies The analysis revealed 10 fundamental lessons to be learned for operations management, enabling the healthcare managers and professionals to plan the responses to the next phases of the pandemic Copyright © FrancoAngeli","PeriodicalId":39077,"journal":{"name":"Mecosan","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41465433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
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