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 2018 Fascicolo 2017/102
Lingua Italiano Numero pagine 25 P. 35-59 Dimensione file 23771 KB
DOI 10.3280/MESA2017-102003
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FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

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, Nuovi strumenti di management per la gestione integrata dei percorsi assistenziali dei pazienti cronici in "MECOSAN" 102/2017, pp 35-59, DOI: 10.3280/MESA2017-102003