6533b86efe1ef96bd12cbdcd

RESEARCH PRODUCT

Framing Caesarean Section Reduction Policies Through a Dynamic Performance Management Approach: A Maternity Pathway Case-Based Analysis

Federico CosenzEnzo Bivona

subject

Caesarean sections Maternity pathway Dynamic performance management System dynamics Public policy analysis Healthcare Performance indicators Outcome measuresMaternity pathwayPerformance indicatorPerformance managementmedicine.medical_treatmentSystem dynamicWorld healthOutcome measure03 medical and health sciences0302 clinical medicineSettore SECS-P/07 - Economia Aziendale0502 economics and businessHealth caremedicineCaesarean sectionCaesarean sectionOperations managementDynamic performance management030219 obstetrics & reproductive medicinebusiness.industryHealthcare05 social sciencesPolicy analysisSystem dynamicsPublic policy analysiFraming (social sciences)Risk analysis (engineering)Performance indicatorbusiness050203 business & management

description

The World Health Organization since the last three decades strongly encourages countries to reduce the caesarean section (CS) rate down to 10–15%. However, this goal nowadays appears still far from its achievement. Public decision-makers are indeed struggling to design and implement effective policies to reduce the CS rate. The literature provides a wide range of factors causing a change in the CS rate, such as the patient clinical profile and the healthcare service quality provided. Maternity pathway (MP) is considered a mean through which to standardize the cares and to reduce CSs. This study investigates the MP recently introduced in Sicilian local health authorities. Based on such an analysis, an outcome-based performance management approach has been used by the authors to build a system dynamics model. Scenario simulation results reveal that such an approach may support decision-makers to learn how to design CS reduction policies. It particularly remarks the necessity to implement policies oriented to coordinate the actions undertaken by the different actors playing a crucial role in the MP.

yearjournalcountryeditionlanguage
2017-01-01
https://doi.org/10.1007/978-3-319-55774-8_8