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Sviluppo di standard di erogazione dell’attività ambulatoriale per la riorganizzazione di un’Azienda Sanitaria Locale
Journal Title: MECOSAN 
Author/s: FIASO Federazione Asl e Ospedali 
Year:  2017 Issue: 103 Language: Italian 
Pages:  21 Pg. 95-115 FullText PDF:  23941 KB
DOI:  10.3280/MESA2017-103007
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The paper describes the reorganizationof outpatient services in a Local HealthDistrict located in Piedmont region,Italy, during the 2010-2017 financialadjustment programme. The interventionwas locally developped in 2015-2017 as one of the actions within theincoming regional healthcare networkreform. Three steps for reorganizationgcan be outlined: 1) local demand andsupply setting based on explicit prioritycriteria previously shared with stakeholders;2) definition of standards inorder to classify the outpatient facilitiesaccording to different levels of increasingcomplexity; 3) reorganization of theambulatory network (reducing points ofservice from 12 to 7) according to previouslydefined standards and negotiationwith the stakeholder.Due to the complexity of the intervention,the impact evaluation is in processand scheduled after three years.
Keywords: Reorganization, ambulatorycare, standard, stakeholder, priority criteria

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FIASO Federazione Asl e Ospedali, in "MECOSAN" 103/2017, pp. 95-115, DOI:10.3280/MESA2017-103007

   

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