Skip to main navigation menu Skip to main content Skip to site footer

Materiali per la ricerca e l'approfondimento

No. 124 (2022)

Clinical governance: State of the art and experiences from hospitals in the Italian National Health System

DOI
https://doi.org/10.3280/mesa2022-124oa16275
Submitted
luglio 26, 2023
Published
2023-11-16

Abstract

This article studies the experience of Italian Hospitals of National Health System (NHS) on the degree of dissemination and maturity of the tools of CG. The authors analyzed the results of an online survey on 2022-2023 involving Hospitals and Local health Units joining to the Italian Federation of Healthcare Organizations (FIASO). The research uncovers both the presence of homogeneity in the adaptation to the organizational change of care and the lack of attention to issues related to the tools that support clinical activities: a) the encouragement of personalised treatment planning and the involvement of multidisciplinary teams; b) the need to focus on value based care and hospital-territory integration; c) the poor use of telemedicine and digital instruments able to track and monitor the patient in the various stages of his care path within the organization. 

References

  1. Adduci A., Perilli A., Durante F., de Mattia E., Cicchetti A., Ricciardi W., & de Belvis A.G. (2023). CG: an in-depth scientometric analysis. International Journal of Healthcare Management. Ref.: IHM1920R2 (in press).
  2. Buetow S.A., & Roland M. (1999). CG: bridging the gap between managerial and clinical approaches to quality of care. Quality in Health Care, 184-190. DOI: 10.1136/qshc.8.3.184.
  3. Chambers R., Boath E., & Rogers D. (2007). Clinical effectiveness and CG made easy. Radcliffe Publishing.
  4. Damiani G., Russo N., & Ricciardi G. (2005). Qualità in sanità. In: Damiani G., Ricciardi G. (Ed.). Manuale di Programmazione e Organizzazione Sanitaria, 121-140. Napoli, IT: Idelson-Gnocchi.
  5. de Belvis A.G., Biasco A., Pelone F., Romaniello A., De Micco F., Volpe M., & Ricciardi W. (2009). Diffusion of CG among the Italian Local Health Units (LHUs). Analysis of the Health Surveys, the Firm Acts and the Health Plans. Annali di igiene: medicina preventive e di comunità, 117-126.
  6. de Belvis A.G., & Bucci S. (2018). Come organizzare l’assistenza del paziente per percorsi di cura. L’esperienza presso la Fondazione Policlinico Universitario “Agostino Gemelli”. Milano: Casa Editrice Vita e Pensiero.
  7. McAuliffe E. (2014). CG in the Irish health system – a review of progress. CG: An International Journal, 296-313. DOI: 10.1108/CGIJ-09-2014-0029.
  8. Nicholls S., Cullen R., O’Neill S., & Halligan A. (2000). CG: its origins and its foundations. British Journal of CG, 172-178. DOI: 10.1108/14777270010734055.
  9. Papavero S.C., Fracasso A., Ramaglia P., Cicchetti A., de Belvis A.G., & Ferrara F.M. (2023). Telemedicine Has a Social Impact: An Italian National Study for the Evaluation of the Cost-Opportunity for Patients and Caregivers and the Measurement of Carbon Emission Savings. Telemed J E Health, 1: 13.
  10. Rotter T., Kinsman L., James E.L., Machotta A., Gothe H., Willis J., Snow P., & Kugler J. (2010). Clinical pathways: effects on professional practice, patient outcomes, length of stay and hospital costs. Cochrane Database of Systematic Reviews, 3, CD006632.
  11. Scally G., & Donaldson L.J. (1998). CG and the drive for Quality improvement in the new NHS in England. British Medical Journal, 317: 61. DOI: 10.1136/bmj.317.7150.61.
  12. Specchia M.L., La Torre G., Siliquini R., Capizzi S., Valerio L., Nardella P., Ricciardi W. et al. (2010). OPTIGOV – A new methodology for evaluating CG implementation by health providers. Bio Med Central Health Services Research, 10: 174. DOI: 10.1186/1472-6963-10-174.
  13. Travaglia J.F., Debono D., Spigelman A.D., & Braithwaite J. (2011). CG: a review of key concepts in the literature. CG: An International Journal, 62-77.

Metrics

Metrics Loading ...