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Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici
Titolo Rivista: MECOSAN 
Autori/Curatori: Francesca Casalini, Chiara Seghieri, Michele Emdin, Sabina Nuti 
Anno di pubblicazione:  2017 Fascicolo: 102  Lingua: Italiano 
Numero pagine:  25 P. 35-59 Dimensione file:  23771 KB
DOI:  10.3280/MESA2017-102003
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più:  clicca qui   qui 


Nella gestione dei pazienti cronici, la tradizionale organizzazione per setting assistenziali contrapposti (ospedaleterritorio) fatica a garantire qualità delle cure, assistenza personalizzata e sostenibilità finanziaria complessiva. Le aziende sanitarie, pur riconoscendo l’ineludibile necessità di lavorare in rete, adottano sistemi di programmazione e controllo impostati per setting assistenziale, che non permettono di misurare la capacità di produzione di "valore" per il paziente in ottica di percorso. Scopo di questo studio è la sperimentazione nel contesto italiano (Toscana) di una metodologia per identificare reti di professionisti che hanno in cura il paziente cronico (in questo caso con scompenso cardiaco) e misurare gli esiti e l’appropriatezza clinica dei percorsi di cui sono responsabili. La valutazione della performance per rete assistenziale può costituire uno strumento efficace per migliorare l’assistenza e introdurre una logica di accountability coerente con i nuovi modelli organizzativi.


Keywords: Patologie croniche, scompenso cardiaco, percorsi assistenziali, valutazione della performance, reti assistenziali, referral.

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Francesca Casalini, Chiara Seghieri, Michele Emdin, Sabina Nuti, in "MECOSAN" 102/2017, pp. 35-59, DOI:10.3280/MESA2017-102003

   

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