L’analisi delle politiche di riduzione dei cesarei attraverso il dynamic performance management: La valutazione del percorso nascita in un’azienda sanitaria

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Abstract

Since last three decades, the World Health Organisation strongly encourages countries to reduce the Caesarean Section (CS) rate down to 10-15%. However, this goal nowadays appears still far from its achievement. Public decision makers are still struggling to design and implement effective policies to reduce the CS rate. This study, based on the analysis of the maternity pathway recently introduced in Sicily, applies the Dynamic Performance Management approach to investigate the drivers impacting on the CS. Such analysis provided the basis to build a System Dynamics model customised on a local health authority. Simulation results reveal that to effectively reduce the CS rate implemented policies should favour a coordination of the actors playing a crucial role in the maternity pathway.
Original languageItalian
Pages (from-to)85-104
Number of pages20
JournalMecosan
Volume25
Publication statusPublished - 2017

All Science Journal Classification (ASJC) codes

  • Health Policy

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