Clicca qui per scaricare

Modelli di governance per l’avvio del Fascicolo Sanitario Elettronico. L’esperienza del Veneto
Titolo Rivista: MECOSAN 
Autori/Curatori: Maria Cucciniello, Claudia Guerrazzi, Greta Nasi, Claudio Dario, Mauro Rizzato, Andrea Favaro 
Anno di pubblicazione:  2014 Fascicolo: 89 Lingua: Italiano 
Numero pagine:  22 P. 49-70 Dimensione file:  851 KB
DOI:  10.3280/MESA2014-089004
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Il Fascicolo Sanitario Elettronico (FSE) rappresenta un’innovazione complessa che interessa molteplici attori con interessi e prerogative diverse. Partendo da una breve sintesi delle evidenze emerse dalla letteratura sui fattori che ne determinano l’adozione e ne influenzano l’implementazione, l’articolo si focalizza su un fattore particolarmente rilevante rispetto ai diversi attori coinvolti nell’implementazione del FSE, cioè la governance e i diversi modelli attraverso cui essa si esplica. Oltre a delineare i principali contributi teorici emersi dalla letteratura, l’articolo analizza il modello di governance adottato nel caso della Regione Veneto, che si contraddistingue per le forti prerogative delle aziende in materia di innovazione. Alla luce della letteratura e del caso della Regione Veneto, si riportano alcune conclusioni rispetto alla governance del FSE.


Keywords: FSE Fascicolo Sanitario Elettronico, e-health, modelli di governance, innovazione in sanità, Veneto, Italia

  1. Bertin G., Cipolla, C. (2013). Verso differenti sistemi sanitari regionali. Venezia: Ca’Foscari.
  2. Bowden T., Coiera E. (2013). Comparing New Zealand’s ‘Middle Out’ health information technology strategy with other OECD nations. International Journal of Medical Informatics, 82 (5): 87-95.
  3. Burton L.C., Anderson G.F., Kues, I.W. (2004). Using Electronic Health Records to Help Coordinate Care. Milbank Quarterly, 82 (3): 457-481.
  4. Coiera E. (2009). Building a National Health IT System from the Middle Out. Journal of the American Medical Informatics Association,16 (3): 271-273.
  5. Coiera E. (2011). Do we need a national electronic summary care record? Medical Journal of Australia, 194 (2): 90-92.
  6. Cresswell K., Sheikh A. (2009). The NHS Care Record Service (NHS CRS): recommendations from the literature on successful implementation and adoption. Informatics in primary care, 17 (3): 153-160.
  7. Crowston K. (1997). A coordination theory approach to organizational process design. Organization Science, 8 (2): 157-175.
  8. Currie W.L. (2008). Evaluating the governance structure for public sector IT: The UK National Programme in the Health Service. In: Irani Z., Love P. (a cura di). Evaluating Information Systems. Public and private sector. Amsterdam: Elsevier.
  9. Currie W.L., Guah M.W. (2007). Conflicting institutional logics: a national programme for IT in the organisational field of healthcare. Journal of Information Technology, 22 (3): 235-247.
  10. Deutsch E., Duftschmid G., Dorda W. (2010). Critical areas of national electronic health record programs. Is our focus correct? International Journal of Medical Informatics, 79 (3): 211-222.
  11. Emmanouilidou M., Burke M. (2013). A thematic review and a policy-analysis agenda of Electronic Health Records in the Greek National Health System. Health Policy, 109 (1): 31-37.
  12. Esterle L., Kouroubali A., De Moore G., Bruun-Rasmussen M., Hurl G., Ciglenecki L. (2010). Political and Organisational Factors Influencing Large Scale Implementation of Electronic Health Records: Recommendations for a Realistic Implementation Plan. Testo disponibile al sito: http://www.ehrimplement.eu (consultato a marzo 2014).
  13. Goroll A.H., Simon S.R., Tripathi M., Ascenzo C., Bates D.W. (2009). Community-wide Implementation of Health Information Technology: The Massachusetts eHealth Collaborative Experience. Journal of the American Medical Informatics Association, 16 (1): 132-139.
  14. Gray B.H., Bowden T., Johansen I., Koch S. (2011). Electronic health records: an international perspective on “meaningful use”. Issue Brief (Commonw Fund), 28: 1-18.
  15. Gunter T.D., Terry N.P. (2005). The emergence of national electronic health record architectures in the United States and Australia: models, costs, and questions. Journal of Medical Internet Research, 7 (1): 3.
  16. Halamka J., Aranow M., Ascenzo C., Bates D., Debor G., Glaser J., Goroll A., Stowe J., Tripathi M., Vineyard G. (2005). Health Care IT Collaboration in Massachusetts: The Experience of Creating Regional Connectivity. Journal of the American Medical Informatics Association, 12 (6): 596-601.
  17. Häyrinen K., Saranto K., Nykänen P. (2008). Definition, structure, content, use and impacts of electronic health records: A review of the research lite-rature. International Journal of Medical Informatics, 77 (5): 291-304.
  18. Heart T., O’Reilly P., Sammon D., O’Donoghue J. (2009). Bottom-up or top-down?: A comparative analysis of electronic health record diffusion in Ireland and Israel. Journal of Systems and Information Technology, 11 (3): 244-268.
  19. Kalra D., Musen M., Smith B., Ceusters W., De Moor G. (2011). ARGOS policy brief on semantic interoperability. Studies in health technology and informatics, 170: 1-15.
  20. Lega F., Longo F. (2002). Programmazione e governo dei sistemi sanitari regionali e locali: il ruolo della regione e delle aziende a confronto. Mecosan, 41: 9-21.
  21. Lion C., Martini P., Volpi S. (2003). Le sfide per la valutazione nel nuovo contesto di governance. Osservatorio Isfol.
  22. Longo F., Lega F., Del Vecchio M. (2010). La sanità futura: come cambieranno gli utenti, le istituzioni, i servizi e le tecnologie. Milano: Università Bocconi Editore.
  23. Malone T.W., Crowston K. (1994). The interdisciplinary study of coordination. ACM Computing Surveys, 26 (1): 87-119.
  24. McGinn C.A., Gagnon M.P., Shaw N., Sicotte C., Mathieu L., Leduc Y., Grenier S., Duplantie J., Abdeljelil A.B., Legare F. (2012). Users’ perspectives of key factors to implementing electronic health records in Canada: a Delphi study. BMC Medical Informatics and Decision Making, 12: 105.
  25. Metzger M.H., Durand T., Lallich S., Salamon R.,Castets P. (2012). The use of regional platforms for managing electronic health records for the production of regional public health indicators in France. BMC Medical Informatics and Decision Making, 12 (1): 28.
  26. Mola E. (2006). Dalla compliance all’empowerment: due approcci alla malattia. Quaderno di comunicazione. Dipartimento di Filosofia e Scienze sociali dell’Universita di Lecce, 6: 99-107.
  27. Morrison Z., Robertson A., Cresswell K., Crowe S., Sheikh A. (2011). Understanding Contrasting Approaches to Nationwide Implementations of Electronic Health Record Systems: England, the USA and Australia. Journal of Healthcare Engineering, 2 (1): 25-42.
  28. O’Sullivan T.A., Billing N.A., Stokes D. (2011). Just what the doctor ordered: Moving forward with electronic health records. Nutrition & Dietetics, 68 (3): 179-184.
  29. Ongaro E. (2007), L’organizzazione dello Stato tra autonomia e policy capacity. Soveria Mannelli: Rubbettino.
  30. Pardo T.A., Canestraro D.S., Hrdinová J., Cresswell A.M., Raup-Kounovsky A. (2009). Creating Enhanced Enterprise Information Technology Governance for New York State: A Set of Recommendations for Value-Generating Change. Center for Technology in Government (CTG), State University of New York at Albany.
  31. Pellissero G.E, Mingardi A. (2010). Eppur si muove. Come cambia la sanità in Europa, fra pubblico e privato. Torino: IBL libri.
  32. Raup-Kounovsky A., Hrdinov J., Canestraro D.S., Pardo T.A. (2009). Public sector IT governance: from frameworks to action. In: Proceedings of the 3rd international conference on Theory and practice of electronic governance. Bogota, Colombia, ACM.
  33. Rozenblum R., Jang Y., Zimlichman E., Salzberg C., Tamblyn M., Buckeridge D., Forster A., Bates D.W., Tamblyn R. (2011). A qualitative study of Canada’s experience with the implementation of electronic health information technology. CMAJ: Canadian Medical Association journal (Journal de l’Association medicale canadienne), 183 (5): 281-288.
  34. Takian A., Petrakaki D., Cornford T., Sheikh A., Barber N., National N.H.S. Care Records Service Evaluation Team. (2012). Building a house on shifting sand: methodological considerations when evaluating the implementation and adoption of national electronic health record systems. BMC Health Services Research, 12: 105.
  35. Terry N.P. (2004). Electronic health records: international, structural and legal perspectives. Journal of law and medicine, 12 (1): 26-39.
  36. Terry N.P., Francis L. (2007), Ensuring the privacy and confidentiality of electronic health records. University of Illinois Law Review, 2007 (2): 681-735.
  37. Valotti G. (2000). La corporate governance. In: Valotti G. (a cura di). La riforma delle Autonomie Locali: dal Sistema all’Azienda. Milano: Egea.
  38. Yasnoff W.A., Humphreys B.L., Overhage J.M., Detmer D.E., Brennan P.F., Morris R.W., Middleton B., Bates D.W., Fanning J.P. (2004). A Consensus Action Agenda for Achieving the National Health Information Infrastructure. Journal of the American Medical Informatics Association, 11 (4): 332-338.

Maria Cucciniello, Claudia Guerrazzi, Greta Nasi, Claudio Dario, Mauro Rizzato, Andrea Favaro, in "MECOSAN" 89/2014, pp. 49-70, DOI:10.3280/MESA2014-089004

   

FrancoAngeli è membro della Publishers International Linking Association associazione indipendente e no profit per facilitare l'accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche