A5004542698- Health Systems, Economic Evaluations, Quality of Life
- Pharmaceutical Economics and Policy
- HIV/AIDS Research and Interventions
- HIV/AIDS drug development and treatment
- Patient Satisfaction in Healthcare
- Hepatitis C virus research
- Management, Economics, and Public Policy
- Telemedicine and Telehealth Implementation
- Healthcare cost, quality, practices
- Diverse academic and cultural studies
- Quality and Safety in Healthcare
- Uterine Myomas and Treatments
- Mobile Health and mHealth Applications
- Cardiac, Anesthesia and Surgical Outcomes
- Healthcare Policy and Management
- Stroke Rehabilitation and Recovery
- HIV-related health complications and treatments
- Emergency and Acute Care Studies
- Pharmaceutical Practices and Patient Outcomes
- Healthcare Systems and Reforms
- Customer Service Quality and Loyalty
- Innovation Policy and R&D
- Endometriosis Research and Treatment
- Transport and Logistics Innovations
- HIV, Drug Use, Sexual Risk
University Carlo Cattaneo
2015-2025
National Institute for Health Research
2022
Imperial College London
2022
University of Pisa
2022
University of Naples Federico II
2022
Royal Australasian College of Surgeons
2017
The University of Adelaide
2017
New York University Press
2017
Cambridge University Press
2017
Introduction Telerehabilitation systems represent a promising way for the management of chronic disability, delivering technology-enabled rehabilitation outside hospital setting. However, usability and acceptability assessment with users represents critical starting point when using digital healthcare solutions. This study aims at evaluating user experience system (SIDERA ∧ B) from end-user side. Methods SIDERA B consists an asynchronous delivery activities through multimedia contents...
Introduction: Given the availability of a growing number HIV treatment options, it becomes essential to have clear understanding related economic-organizational evidence, operate informed and conscious choices. The study aims define economic organizational impact consolidated use Bictegravir/Emtricitabine/Tenofovir Alafenamide (BIC/FTC/TAF), within Italian National Healthcare Service (NHS), for both naïve experienced individuals. Materials methods: A budget analysis was developed assuming...
Abstract Background The Covid-19 pandemic provided new challenges and opportunities for patients healthcare providers while accelerating the trend of digital transformation. This study explores perspectives professionals managers on (i) drivers to implementation telemedicine services (ii) perceived benefits related use across Italian National Health Service. Methods An online cross-sectional survey was distributed working within 308 organisations in different regions. Quantitative...
The present feasibility study aims at investigating the potential multidimensional advantages, related to an innovative telehealth ecosystem (whose name is T-CUBE), grounding on digital technologies (DTs), designed as a telemonitoring, telerehabilitation and telesupporting integrated program. Given robust efficacy safety results, amply demonstrated for DTs in scientific evidence, would explore economic organizational sustainability, well healthcare professionals' technology acceptance, that...
Only a few studies provided data on the clinical history of sepsis within internal Medicine units. The aim study was to assess short-term mortality and evaluate prognostic risk factors in large cohort septic patients treated medicine Thirty-one units participated study. Within each participating unit, all admitted were screened for presence sepsis. A total 533 included; 78 (14.6%, 95%CI 11.9, 18.0%) died during hospitalization; rate 5.5% (95% CI 3.1, 9.6%) with nonsevere 20.1% (95%CI 16.2,...
Purpose Logistics real estate has been experiencing a recent rebirth led by the growth of retailing and e-commerce. Although these sectors are looking for facilities matching their logistics needs, identification most suitable building becomes challenging task. To date, from both practitioner’s academic perspectives there is lack models assessing quality together with functionality (i.e. whether warehouse hosting given activity). The purpose this paper to fill gap developing rating model...
The present study aims at defining the economic and organizational impacts of introduction chimeric antigen receptor T-cell therapy (CAR-T) in Italy, for management diffuse large B-cell lymphoma (DLBCL) patients third-line therapy, overall level sustainability both hospitals National Healthcare System (NHS). analysis focused on CAR-T Best Salvage Care (in following BSC), assuming Italian hospital NHS perspectives, over a 36-month time horizon. Process mapping activity-based costing...
Hospital Based Health Technology Assessment (HBHTA) practices, to inform decision making at the hospital level, emerged as urgent priority for policy makers, managers, and professionals. The present study crystallized results achieved by testing of an original framework HBHTA, developed within Lombardy Region: IMPlementation A Quick hospital-based HTA (IMPAQHTA). tested: (i) HBHTA efficiency, (ii) feasibility, (iii) tool utility completeness, considering dimensions sub-dimensions.The...
Abstract CONTEXT the current increasing demand for rehabilitation among people with Non-Communicable Diseases (NCDs) requires identification of home-based digital solutions alternative to conventional in-clinic interventions. OBJECTIVE this protocol proposes test effectiveness an individualized telerehabilitation platform (SIDERA^B), respect traditional face-to-face rehabilitation, in ensuring continuity care patients NCDs. DESIGN, SETTING, AND SUBJECTS randomized, single-blind, controlled...
The aim of the present study was to compare 2 clinical assessment tools, Modified Barthel Index (currently administered patients admitted into inpatient rehabilitation units after elective hip or knee arthroplasty) with World Health Organization Disability Assessment Schedule (WHODAS) 2.0 scale, in order identify which tool is more suitable for assessing disability and "recovery rate".A perspective multicenter observational developed, involving hospital authorities Italy. Eighty consecutive...
Purpose – The purpose of this paper is to develop a benchmarking framework for assessing the performance distribution models adopted by local branches National Health Services (NHSs) delivering health technologies patients at level, and derive prescriptions enhancing design optimal management models. Design/methodology/approach authors focussed study on absorbent devices incontinence, adopting analytic hierarchy process as tool developing framework. applied context Italian NHS with respect...
The present article describes the case study of a "real world" HIV practice within debate concerning strategic role Clinical Governance (CG) tools in management National Healthcare System's sustainability. aimed at assessing impact Pathway (CP) implementation, required by Regional Service, terms effectiveness (virological and immunological conditions) efficiency (economic resources absorption), from budget holder perspective. Data derived multi-centre cohort patients treated 6 Hospitals that...
In the pharmaceutical supply chain, all players have to ensure highest level of service while containing costs, because ethical issues concerning drugs. The outsourcing logistics should be recognized as a competitive lever, especially in this complex and highly regulated industry. Based on these premises, research objective study is investigate relationship between strategies manufacturers services offered by Third-Party Logistics Service providers (3PLs). To achieve objective, multiple case...
Surgical-site complications (SSCs) affect patients' clinical pathway, prolonging their hospitalization and incrementing management costs. The present study aimed to assess the economic organizational implications of a portable device for negative-pressure wound therapy (NPWT) implementation, compared with administration pharmacological therapies alone preventing surgical in patients undergoing general, cardiac, obstetrical-gynecological, or orthopedic procedures.A total 8,566 hospital...
The advent of new HCV drugs has generated widespread economic concerns, particularly within the Italian setting, characterized by continuous linear cuts and spending review actions. overall trade-off between investments savings needs an in depth analysis.The study aimed to estimate budget impact introduction novel approved during year 2015, compared with historical situation based on different treatment options available prior 2015.A three-year model was developed, taking into consideration...
To evaluate the potential benefits of Magnetic Resonance-guided high intensity Focused Ultrasound (MRgFUS) introduction in clinical practice, for treatment uterine fibroids, comparison with standard "conservative" procedures, devoted to women who wish preserve their uterus or enhance fertility: myomectomy and artery embolization (UAE).A Health Technology Assessment was conducted, assuming payer's perspective (Italian National Healthcare Service). The nine EUnetHTA Core Model dimensions were...
Although mammography screening significantly reduces breast cancer mortality, women could present different morphological characteristics that do not allow the correct vision of their breasts and detection cancer, resulting in a delay diagnosis an increase risk mortality. The study aims at analyzing potential areas improvement current programs then hypothesizing alternative technologies to use within diagnostic phase, from economic point view. A Budget Impact Analysis approach was...
Peripheral Venous Catheter (PVC) is a widely used device in the hospital setting and often associated with significant adverse events that may impair treatment administration patient health. The aim of present study to define incremental benefits related implementation standardized simultaneous use three disposable devices for skin antisepsis, infusion, cleaning, assuming hospital’s point view, from an effectiveness, efficiency, organizational perspective. For achievement above objective,...