225 research outputs found

    Scritti in onore di Pellegrino Capaldo

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    La qualità dei servizi è stata riconosciuta come un rilevante aspetto caratterizzante la performance dell’azienda pubblica, analogamente alla capacità di operare secondo criteri di efficienza e nel rispetto dei vincoli di bilancio. Sebbene sia possibile riscontrare alcuni significativi casi di adozione di politiche di customer satisfaction nelle amministrazioni pubbliche italiane, a tutt’oggi il tema presenta significative criticità, specialmente in ordine agli aspetti metodologici e agli strumenti operativi che consentano di integrare dette politiche nel sistema di programmazione e controllo delle aziende che erogano tali servizi. Il presente lavoro adotta una diversa prospettiva di analisi del miglioramento della performance in ottica di “customer satisfaction”, rispetto a quella tradizionalmente utilizzata, specie con riferimento al settore pubblico. Piuttosto che focalizzare soltanto l’interazione tra “cliente/utente” esterno all’amministrazione pubblica e unità direttamente preposte all’erogazione dei servizi, in questa sede si propone di una chiave di lettura di tipo interistituzionale. Tale prospettiva è volta a comprendere le criticità e i generatori di prestazione connessi allo svolgimento dei processi gestionali da cui deriva il conseguimento di “prodotti” dell’attività amministrativa a beneficio dei “clienti/utenti” interni ed esterni, rispetto all’amministrazione pubblica. La rappresentazione della “catena del valore” alla luce della quale sia possibile esplicitare le responsabilità e i connessi indicatori di performance volti a collegare in sequenza diverse unità di “back-office” nel settore pubblico, ai fini del miglioramento del servizio all’utenza finale, costituisce un momento fondamentale per internalizzare nella pubblica amministrazione gli stimoli provenienti dalle tradizionali indagini di “customer satisfaction” e tradurli in concreti miglioramenti ai processi gestionali e ai connessi “prodotti” dell’attività amministrativa

    Top Management Evaluation in Italian Food & Beverage Industry

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    The standard ISO 9001: 2015 “Quality Management System. Requirements” states that the success of a company’s quality certification system is closely linked to the quality of its top management. The aim of the present work is to develop a model of top management quality evaluation useful for the ends of this certification. The model is calibrated for the Italian Food & Beverage Industry and it follows a multidisciplinary approach. The evaluation model is formed by two parts. In the first, the quality of top management is associated with an estimate of the probability of default and the related average expected life of a company in the Italian Food & Beverage Industry. These parameters are calculated using an original, easy-to-apply methodology that is especially useful for small and medium-sized companies that do not have an official rating. The second part of the model provides a system to estimate the quality of top managers' management styles based on seven qualitative organizational variables, which are then summarized by the attribution of a score ranging from 1 to 10. The judgments formulated in the two parts of the model must be considered as a system to arrive at an integrated final evaluation

    [18F]ZCDD083: a PFKFB3-targeted PET tracer for atherosclerotic plaque imaging

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    Copyright © 2020 American Chemical Society. Funding We thank the European Union’s Horizon 2020 research and innovation program under the Marie Sklodowska-Curie ITNEuropean Joint Doctorate MOGLYNET (grant agreement No. 675527).Peer reviewedPostprin

    Presentations of children to emergency departments across Europe and the COVID-19 pandemic : A multinational observational study

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    Publisher Copyright: © 2022 Nijman et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.Background During the initial phase of the Coronavirus Disease 2019 (COVID-19) pandemic, reduced numbers of acutely ill or injured children presented to emergency departments (EDs). Concerns were raised about the potential for delayed and more severe presentations and an increase in diagnoses such as diabetic ketoacidosis and mental health issues. This multinational observational study aimed to study the number of children presenting to EDs across Europe during the early COVID-19 pandemic and factors influencing this and to investigate changes in severity of illness and diagnoses. Methods and findings Routine health data were extracted retrospectively from electronic patient records of children aged 18 years and under, presenting to 38 EDs in 16 European countries for the period January 2018 to May 2020, using predefined and standardized data domains. Observed and predicted numbers of ED attendances were calculated for the period February 2020 to May 2020. Poisson models and incidence rate ratios (IRRs), using predicted counts for each site as offset to adjust for case-mix differences, were used to compare age groups, diagnoses, and outcomes. Reductions in pediatric ED attendances, hospital admissions, and high triage urgencies were seen in all participating sites. ED attendances were relatively higher in countries with lower SARS-CoV-2 prevalence (IRR 2.26, 95% CI 1.90 to 2.70, p < 0.001) and in children aged <12 months (12 to <24 months IRR 0.86, 95% CI 0.84 to 0.89; 2 to <5 years IRR 0.80, 95% CI 0.78 to 0.82; 5 to <12 years IRR 0.68, 95% CI 0.67 to 0.70; 12 to 18 years IRR 0.72, 95% CI 0.70 to 0.74; versus age <12 months as reference group, p < 0.001). The lowering of pediatric intensive care admissions was not as great as that of general admissions (IRR 1.30, 95% CI 1.16 to 1.45, p < 0.001). Lower triage urgencies were reduced more than higher triage urgencies (urgent triage IRR 1.10, 95% CI 1.08 to 1.12; emergent and very urgent triage IRR 1.53, 95% CI 1.49 to 1.57; versus nonurgent triage category, p < 0.001). Reductions were highest and sustained throughout the study period for children with communicable infectious diseases. The main limitation was the retrospective nature of the study, using routine clinical data from a wide range of European hospitals and health systems. Conclusions Reductions in ED attendances were seen across Europe during the first COVID-19 lockdown period. More severely ill children continued to attend hospital more frequently compared to those with minor injuries and illnesses, although absolute numbers fell.publishersversionPeer reviewe
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