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...

This paper aims to analyze the variation in the delivery of diagnostic imaging services in order to suggest possible solutions for the reduction of waiting times, increase the quality of services and reduce financial costs. Design: This study provides a logic model to manage waiting times in a...

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...

In linea con le nuove strategie di intervento dei sistemi sanitari pubblici, orientate verso un approccio proattivo in grado di fornire servizi differenziati in base ai bisogni, lo studio propone un tentativo di segmentazione dell’utenza dei servizi distrettuali. Nella prima parte vengono...

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...

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...

Objectives. In recent years, there has been a growing interest in the development and application of discrete choice experiments (DCEs) within health economics. Even though the literature include several reviews of the methodology associated with conducting DCEs and analysing the resultant...

The aim of this article is to present a hardware and software architecture that shows how to combine different open source technologies in order to realize an efficient system to collect and analyze data from a web survey. The framework presented has been used, in the context of the Performance...

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...

Background Tuscany Region has implemented a multidimensional system to assess the performance of all Local Health Authorities (LHAs), based on over 130 indicators classified in 6 dimensions in benchmarking. A study was carried out to use the results of the evaluation performance system to...