This study furthers the on-going debate about the design of efficient, highquality healthcare delivery by adding new insights about the coordination of intra-sector services. Insights come from an embedded single case study about the design of a Regional Agency in Lombardy (Northern Italy) to coordinate twelve previously autonomous Emergency Response Centres (ERCs) by means of a common management hierarchy. This case offered the possibility to investigate the peculiarities of intra-sector coordination and propose a conceptual framework to support healthcare managers in their design. This framework – that is based on and develops a previous contribution by Alter and Hage (1993) – points out three requirements (comprehensiveness, accessibility and compatibility) that coordinated intra-sector services should satisfy and four elements (services, resources (professionals and technologies), users needs, and information (operational data and feedbacks)) that should be taken into account in the design stage.

Coordinating intra-sector services in healthcare: Requirements and elements that managers should take into account

LETTIERI, EMANUELE;MASELLA, CRISTINA
2013-01-01

Abstract

This study furthers the on-going debate about the design of efficient, highquality healthcare delivery by adding new insights about the coordination of intra-sector services. Insights come from an embedded single case study about the design of a Regional Agency in Lombardy (Northern Italy) to coordinate twelve previously autonomous Emergency Response Centres (ERCs) by means of a common management hierarchy. This case offered the possibility to investigate the peculiarities of intra-sector coordination and propose a conceptual framework to support healthcare managers in their design. This framework – that is based on and develops a previous contribution by Alter and Hage (1993) – points out three requirements (comprehensiveness, accessibility and compatibility) that coordinated intra-sector services should satisfy and four elements (services, resources (professionals and technologies), users needs, and information (operational data and feedbacks)) that should be taken into account in the design stage.
2013
File in questo prodotto:
File Dimensione Formato  
article_n9_2013_Lettieri_Bartoli_Masella_EMJ.pdf

Accesso riservato

: Publisher’s version
Dimensione 417.24 kB
Formato Adobe PDF
417.24 kB Adobe PDF   Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11311/959800
Citazioni
  • ???jsp.display-item.citation.pmc??? ND
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 1
social impact