Public Private Partnership in Italian Health Care Management An Organizational Maturity Assessment Model

This work aims to analyze a specific phenomenon of innovation in health management: public private partnerships within the Italian healthcare sector. The object of the study is to measure the degree of organizational maturity (OM) of the forms of public-private partnerships (PPP) analyzing and measuring key managerial processes, in terms of innovation in meeting the partnership‘s goals/targets. The analysis is based on the identification of key processes relevant to the management of partnerships, to check which systems of governance are able to meet different stakeholder interests. We therefore built a conceptual standard for analysis of the OM through a field survey based on visits, participant observation, analysis of documents and semi-structured interviews with the management

Bridging business model and inter-organizational coordination mechanisms in the Italian wine industry

Purpose – The aim of this paper is to interpret the concept of a business model from the pattern of coordination mechanisms used by an Italian wine cooperative to manage its inter-organizational relationships. Design/methodology/approach – The business model is taken as the structure and governance of the relationships between the focal firm and its exchange partners. The empirical analysis is based on a qualitative investigation, analyzing material collected at the Farming Cooperative Gran Cru. Findings – Several different coordination mechanisms were used to rethink the firm customer value proposition, showing a very complex and dynamic inter-organizational system: process control mechanisms, knowledge suppliers and clan control mechanisms. The combination of mechanisms enables the firm to govern the extreme complexity of external complementarities and interdependence among activities and resources. Practical implications – The study is particularly helpful to managers because wine entrepreneurs and managers can influence their networks’ features and strategies, as well as the mechanisms for governance of the relationships and extracting customer value. Originality/value – The study seeks to enrich the debate on the strategy/structure fit by shifting the focus from the organizational to inter-organizational level of analysis. The analysis centers on boundary-spanning relationships between one wine firm and its partners and knowledge suppliers. This perspective brings business model analysis and inter-organizational design closer because variables of the business model – such as customer value – can be seen as combinations of inter-organizational coordination mechanisms

Determinants of Well-Being Among Military Caregivers

Although the current body of research in the field of informal caregivers is extensive, this research focuses on the experiences of civilian caregivers. This focus contributes to limited knowledge regarding factors that influence the experiences of individuals who provide care to ill and/or wounded service members. Although limited, this research suggests that military caregivers often experience higher levels of distress when compared to the national average. The present study aimed to examine the relationship between the veteran’s level of disability and dyadic stress on the military caregiver’s overall sense of well-being. Additionally, this study examined the moderating effects of attachment and social support on these relationships. The sample consisted of (N = 70) military caregivers. Results of our regression analysis indicated that the quality of the caregiving relationship significantly and negatively predicted both dissatisfaction with life and caregiver burden. Additionally, examination of the moderating effect of our internal moderator (i.e., attachment style), indicated that having a secure sense of attachment moderates the effects of low relationship satisfaction on the caregiver’s overall sense of well-being. Further analysis of moderating variables yielded a statistically significant effect of our external moderator (i.e., the caregiver’s perceived availability of social support) on the relationship between the veteran’s level of disability and the military caregiver’s overall sense of well-being. This dissertation provides insight into determinants of well-being among military caregivers and as such provides implications for future research, clinical practice and theory

Leadership and Conflict in Virtual Teams: A Bibliometric Analysis

Covid 19 presents a major challenge and opportunity for remote work- ing, highlighting the need for electronically mediated leadership in team tasks and performance. The social dynamics underlying the leadership benefits of con- flict management in Virtual Teams (VTs) remain elusive thus far. This study fo- cuses on the leader\u27s conflict management dynamics in VTs. From the perspec- tive of leadership as a solution to social problems, we argue that leadership is related to functional team problem solving solution-oriented, framed within the digital leadership and conflict management literature. Therefore, the authors for- mulated the following research questions to guide the analysis to conduct the bibliometric study: What is the current extent and analysis of research on the relationship between leadership and conflict in VTs? Who are the most influential authors and articles in the field of leadership and conflict in VTs? How have keywords and topics related to leadership and conflict evolved in VTs and what are the implications for future research? Some of the responses emerged from our review of the existing literature on VTs; others are rooted in the team\u27s larger literature or discussed within the VTs practitioner literature. Within the domain of VTs, technological innovation is reshaping team interactions, enabling previ- ously disconnected individuals to collaborate. As a result, VTs hold great promise for organizations and the field continues to be filled with re-search opportunities for the next few decades. Our analysis affirms the increasing interest in this topic and marks an initial exploratory phase of the literature study, guiding future re- search steps

Advances in HealthCare teaching: a patent mapping about the models simulators or not used

The objective in this article, the realization of a patent mapping on medical education, especially using simulators, since we know that in the teaching of medicine, the development of technical and motor skills in practice is essential, and historically, this training happens with the use of corpses, small animals and later monitoring procedures. With all the advent of technological innovation, financial, cultural and social changes demanded the emergence of new teaching technologies, and through this study, one of the utilities of the technological mapping of the activity can be confirmed through patent documents, which is to obtain the technological evolution of a given subject, in this case: use of models, including simulators in medical education. The temporal evolution of patent documents referring to medical education peaked from 2009 to 2018, and above all, it can be concluded that the latest technologies are models of simulators and there are indications from the United States in exporting this technology to Brazil. recent. From this mapping, it is possible to subsidize technological innovation strategies and assist in the promotion of policies and legislation aimed at stimulating national entrepreneurship and the generation of business opportunities

INTERORGANIZATIONAL RELATIONSHIPS IN ITALIAN LOGISTIC PLATFORMS: THE ROLE OF META-LOGISTIC OPERATORS

ABSTRACT The logistic system as an element giving a competitive advantage to individual organizations and business firm systems alike, is now becoming increasingly relevant (Håkansson e Persson, 2004). In particular, logistic platforms (in Italian, interporti) carry out a highly central role in the Italian economic system, in that apart from facilitating interconnections between various transport modalities, also facilitate the role of ports as links joining up overland routes with sea routes (Boscacci F., 2003). Many logistic studies, and more generally studies relating to supply chain management adopt a systems-type perspective, in which continuous interaction takes place between actors and activities characterizing the system and bringing about its success. In this sense, as Christopher claims (1992), "real competition is not [any more] company against company but rather supply chain against supply chain" (p.14). The aim of the paper is analysing the activities carried out within the logistic platforms infrastructures, amongst which a leading role is played by a certain special typology of actor, defined as Meta-Logistic Operators (MLOs)

U(1) Wilson lattice gauge theories in digital quantum simulators

Lattice gauge theories describe fundamental phenomena in nature, but calculating their real-time dynamics on classical computers is notoriously difficult. In a recent publication [Nature 534, 516 (2016)], we proposed and experimentally demonstrated a digital quantum simulation of the paradigmatic Schwinger model, a U(1)-Wilson lattice gauge theory describing the interplay between fermionic matter and gauge bosons. Here, we provide a detailed theoretical analysis of the performance and the potential of this protocol. Our strategy is based on analytically integrating out the gauge bosons, which preserves exact gauge invariance but results in complicated long-range interactions between the matter fields. Trapped-ion platforms are naturally suited to implementing these interactions, allowing for an efficient quantum simulation of the model, with a number of gate operations that scales only polynomially with system size. Employing numerical simulations, we illustrate that relevant phenomena can be observed in larger experimental systems, using as an example the production of particle--antiparticle pairs after a quantum quench. We investigate theoretically the robustness of the scheme towards generic error sources, and show that near-future experiments can reach regimes where finite-size effects are insignificant. We also discuss the challenges in quantum simulating the continuum limit of the theory. Using our scheme, fundamental phenomena of lattice gauge theories can be probed using a broad set of experimentally accessible observables, including the entanglement entropy and the vacuum persistence amplitude

Augmented state estimation of urban settings using intrusive sequential Data Assimilation

A data-driven investigation of the flow around a high-rise building is per- formed combining heterogeneous experimental samples and RANS CFD. The coupling is performed using techniques based on the Ensemble Kalman Filter (EnKF), including advanced manipulations such as localization and inflation. The augmented state estimation obtained via EnKF has also been employed to improve the predictive features of the model via an optimization of the five free global model constant of the K − ε turbulence model used to close the equations. The optimized values are very far from the classical values prescribed as general recommendations and implemented in codes, but also different from other data-driven analyses reported in the literature. The re- sults obtained with this new optimized parametric description show a global improvement for both the velocity field and the pressure field. In addition, some topological improvement for the flow organization are observed down- stream, far from the location of the sensors