Calciolari, Stefano and Ferrari, Domenico and González Ortiz, Laura and Meneguzzo, Marco (2015) Organizing healthcare in remote rural areas: Comparing experiences of service delivery redesign. International Journal of Healthcare Management. pp. 1-11. ISSN 1099-1751
Full text not available from this repository.Abstract
Background: The debate about closing small hospitals located in rural and/or remote areas is not novel. However, demographic and epidemiologic trends, together with technologic advances are associated with emerging clusters of complex patients. Rural and/or remote areas tend to anticipate the national demographic forecasts. Therefore, concerns about appropriate health services accessibility are legitimate. Method: We selected three cases of health service delivery in rural and/or remote areas resulting from reorganization of previously existing hospitals: two cases are located in Switzerland and one in Italy. Semi-structured interviews were conducted in each organization, where researchers collected also official documents. Each researcher coded the dataindependently. Then codes were iteratively discussed to identify common dimensions suitable for comparison across the cases. Discussion: The comparative analysis showed that the apparent contrast between social/health and policy/managerial instances has reached a point of equilibrium. The reorganization processes can be interpreted as an optimization of the coordination of the health and social resources available within and close to the community. The existence of a leading reference subject, human resource management, and logistic arrangements played an important role in the success of the initiatives.
| Item Type: | Scientific journal article, Newspaper article or Magazine article |
|---|---|
| Uncontrolled Keywords: | Rural/remote areas; Health service delivery; Case studies; Comparison |
| Subjects: | Business and administrative studies > Others in business & administrative studies |
| Department/unit: | Dipartimento economia aziendale, sanità e sociale |
| Depositing User: | Domenico Ferrari |
| Date Deposited: | 05 Sep 2016 06:26 |
| Last Modified: | 05 Sep 2016 06:26 |
| URI: | http://repository.supsi.ch/id/eprint/7677 |
Actions (login required)
 |
View Item |