186 research outputs found

    GRID COMPUTING FOR COLLABORATIVE NETWORKS: A LITERATURE REVIEW

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    This paper describes the methodology and results of a literature review targeting the distinct interpretations of the Grid Computing paradigm within the context of Collaborative Networks. The review is based on the analysis of contributions published in selected scientific journals between 2002 and today. The analysis was performed taking into account the assumptions, scopes and solutions provided to approach the challenges for SMEs’ collaborative networks. The research questions driving this literature review have been the following: (1) How is the concept of Grid Computing associated with the concept of Collaborative Network? (2) How the Grid computing supports Collaborative Networks? (3) What are the business implications in Grid supported Collaborative Networks

    Modelli organizzativi e sistemi informativi per un'assistenza socio-sanitaria integrata

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    Percorsi evolutivi nel sistema assistenziale: analisi dello scenario. La rete assistenziale: una prima concettualizzazione. Il ruolo dell'informazione nel processo d'integrazione assistenziale. L'impatto del sistema EHR sulla performance della rete assistenziale: un'analisi empirica

    Organizational choices and occupational health and safety risks prevention. An interpretation of Italian regulations

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    The social and economic costs of risks produced by organizations are becoming more and more evident and relevant. Enterprises are expected (and, sometimes, obliged) to become able to efficiently manage the risks they induce: industrial hazards, financial uncertainty, environmental risks, risk to safety and health in the workplace, etc. By adopting an organizational perspective, this contribution investigates the approaches to Occupational Health and Safety risks prevention that are promoted by the law (specifically, by Italian law). The goal of this paper is then to discuss the consistency of the norms with respect to the objectives of risks prevention and to understand their actual and potential impact on business practices

    FROM IMPROVISATION TO STANDARDIZATION FOR ACHIEVING A BETTER QUALITY OF CARE: A COUNTERINTUITIVE INTERPRETATION OF DISEASE MANAGEMENT AND ITS IMPLICATION ON HELTHCARE INFORMATION SYSTEMS

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    In this paper the main assumption and components of the Disease Management approach and programmes are discussed and interpreted on the basis on the classical theory of J.D. Thompson. Such interpretation would allow to highlight a counter-intuitive aspect of the approach: in a sector usually considered as the prototype of the intensive technology, the DM promises to shift to mediating technologies introducing a tighter, standard regulation allowing not only cost-cuttings, but also higher quality perceived by patients. These considerations will be instrumental to discuss the implication of Disease Management strategies in action in respect with the functional aspects of Healthcare Information Systems. Adopting the classification of the core capabilities of an EHR-S provided by Tang, the specific features of DM-S, suitable to properly exploit the ICT to support DM programs, will be highlighted. Some consideration on the current stage of the IGEA project, i.e. the sole nationwide Disease Management program being conducting in Italy, will conclude the paper

    Intelligent Transport Systems: how to Manage a Research in a new Field in IS

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    This paper sheds light on the management of a research project in a new topic for IS like the one of Intelligent Transport Systems (ITS). It describes and discusses the methodology adopted for a survey designed by the authors and experimented during a recent research on ITS carried out on behalf of an Italian Ministry. The paper presents the first results of this research and draw some conclusions on the problems that have to be faced in order to successfully manage such type of research projects and to build a common knowledge base on ITS.This paper sheds light on the management of a research project in a new topic for IS like the one of Intelligent Transport Systems (ITS). It describes and discusses the methodology adopted for a survey designed by the authors and experimented during a recent research on ITS carried out on behalf of an Italian Ministry. The paper presents the first results of this research and draw some conclusions on the problems that have to be faced in order to successfully manage such type of research projects and to build a common knowledge base on ITS.Monograph's chapter

    IPICT - An Explanatory Scheme About The Innovation Phenomena Towards Integrated Care Enhanced By Digital Technologies

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    The introduction of innovative models of care, especially in the management of chronic diseases and other long-term conditions, responds to an urgent need of economic sustainability of the health and social system, while maintaining or increasing the level of quality of the system. In this context it is crucial to assure the proper co-evolution of organizational models and technological solutions. This paper presents an explanatory scheme about Innovation Phenomena towards Integrated Care enhanced by digital Technologies (IPICT), developed in the context of the European project STOPandGO: organisational and informational integration may be achieved both vertically among care settings and horizontally between healthcare and social care. Full integration may be the final goal of a long process made by a progressive local deployment of several initiatives, possibly coherent with regional or national plans. Within each initiative, innovation has not to be necessarily present in each individual activity or in each technological component, but it may be triggered by the appropriate combination of activities and technologies according a suitable model of care. The proposed scheme identifies six layers, ranging from a technological approach on enabling infrastructures in Layers L1 and L2, to a perspective on organizational models co-designed with technological solutions in Layers L3 and L4, up to the comprehensive vision of the overall (regional) strategies on Integrated Care in Layers L5 and L6. In particular, Layer L4 regards the measures able to “reify the innovation” in the models of care deployed within the initiatives of Layer L5. The list of L4 measures worked out by STOPandGO project was tested on the production of a coherent set of local tenders to improve the health and well-being of citizens across hetero-geneous organisational/clinical circumstances

    Supporting Policy Definition in the e-Health domain: a QCA based method

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    eHealth is broadly considered as a promising strategy to improve the economic sustainability and quality of the healthcare service provision in Europe. Nevertheless, despite the enthusiastic declarations of eHealth potential, the adoption of IT in health care has progressed very slowly. A critical factor, not deeply addressed in literature, is related to the process of prioritization of the eHealth solution to adopt, in presence of financial constrains, external and internal pressure from a wide range of heterogeneous stakeholders, and conflicting information on different technological solutions. In this paper we introduce a method supporting policy definition in the eHealth domain. This method is based on a qualitative comparative analysis (QCA) of best practices and previous experiences performed through the lens of an analytic framework whose dimensions and categories are well situated in the eHealth context. This method could support policy-makers in the identification of the properties and characteristics of innovative projects at European level and to analyze the gap between the international scenario and the local context in order to understand trends and dynamics of development, to evaluate the best opportunities for innovation and, therefore, to assign priorities for the next investments by respecting the constraints of available resources.eHealth is broadly considered as a promising strategy to improve the economic sustainability and quality of the healthcare service provision in Europe. Nevertheless, despite the enthusiastic declarations of eHealth potential, the adoption of IT in health care has progressed very slowly. A critical factor, not deeply addressed in literature, is related to the process of prioritization of the eHealth solution to adopt, in presence of financial constrains, external and internal pressure from a wide range of heterogeneous stakeholders, and conflicting information on different technological solutions. In this paper we introduce a method supporting policy definition in the eHealth domain. This method is based on a qualitative comparative analysis (QCA) of best practices and previous experiences performed through the lens of an analytic framework whose dimensions and categories are well situated in the eHealth context. This method could support policy-makers in the identification of the properties and characteristics of innovative projects at European level and to analyze the gap between the international scenario and the local context in order to understand trends and dynamics of development, to evaluate the best opportunities for innovation and, therefore, to assign priorities for the next investments by respecting the constraints of available resources.Uninvited Submission

    Social difficulties as risk and maintaining factors in anorexia nervosa:A mixed-method investigation

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    Anorexia nervosa (AN) is a serious psychiatric disorder characterized by severe restriction of energy intake and dangerously low body weight. Other domains of functioning are affected, including social functioning. Although difficulties within this domain have started to be acknowledged by the literature, some important gaps remain to be filled. Do social difficulties predate the onset of the illness? What difficulties in particular are relevant for the development and maintenance of the illness? The aim of this study is to combine the use of quantitative and qualitative methods to answer these questions. Ninety participants with lifetime AN (88 women and 2 men) completed an online survey assessing memories of involuntary submissiveness within the family, fear of negative evaluation from others, perceived lack of social competence, feelings of social belonging, eating disorder symptoms, and work and social adjustment. Participants also answered three open questions regarding their experience of social relationships before and after the illness onset. The findings provided support for the hypothesized relationships between the study variables. Involuntary submissiveness and fear of negative evaluation predicted eating disorder symptoms and these associations were partially mediated by perceived lack of social competence. Two-thirds of the sample recalled early social difficulties before illness onset and recognized that these had played a role in the development of the illness. A larger proportion of participants stated that the eating disorder had affected their social relationships in a negative way. This study sheds some light on patients' perspective on the predisposing and maintaining role that social difficulties play in AN and identifies key psychological variables that could be targeted in treatment

    Storie di imprese

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    How do enterprises change? This volume tells the “stories” of the organizational transformations implemented in the first decade of the new millennium by five enterprises: Fiat Auto, Finmeccanica, Ciba Specialty Chemicals, Zurich, and Poste Italiane. Stories dealing with transformations of organizational configurations, changes in the policies of personnel management, implementation of mergers and acquisitions, reorganization of internal work processes, etc. These stories were collected during the workshops of the Research Program “L’Officina di Organizzazione”, in which managers and executives, protagonists of the organizational transformations, discuss about them with colleagues from other enterprises and university scholars. Each story is first told from “the inside", from the point of view of one or more of its protagonists, and then interpreted according to different theoretical perspectives

    Patient and mentor language style matching as a predictor of working alliance, engagement with treatment as usual, and eating disorders symptoms over the course of an online guided self-help intervention for anorexia nervosa

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    Objective The aim of this study was to examine the processes involved in a guided self-help (GSH) pre-treatment intervention (RecoveryMANTRA) for patients with anorexia nervosa (AN), by measuring the levels of patient/mentor Language Style Matching (LSM). RecoveryMANTRA was supported by student mentors or peer mentors (recovered individuals) over six weekly chat-based sessions. We examined whether LSM during RecoveryMANTRA predicted patients'working alliance with the clinic therapist, motivation, eating disorder (ED) and general psychopathology. A further aim was to examine differences in LSM between student mentors and peer mentors. Method 87 AN adults received RecoveryMANTRA plus treatment as usual. The LSM algorithm was used to calculate verbal attunement between patient and mentor. Participants were assessed at baseline and at the end of the intervention. Results Both early (1(st) session) and late (6(th) session) LSM predicted higher working alliance with the clinic therapist. Moreover, late LSM predicted lower EDs symptoms at the end of the RecoveryMANTRA intervention. Patient/peer mentor dyads showed higher late verbal attunement than patient/student mentor dyads. Conclusions These findings suggests that in the early phase of treatment relational aspects can impact on engagement with treatment. Verbal attunement in a GSH for AN is associated with working alliance and better clinical outcome
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