Il contributo delle reti sanitarie "spontanee" al miglioramento degli outcome: opportunità e sfide nella prospettiva della progettazione dei sistemi di programmazione e controllo

Titolo Rivista MECOSAN
Autori/Curatori Vincenzo Vignieri, Carmine Bianchi, Astrid Pietrosi, Giuseppe Provenzale
Anno di pubblicazione 2020 Fascicolo 2019/109 Lingua Italiano
Numero pagine 22 P. 83-104 Dimensione file 591 KB
DOI 10.3280/MESA2019-109005
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più clicca qui

Qui sotto puoi vedere in anteprima la prima pagina di questo articolo.

Se questo articolo ti interessa, lo puoi acquistare (e scaricare in formato pdf) seguendo le facili indicazioni per acquistare il download credit. Acquista Download Credits per scaricare questo Articolo in formato PDF

Anteprima articolo

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

Il presente lavoro intende discutere il contributo che i sistemi di Programmazione e Controllo possano fornire al regolatore regionale nello sviluppo di politiche di rete in sanita. Lo scritto esamina le esperienze sulla costituzione e sull’amministrazione di reti sanitarie "spontanee" maturate da ISMETT (Istituto mediterraneo per i trapianti e terapie ad alta specializzazione), struttura ospedaliera istituita in Sicilia nel 1998 per l’erogazione di prestazioni di cura a elevata complessita. L’analisi del caso consentira di illustrare in che modo le reti sanitarie "spontanee" possano contribuire a un miglioramento della "salute" e generare outcome di carattere economico e sociale per l’intera comunita.;

Keywords:Reti sanitarie, outcome, salute, sistemi di programmazione e controllo.

  1. Addicott R., McGivern G., Ferlie E. (2006). Networks, Organizational Learning and Knowledge Management: NHS Cancer Networks. Public Money & Management, 26(2): 87-94.
  2. Adinolfi P. (2012). La clinical governance, possibile soluzione ai fabbisogni di integrazione nelle aziende sanitarie. SSRN Electronic Journal, 53: 67-80.
  3. Agostino D., Arnaboldi M. (2015). How Performance Measurement Systems Support Managerial Actions in Networks: Evidence from an Italian Case Study. Public Organization Review, 15(1): 117-137.
  4. Agostino D., Arnaboldi M. (2018). Performance measurement systems in public service networks. The what, who, and how of control. Financial Accountability & Management, 34(2): 103-116.
  5. Agranoff R., McGuire M. (2003). Collaborative Public Management. New Strategies for Local Governments. Washington, USA: Georgetown University Press. Ansell C., Gash A. (2007). Collaborative governance in theory and practice. Journal of Public
  6. Administration Research and Theory, 18(4): 543-571.
  7. Anselmi L. (1995). Il processo di trasformazione della pubblica amministrazione. Torino, IT: Giappichelli editore.
  8. Anselmi L. (2014). Percorsi aziendali per le pubbliche amministrazioni: Edizione rivista e ampliata. Torino, IT: Giappichelli editore.
  9. Baker C.D. (2000). Cardiology: the development of a managed clinical network. BMJ, 321(7269): 1152-1153.
  10. Barretta A. (2004). L’unità nella diversità. La “dimensione sovraziendale” del controllo di gestione esteso nelle aziende sanitarie. Padova: Cedam.
  11. Barretta A. (2008). The functioning of co-opetition in the health-care sector: An explorative analysis. Scandinavian Journal of Management, 24(3): 209-220.
  12. Barretta A., Busco C. (2011). Technologies of government in public sector’s networks: In search of cooperation through management control innovations. Management Accounting Research, 22(4): 211-219.
  13. Barretta A., Gepponi A., Monfardini P., Ruggiero P. (2009). Inter-organizational management control in Health and Social Care: an exploratory analysis of Healthcare Consoritia in Tuscany. Mecosan, 71: 85-98.
  14. Berry A.J., Coad A.F., Harris E.P., Otley D.T.,
  15. Stringer C. (2009). Emerging themes in management control: A review of recent literature. The British Accounting Review, 41(1): 2-20.
  16. Bianchi C. (2004). Sistemi di programmazione e controllo per l’azienda “Regione”. Milano: Giuffre.
  17. Bianchi C. (2016). Dynamic Performance Management. System Dynamics for Performance Management (Vol. 1). Cham, Zurich: Springer International Publishing. DOI: 10.1007/978-3-319-31845-5
  18. Bianchi C., Rivenbark W.C. (2014). Performance management in local government: The application of system dynamics to promote data use. International Journal of Public Administration, 37(13): 945-954.
  19. Bianchi C., Xavier J.A. (2017). The Design and Execution of Performance Management Systems at State Level: A Comparative Analysis of Italy and Malaysia. International Journal of Public Administration, 40(9): 744-755. DOI: 10.1080/01900692.2016.1191034
  20. Birkmeyer N.J.O., Birkmeyer J.D. (2006). Strategies for Improving Surgical Quality – Should Payers Reward Excellence or Effort? New England Journal of Medicine.
  21. Borgonovi E. (1990). Il controllo economico nelle aziende sanitarie. Milano: Egea.
  22. Borgonovi E. (1992). Verso il governo regionale della sanita: i rischi di una politica sanitaria senza una strategia organizzativa. Mecosan, 2: 6-12.
  23. Borgonovi E. (2000). Prefazione. In: Casati G. (a cura di). Programmazione e controllo di gestione nelle aziende sanitarie. Milano: McGraw-Hill.
  24. Borgonovi E. (2002). Principi e sistemi aziendali per le amministrazioni pubbliche. Milano: Egea.
  25. Bouckaert G., Halligan J. (2007). Managing performance: International comparisons. New York: Routledge.
  26. Brunetti G. (1979). Il controllo di gestione in condizioni ambientali perturbate. Milano: FrancoAngeli.
  27. Brusati L., Fedele P., Ianniello M., Iacuzzi S. (2018). Outcome-Based Performance Management in the Public Sector: What Role for Inter-organizational ICT Networks? In: Borgonovi E., Anessi-Pessina E., Bianchi C. (a cura di). Outcome-Based Performance Management in the Public Sector (pp. 161-177). Cham: Springer International Publishing. DOI: 10.1007/978-3-319-57018-1_9
  28. Caglio A., Ditillo A. (2008). A review and discussion of management control in inter-firm relationships: Achievements and future directions. Accounting, 33(7): 865-898.
  29. Carlsson-Wall M., Hakansson H., Kraus K., Lind J., Stromsten T. (2018). Accounting, Innovation and Inter-Organisational Relationships. New York: Routledge.
  30. Casati G. (2000). La programmazione e il controllo di gestione nelle aziende sanitarie. In: Casati G. (a cura di). Programmazione e il controllo di gestione nelle aziende sanitarie (pp. 1-12). Milano: McGraw-Hill.
  31. Cepiku D., Ferrari D., Greco A. (2005). Governance e coordinamento strategico delle reti di aziende sanitarie. Mecosan, 56(15): 17-36.
  32. Coda V. (1988). L’orientamento strategico dell’impresa. Torino: Utet Universita.
  33. Hakansson H., Kraus K., Lind J. (2010). Accounting in Networks. New York: Routledge.
  34. Cristofoli D., Markovic J., Meneguzzo M. (2014). Governance, management and performance in public networks: How to be successful in shared-governance networks. Journal of Management & Governance, 18(1): 77-93.
  35. Crosby B.C., Bryson J.M. (2010). Integrative leadership and the creation and maintenance of cross-sec tor collaborations. The Leadership Quarterly, 21(2): 211-230.
  36. Dekker H. C. (2004). Control of inter-organizational relationships: evidence on appropriation concerns and coordination requirements. Accounting, 29(1): 27-49. DOI: 10.1016/S0361-3682(02)00056-9
  37. Di Vincenzo F., Evangelista V. (2014). Dinamiche di collaborazione interospedaliera: un’analisi longitudinale nella regione Abruzzo. Mecosan, 92: 9-26. DOI: 10.3280/MESA2014-092002
  38. Donabedian A. (1966). Evaluating the Quality of Medical Care. The Milbank Memorial Fund Quarterly, 44(3): 166-203. DOI: 10.2307/3348969
  39. Dyer J.H., Singh H. (1998). The Relational View: Cooperative Strategy and Sources of Interorganizational Competitive Advantage. The Academy of Management Review, 23(4): 660-679. DOI: 10.2307/259056
  40. Edelenbos J., Klijn E.H. (2006). Managing Stakeholder Involvement in Decision Making: A Comparative Analysis of Six Interactive Processes in the Netherlands. Journal of Public Administration Research and Theory, 16(3): 417-446.
  41. Emerson K., Nabatchi T., Balogh S. (2012). An Integrated Framework for Collaborative Governance. Journal of Public Administration Research and Theory, 22: 1.
  42. Galdiero C., Cicellin M. (2010). L’evoluzione dei modelli di governance nel sistema sanitario italiano. In: Mercurio R., Martinez M. (a cura di). Modelli di Governance e Processi di Cambiamento nelle Public Utilities (pp. 121-156). Milano: FrancoAngeli.
  43. Gastaldi L., Pietrosi A., Lessanibahri S., Paparella M., Scaccianoce A., Provenzale G., Corso M., Gridelli B. (2018). Measuring the maturity of business intelligence in healthcare: Supporting the development of a roadmap toward precision medicine within ISMETT hospital. Technological Forecasting and Social Change.
  44. Grafton J., Abernethy M.A., Lillis A.M. (2011). Organisational design choices in response to public sector reforms: A case study of mandated hospital networks. Management Accounting Research, 22(4): 242-268.
  45. Grandori A., Soda G. (1995). Inter-firm Networks: Antecedents, Mechanisms and Forms. Organization Studies, 16(2): 183-214. DOI: 10.1177/017084069501600201
  46. Gulati R. (1995). Does Familiarity Breed Trust? The Implications of Repeated Ties for Contractual Choice in Alliances. Academy of Management Journal, 38(1): 85-112. DOI: 10.5465/256729
  47. Gulati R., Singh H. (1998). The Architecture of Cooperation: Managing Coordination Costs and Appropriation Concerns in Strategic Alliances. Administrative Science Quarterly. DOI: 10.2307/2393616
  48. Hofstede G. (1978). The Poverty of Management Control Philosophy. The Academy of Management Review, 3(3): 450. DOI: 10.2307/257536
  49. Hood C. (2001). Public Management, New. International Encyclopedia of the Social & Behavioral Sciences. Oxford: Pergamon.
  50. Hood C. (2009). Public Management: The Word, the Movement, the Science. In: Ferlie E., Lynn L.E., Pollitt C. (a cura di). The Oxford handbook of public management. Oxford University Press.
  51. Hopwood A.G. (1996). Looking across rather than up and down: On the need to explore the lateral processing of information. Accounting, 21(6): 589-590. DOI: 10.1016/0361-3682(96)81805-8
  52. Huxham C., Vangen S. (2013). Managing to Collaborate: The Theory and Practice of Collaborative Advantage. Abingdon, UK: Routledge.
  53. Hakansson H., Lind J. (2006). Accounting in an Interorganizational Setting. In: Chapman C.S., Hopwood A.G., Shields M.D. (a cura di). Handbooks of Management Accounting Research (Vol. 2, pp. 885-902). Elsevier. DOI: 10.1016/S1751-3243(06)02017-7
  54. Ireland R.D., Hitt M.A., Vaidyanath D. (2002). Alliance Management as a Source of Competitive Advantage. Journal of management, 28(3): 413-446. DOI: 10.1016/S0149-2063(02)00134-4
  55. Ittner C.D., Larcker D.F., Nagar V., Rajan M.V. (1999). Supplier selection, monitoring practices, and firm performance. Journal of Accounting and Public Policy, 18(3): 253-281. DOI: 10.1016/S0278-4254(99)00003-4
  56. Jarillo J.C. (1988). On strategic networks. Strategic Management Journal, 9(1): 31-41.
  57. Kahn J.M., Goss C.H., Heagerty P.J., Kramer A.A., O’Brien C.R., Rubenfeld G.D. (2006). Hospital Volume and the Outcomes of Mechanical Ventilation. New England Journal of Medicine, 355(1): 41-50.
  58. Kale P., Singh H., Perlmutter H. (2000). Learning and protection of proprietary assets in strategic alliances: Building relational capital. Strategic Management Journal, 21(3): 217-237.
  59. Kenis P., Provan K.G. (2006). The Control of Public Networks. International Public Management Journal, 9(3): 227-247. DOI: 10.1080/1096749060089951
  60. Kenis P., Provan K.G. (2009). Towards an exogenous theory of public network performance. Public administration, 87(3): 440-456.
  61. Klijn E.H. (2016). The managerial aspect of interactive governance. In: Edelenbos J., van Meerkerk I. (a cura di). Critical Reflections on Interactive Governance (pp. 425-443). Edward Elgar Publishing. DOI: 10.4337/9781783479078.00025
  62. Kurunmaki L., Miller P. (2011). Regulatory hybrids: Partnerships, budgeting and modernizing government. Management Accounting Research, 22(4): 220-241.
  63. Lasker R.D., Weiss E.S., Miller R. (2001). Partnership Synergy: A Practical Framework for Studying and Strengthening the Collaborative Advantage. Milbank Quarterly, 79(2): 179-205. DOI: 10.1111/1468-0009.00203
  64. Lega F., Tozzi V. (2009). Il cantiere delle reti cliniche in Italia: analisi e confronto di esperienze in oncologia.
  65. In: Anessi-Pessina E., Cantu E. (a cura di). Rapporto OASI 2009 (pp. 249-270). Milano: Egea.
  66. Lorenzoni G. (1990). L’architettura di sviluppo delle imprese minori. Bologna: il Mulino.
  67. Lorenzoni G., Baden-Fuller C. (1995). Creating a strategic center to manage a web of partners.
  68. Caliornia Management Review, 37(3): 146-163.
  69. Lorenzoni G., Lipparini A. (1999). The leveraging of interfirm relationships as a distinctive organizational capability: a longitudinal study. Strategic Management Journal, 20(4): 317-338.
  70. Mandell M., Keast R. (2007). Evaluating Network Arrangements: Toward Revised Performance Measures. Public Performance & Management Review, 30(4): 574-597. DOI: 10.2753/PMR1530-9576300406
  71. Marques L., Ribeiro J. A., Scapens R.W. (2011). The use of management control mechanisms by public organizations with a network coordination role: A case study in the port industry. Management Accounting Research, 22(4): 269-291.
  72. Mitchell S.M., Shortell S.M. (2000). The Governance and Management of Effective Community Health Partnerships: A Typology for Research, Policy, and Practice. Milbank Quarterly, 78(2): 241-289. DOI: 10.1111/1468-0009.00170
  73. Mulazzani M. (2001). Economia delle aziende e delle amministrazioni pubbliche. Padova: Cedam. Mussari R. (2017). Economia delle amministrazioni pubbliche. Milano: McGraw-Hill.
  74. Nooteboom B. (2003). Inter-Firm Collaboration, Learning and Networks. Inter-Firm Collaboration, Learning and Networks: An Integrated Approach. London: Routledge. DOI: 10.4324/9780203392102
  75. Nuti S. (2008). Il ruolo della valutazione per i servizi pubblici. In: Nuti S. (a cura di). La valutazione della performance in sanità (pp. 17-30). Bologna: il Mulino.
  76. Nuti S., Noto G., Vola F., Vainieri M. (2018). Let’s play the patients music. Management Decision, 56(10): 2252-2272. DOI: 10.1108/MD-09-2017-0907
  77. Osborn R.N., Baughn C.C. (1990). Forms of Interorganizational Governance for Multinational Alliances. The Academy of Management Journal, 33(3): 503-519. DOI: 10.2307/256578
  78. Otley D. (1994). Management control in contemporary organizations: towards a wider framework. Management Accounting Research, 5(3): 289-299.
  79. Ouchi W.G. (1979). A Conceptual Framework for the Design of Organizational Control Mechanisms. Management Science, 25(9): 833-848.
  80. Ouchi W.G. (1980). Markets, Bureaucracies, and Clans. Administrative Science Quarterly, 25(1): 129-141. DOI: 10.2307/2392231
  81. Provan K.G., Milward H.B. (1995). A Preliminary Theory of Interorganizational Network Effectiveness: A Comparative Study of Four Community Mental Health Systems. Administrative Science Quarterly, 40(1): 1-33. DOI: 10.2307/2393698
  82. Rai R., Nagral S., Nagral A. (2012). Surgery in a Patient with Liver Disease. Journal of Clinical and Experimental Hepatology, 2(3): 238-246.
  83. Ring P.S., Van de Ven A.H. (1992). Structuring cooperative relationships between organizations. Strategic Management Journal, 13(7): 483-498.
  84. Rousseau D.M., Sitkin S.B., Burt R.S., Camerer C. (1998). Not so different after all: A cross-discipline view of trust. Academy of Management Review, 23(3): 393-404. DOI: 10.5465/AMR.1998.926617
  85. Saxton T. (1997). The effects of partner and relationship characteristics on alliance outcomes. Academy of Management Journal, 40(2): 443-461. DOI: 10.2307/256890
  86. Schroeder R.A., Marroquin C.E., Bute B.P., Khuri S., Henderson W.G., Kuo P.C. (2006). Predictive indices of morbidity and mortality after liver resection. Annals of Surgery, 243(3): 373-379.
  87. Smith K.G., Carroll S.J., Ashford S.J. (1995). Intraand interorganizational cooperation: toward a research agenda. Academy of Management Journal, 38(1): 7-23. DOI: 10.2307/256726
  88. Tozzi V. (2012). Cosa sono le reti cliniche e quale il dibattito manageriale intorno a esse. In: Alberti V., Tozzi V., Pinelli N., Sartirana M. (a cura di). Il ruolo delle Aziende Sanitarie nelle reti cliniche in Italia. Roma: Edizioni Iniziative Sanitarie.
  89. Uzzi B. (1997). Social Structure and Competition in Iterfirm Networks: The Paradox of Embeddedness. Administrative Science Quarterly, 42(1): 35-67. DOI: 10.2307/2393808
  90. Virani S., Michaelson J.S., Hutter M.M., Lancaster R.T., Warshaw A.L., Henderson W.G., Khuri S.F., Tanabe K.K. (2007). Morbidity and Mortality after Liver Resection: Results of the Patient Safety in Surgery Study. Journal of the American College of Surgeons, 204(6): 1284-1292.
  91. Wan T.T.H., Ma A., Lin B.Y.J. (2016). Integration and the performance of healthcare networks: do integration strategies enhance efficiency, profitability, and image? International Journal of Integrated Care, 1(2): none.
  92. Weil T. (2010). Hospital Mergers: A Panacea? Journal of Health Services Research & Policy, 15(4): 251-253.

  • Enhancing Performance Regimes to Enable Outcome-based Policy Analysis in Cross-boundary Settings Vincenzo Vignieri, pp.3 (ISBN:978-3-031-07073-0)

Vincenzo Vignieri, Carmine Bianchi, Astrid Pietrosi, Giuseppe Provenzale, Il contributo delle reti sanitarie "spontanee" al miglioramento degli outcome: opportunità e sfide nella prospettiva della progettazione dei sistemi di programmazione e controllo in "MECOSAN" 109/2019, pp 83-104, DOI: 10.3280/MESA2019-109005