Suchergebnisse

Studying and measuring accessibility to care services has become a major concern for health care management, particularly since the global financial collapse. This study focuses on Tuscany, an Italian region, which is re-organizing its inpatient and outpatient systems in line with new government regulations. The principal aim of the paper is to illustrate the application of GIS methods with real-world scenarios to provide support to evidence-based planning and resource allocation in healthcare.

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 beyond traditional financial measures, based on organization strategies, such as the balanced scorecard, has thus been suggested. This revolution in the public management came together with the devolution processes that involved most European public health systems. Set within this context, in the last decade, each of the twenty Italian regions developed its own management tools. Among others, the Tuscan performance evaluation system (PES) has been valued as a particularly innovative and comprehensive system. This paper reports the novel experience of the Tuscan PES; in particular, it measures PES effectiveness and discusses the critical factors that could have led to the PES success. Five are the critical success factors identified by researchers: the visual reporting system, the linkage between PES and CEO's reward system, the public disclosure of data, the high level of employees and managers involvement into the entire process and the strong political commitment. All those factors run together to achieve better results; however, the process of development of the system plays a pivotal role. Scholars suggest the use of a constructive approach in order to gain effective changes in human organization. According to this stream of literature, this paper contributes by the novel experience of the Tuscan PES in addressing as a further fruitful application of the constructivist approach in healthcare.

Adolescence is a fundamental period in everyone's life. Teenagers have for the first time the possibility to take on responsibility about their choices in many domains, building their own "lifestyle." Among these domains, food is one of the most important considering the implications for their future health. Deep knowledge of teenagers' behaviors and of factors affecting their choices can support tailored health policy and social marketing interventions for this population. The purpose of this article is to prospectively segment teenagers around food socialization factors as influencing factors of food preferences, attitudes, and behaviors of adolescents. A cluster analysis (CA) was performed on a sample of 4,749 respondents aged 15 and 18 years coming from Tuscany (Italy). Considering food well-being and consumer socialization frameworks, the CA used three food socialization variables related to influences and source of information/advices at intrapersonal, interpersonal, and broader societal levels. Five distinct groups were identified and described, showing deep differences in the adolescents' food behaviors corresponding to different socialization patterns. Adolescents who reported broader food socialization at all investigated levels present better lifestyle habits. Social marketers, policy makers, and health professionals can work on specific influencing food socialization factors for tailoring marketing interventions and increasing their positive impact on adolescents' food behaviors.