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.
Lingua originaleItalian
pagine (da-a)85-104
Numero di pagine20
RivistaMecosan
Volume25
Stato di pubblicazionePublished - 2017

All Science Journal Classification (ASJC) codes

  • Health Policy

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title = "L'analisi delle politiche di riduzione dei cesarei attraverso il Dynamic Performance Management. la valutazione del percorso nascita in un'azienda sanitaria",
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.",
keywords = "Parti Cesarei; Dynamic Performance Management; Politiche Pubbliche; Public Management; Outcome; Indicatori di Performance",
author = "Enzo Bivona and Federico Cosenz",
year = "2017",
language = "Italian",
volume = "25",
pages = "85--104",
journal = "Mecosan",
issn = "1121-6921",
publisher = "Mecosan",

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TY - JOUR

T1 - L'analisi delle politiche di riduzione dei cesarei attraverso il Dynamic Performance Management. la valutazione del percorso nascita in un'azienda sanitaria

AU - Bivona, Enzo

AU - Cosenz, Federico

PY - 2017

Y1 - 2017

N2 - 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.

AB - 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.

KW - Parti Cesarei; Dynamic Performance Management; Politiche Pubbliche; Public Management; Outcome; Indicatori di Performance

UR - http://hdl.handle.net/10447/290167

UR - https://www.francoangeli.eu/elsevier/Mesa/MESA2017-102005.pdf

M3 - Article

VL - 25

SP - 85

EP - 104

JO - Mecosan

JF - Mecosan

SN - 1121-6921

ER -