Search results for "Governance"

Co-morbidity does not reflect complexity in internal medicine patients

2006

Internal medicine patients are mostly elderly; they have multiple co-morbidities, which are usually chronic, rather than self-limiting or acute diseases. Neither administrative indicators nor co-morbidity indexes, though validated in elderly patients, are able to completely define these "complex" patients or to allow physicians to correctly "cope" with them. For the complex patients found in internal medicine wards, internists need not only to find the best diagnosis and treatment, but also to apply a complex intervention (i.e., a comprehensive assessment and both continuous and multi-disciplinary care) in order to maintain their health and ability to function and to prevent or delay disabi…

La Valutazione delle Tecnologie Sanitarie. The Health Technology Assessment

2004

The aim of this paper was to describe exhaustively, but concisely, the matter of the health technology assessment. It is a method of evaluating health technologies based on principles and tools of Evidence Based Medicine. We started from etymology to speak about its definition and implementation methodology. Moreover we guide the reader throughout the constellation of international societies of health technology assessment and the meaning of their international cooperation. Finally, we deal with the health technology assessment as a tool being an integral part of the clinical governance process.

A Literature Review on Cloud Computing Adoption Issues in Enterprises

2014

Part 3: Creating Value through Applications; International audience; Cloud computing has received increasing interest from enterprises since its inception. With its innovative information technology (IT) services delivery model, cloud computing could add technical and strategic business value to enterprises. However, cloud computing poses highly concerning internal (e.g., Top management and experience) and external issues (e.g., regulations and standards). This paper presents a systematic literature review to explore the current key issues related to cloud computing adoption. This is achieved by reviewing 51 articles published about cloud computing adoption. Using the grounded theory approa…

Exploring the disciplinary and cognitive governance system of the classical musician-entrepreneurs in China

2023

Structural problems for the renewal of planning styles: the spanish case1

2005

This article first presents a historical review of Spain's involvement in the European Spatial Development Perspective (ESDP) preparation process to determine whether ESDP guidelines are different from, contrary to or in harmony with the interests of Spanish proposals. Particular attention is paid to the priority lines and territorial objectives of the Spanish delegation and its emphasis in substantive issues related to cohesion, and linking spatial planning with European Union (EU) funding. If, as the network paradigm maintains, spatial development is not possible without new methods of governance, our work has to focus on two related questions. The first question regards the evolution and…

Collaborative Governance in Portugal – Yes or No? A critical approach based on an empirical survey

2019

Collaborative governance can be defined as a concerted type of decision-making and collective action in which government bodies and private sector stakeholders interact as equal partners with the aim of achieving outcomes of interest for both parties. In practical terms, this is a type of governance where special meetings and negotiations are held – typically in somewhat elitist and secretive settings – with the aim of defining shared responsibilities and benefits associated with joint public-private ventures. Academic authors in favour of the adoption of collaborative governance in Portugal tend to present a rather positive view on the merits of this approach. They argue that it is potenti…

Critical issues in the management of the first phase of the COVID-19 pandemic in Italy: The role of some organizational flaws on the adoption of coll…

2020

In March and April 2020, in Italy, there was a fast and uncontrolled spread of COVID-19. The number of infected people and deaths multiplied quickly; in some regions of the Country the phenomenon got out of control. Intensive Care Units (ICUs) were rapidly saturated by COVID-19 patients, generating pressures on the Regional Health System that forced to the public decisionmakers to suspend all non-emergency services. In this short note we argue that Italy’s inability to contain the outbreak of the epidemic in the first phase was due to the low willingness of public organizations to apply effective collaborative governance models

Going Public – Going Private: The Case of VC-Backed Firms

2012

We investigate the decisions of listed firms to go private once again. We start by revealing that while a significant number of firms which go public is VC-backed, an overproportional share of these VC-backed firms go private later on (they stay on the exchange for an average of 8.5 years). We interpret this very robust pattern such that IPOs of VC-backed firms are to a large extent a temporary rather than a permanent feature of the corporate governance of these firms.We investigate various potential hypotheses why VCs actually seem to be able to bring marginal firms to the exchange by relating the going-private decisions to various characteristics of the IPO market as well as to VC charact…

Urban gardens and institutional fences: The case of communal gardens in Turin

2017

Urban gardens take on different forms and meanings, which vary depending on the socio-economic context where they located/used and how it evolves over time. This makes a garden comparable to a micro-social ecosystem, different from other gardens and ever changing. As with every social-ecosystem resulting from a territorialisation process, there is a certain degree of social inertia that makes it difficult for outsiders with new motivations and demanding new spaces to enter into the "garden ecosystem". Drawing on existing literature and fieldwork in two urban communal gardens in Turin, the paper is mainly concerned with the spatiotemporal dimension of urban gardening, with a special focus on…

Social Space for Self-Organising: An Exploratory Study of Timebanks in Finland and in the UK

2018

The article examines the challenges to self-organisation and upscaling of alternative economies from the viewpoint of defending and negotiating social space. Timebanks in Finland and the UK are presented as examples, analysing the difference of defending such social space in the contexts of a traditional welfare state (in the case of Finland) and an austerity-driven government with a “Big Society” ideology (in the case of UK). Both systems of government present different kinds of pressures on timebanks, pushing them to a given ontological categories and to action in accordance with pre-defined political goals. This difference, along with timebank reactions and the question of prospects of o…