https://doi.org/10.4081/mem.2008.266

Qualità medica e governo multistakeholder delle strutture sanitarie Verso la post-aziendalizzazione

V. 57 N. 6 (2008)
Pubblicato: dicembre 30, 2008
Governo clinico, universalismo, asimmetria medico-direttore / Clinical governance, universalism, physician-director asymmetry
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Autori

Stefano Zamagni
stefano.zamagni@unibo.it
Professore Ordinario di Economia Politica, Dipartimento di Scienze Economiche, Università di Bologna, Italy.
Il saggio sviluppa la seguente tesi: il processo di aziendalizzazione in atto dagli anni '90 mentre è valso a migliorare significativamente la performance delle strutture sanitarie sul fronte di un uso più razionale delle risorse, non è riuscito a sciogliere appieno il nodo del buon governo clinico. E ciò a causa di una fondamentale asimmetria di poteri tra medico e direttore generale. Il saggio argomenta a favore sia di un modello di governo multistakeholder delle strutture sanitarie sia della valorizzazione delle motivazioni intrinseche rispetto a quella degli schemi di incentivo.
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The paper defends the following thesis: the process of managerialization started in Italy during the '90s has considerably improved the economic performance of health structures, but it did not succeed to modify for the better the clinical governance. The main reason lies in a fundamental asymmetry between the general director and the physician: the former being a single agent, the latter a double agent. The paper speaks in favour of a multistakeholder model of governance and a rational valorization of intrinsic motivations within the medical profession.

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Come citare

Zamagni, S. (2008). Qualità medica e governo multistakeholder delle strutture sanitarie Verso la post-aziendalizzazione. Medicina E Morale, 57(6). https://doi.org/10.4081/mem.2008.266

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