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Quando burocrazia è sinonimo di velocità: l'Huoshenshan di Wuhan, il Javits Center Emergency Hospital a New York e l'Ospedale Fiera di Milano 当官僚主义意味着速度:武汉的胡申山、纽约的贾维茨中心紧急医院和米兰的米兰市立医院
Q4 Medicine Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113019
G. Valotti, D. Cristofoli, Alex Turrini
We analyze how the same type of public intervention (the transformation of a convention center into a hospital for Covid-19 patients) has occurred in three different contexts (Wuhan, New York and Milan) We highlight which models has led to a timely and efficient public intervention aimed at fighting Covid-19 local epidemic The comparative analysis reveals that there is no single path to success: according to different contextual conditions, different factors are fundamental to ensure government timeliness and efficiency We argue that the same factors are important also in situations of “ordinary emergency”, which normally occurs as, physiologically, governments have to cope with unlimited needs and scarce resources availability Copyright © FrancoAngeli
我们分析了同一类型的公共干预(将会议中心转变为新冠肺炎患者医院)是如何在三种不同的情况下发生的(武汉、纽约和米兰)。我们强调了哪些模式导致了旨在抗击新冠肺炎本地流行病的及时有效的公共干预。比较分析表明,没有单一的成功途径:根据不同的背景条件,不同的因素是确保政府及时性和效率的基础。我们认为,在“普通紧急情况”下,同样的因素也很重要,这种情况通常发生在生理上,政府必须应对无限的需求和稀缺的资源可用性。版权所有©FrancoAngeli
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引用次数: 1
Applicazione e potenziamento del PIP (Pandemic Influenza Preparedness Framework) in ambito OMS: un'arma in più per affrontare le fasi successive al picco da Covid-19 世卫组织大规模流感准备框架的应用和增强:处理covi -19峰值后阶段的额外武器
Q4 Medicine Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113002
S. Brunelli, C. Falivena, L. Anselmi
Pandemic Influenza Preparedness (PIP) Framework, developed by the World Health Organization, is the only existing framework to face a global pandemic crisis It is aimed to define a line of intervention which overcomes characteristics of health systems and allows the Member States at accessing to vaccines and other benefits Besides reviewing its evolution, this article attempts to explore whether – and how – PIP could support future political and economic challenges engendered by Covid-19 In the absence of a new global agreement, PIP may represent the first outline of a framework for reacting to the present pandemic crisis Moreover, a revised and more robust version of PIP may increase preparedness to future health crises Copyright © FrancoAngeli
大流行性流感防范框架由世界卫生组织制定,是面对全球大流行危机的唯一现有框架。该框架旨在确定一系列干预措施,克服卫生系统的特点,使会员国能够获得疫苗和其他利益。在没有新的全球协议的情况下,PIP可能是应对当前大流行危机框架的第一个纲要。此外,修订后的更加健全的PIP版本可能会加强对未来卫生危机的准备。版权©FrancoAngeli
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引用次数: 0
La gestione delle operations in tempo di crisi: le prime 10 lezioni apprese dalle Aziende Sanitarie 危机管理:卫生公司学到的前10个教训
Q4 Medicine Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113020
M. Marsilio, A. Prenestini
Operations management is a central topic to address standardization issues, redesign of patient and medical supplies processes and flows with the aim of eliminating or reducing variability This work aims to contribute to the debate on hospitals’ ability to deal with the Covid-19 pandemic emergency The experiences of seven healthcare organizations located in the most affected Italian regions were analyzed: Lombardy, Emilia-Romagna, Piedmont and Tuscany There are six fundamental drivers managed by the healthcare organizations to tackle the crisis: i) the organizational structure and decision support systems;ii) hospital networks for the management of patient flows;iii) asset management and physical lay out;iv) the redesign of medical supplies flows;v) the skills of professionals;vi) new health technologies The analysis revealed 10 fundamental lessons to be learned for operations management, enabling the healthcare managers and professionals to plan the responses to the next phases of the pandemic Copyright © FrancoAngeli
运营管理是解决标准化问题的中心主题,重新设计患者和医疗用品流程和流程,以消除或减少变异性这项工作旨在促进关于医院应对新冠肺炎大流行紧急情况的能力的辩论。分析了意大利受影响最严重地区的七个医疗机构的经验:Lombardy、Emilia-Romagna、,皮埃蒙特和托斯卡纳医疗保健组织管理着应对危机的六个基本驱动因素:i)组织结构和决策支持系统;ii)用于管理患者流的医院网络;iii)资产管理和实物布局;iv)重新设计医疗用品流程;v) 专业人员的技能;vi)新的卫生技术分析揭示了运营管理需要吸取的10个基本教训,使医疗管理人员和专业人员能够计划应对疫情的下一阶段版权所有©FrancoAngeli
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引用次数: 2
Lessons from New York City's Response to the Coronavirus Pandemic 纽约市应对冠状病毒大流行的经验教训
Q4 Medicine Pub Date : 2020-06-01 DOI: 10.3280/MESA2020-113036
T. D’Aunno
By March of 2020, it became clear that New York City (NYC) would become the next major urban center in the world to suffer not only from the Coronavirus pandemic, but also from missteps in response to this world-wide crisis This essay aims to draw lessons from our experience in NYC that might be immediately useful for decision-makers facing similar circumstances and future disasters of this type that are sure to follow © 2020 FrancoAngeli All rights reserved
到2020年3月,很明显,纽约市(NYC)将成为世界上下一个不仅遭受冠状病毒大流行的主要城市中心,而且还将遭受应对这场全球性危机的失误。本文旨在从我们在纽约市的经验中吸取教训,这些教训可能对面临类似情况和未来肯定会发生的此类灾难的决策者立即有用©2020 FrancoAngeli版权所有
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引用次数: 2
La mobilità transfrontaliera dei pazienti: un'analisi del fenomeno in Italia 患者的跨境流动:对意大利这一现象的分析
Q4 Medicine Pub Date : 2020-05-01 DOI: 10.3280/mesa2019-112004
D. Cepiku, Benedetta Marchese, F. Spandonaro
In un quadro di crescente globalizzazione i sistemi sanitari si trovano ad affrontare nuove sfide per la governance dell’assistenza ai pazienti. Il contributo prende le mosse dall’analisi della letteratura sulla mobilita sanitaria, affrontando il tema dal punto di vista delle politiche europee, nazionali e regionali, delle strategie delle aziende sanitarie e ospedaliere, e dei fattori che determinano i comportamenti dei pazienti. L’obiettivo e quello di focalizzare l’attenzione sulle dimensioni che ha assunto il fenomeno della mobilita transfrontaliera dei pazienti in Italia, attraverso l’elaborazione di dati forniti dal Ministero della Salute. Infine, si identifica una serie di implicazioni rilevanti per le politiche pubbliche, arrivando a delineare un modello multilivello per il governo della mobilita sanitaria europea, e si indicano alcuni spunti per la ricerca futura.
在日益全球化的背景下,卫生系统在患者护理管理方面面临新的挑战。该贡献的出发点是分析关于卫生流动的文献,从欧洲、国家和区域政策、卫生和医院战略以及决定患者行为的因素的角度来处理这一问题。其目的是通过处理卫生部提供的数据,集中注意意大利跨境患者流动的规模。最后,确定了一些对公共政策的重要影响,为欧洲卫生流动的治理制定了多层次的模式,并为未来的研究指明了方向。
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引用次数: 0
Ringraziamenti ai reviewer 感谢守望者
Q4 Medicine Pub Date : 2020-05-01 DOI: 10.3280/mesa2019-112007
C. Redazione
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引用次数: 0
Make for Italy: il contributo di maker e stampa 3D nell'emergenza sanitaria 为意大利做点什么:梅克和3D打印对医疗紧急情况的贡献
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.3280/mesa2020-113018
Nathalie Colasanti, Chiara Fantauzzi, Rocco Frondizi
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引用次数: 1
Analisi prospettica per il design di un nuovo dominio di pianificazione, programmazione e controllo sociotecnico nel settore della salute 为卫生部门规划、规划和社会技术控制的新领域的设计进行前瞻性分析
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.3280/MESA2020-113030
M. Benvenuto, A. Rosa, C. Viola
The effects of the Covid-19 have highlighted the need to implement short, medium and long-term intervention strategies that must adapt to the primary needs of citizens and the all of thos who operate in the health production system The citizens, therefore, are the recipients of the institutional intervention, the health workers occupy the difficult role of connection between the public institutions and the citizens themselves and, finally, the representatives of the institutions have the fundamental role of being the promoters of the policies to safeguard the national interest It therefore represents the need, in this broad and complex debate, to count a new national socio-technical domain, in consideration of the intellectual capital involved on the issue of emergencies/pandemics and, at the same time understand, how the definition of this domain can flexible healthcare management according to a joint multilevel approach of the joint optimization type Copyright © FrancoAngeli
Covid-19的影响凸显了实施短期、中期和长期干预战略的必要性,这些战略必须适应公民和所有在卫生生产系统中运作的人的主要需求。因此,公民是机构干预的接受者,卫生工作者承担着连接公共机构和公民本身的困难作用,最后,各机构代表的根本作用是推动维护国家利益的政策,因此,在这场广泛而复杂的辩论中,考虑到涉及紧急情况/流行病问题的智力资本,有必要考虑到一个新的国家社会技术领域,同时理解:如何定义这一领域的灵活医疗管理可以根据联合的多级方法进行联合优化类型版权©francangeli
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引用次数: 1
Oltre il miracolo dell'emergenza. Verso la Fase 2 del SSN con qualche riflessione 超越了紧急奇迹。带着一些想法进入nhs的第二阶段
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.3280/mesa2020-113014
F. Amatucci, C. Cuccurullo
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引用次数: 0
U.S. Response to Coronavirus - A Paradox of Performance 美国对冠状病毒的反应——表现的悖论
Q4 Medicine Pub Date : 2020-01-01 DOI: 10.3280/mesa2020-113035
Stephen J. O’Connor, S. R. Hernandez
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引用次数: 0
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