Integrated theoretical/clinical and organizational models for the institutional treatment of psychosis

2019 ◽  
pp. 25-44
Author(s):  
Marta Vigorelli
Keyword(s):  
Organizational Models ◽  
Institutional Treatment

Transition Times in Memory

2018 ◽  
Author(s):  
Donatella della Porta ◽  
Massimiliano Andretta ◽  
Tiago Fernandes ◽  
Eduardo Romanos ◽  
Markos Vogiatzoglou
Keyword(s):  
Theoretical Model ◽  
Social Movement ◽  
Transition Period ◽  
Two Dimensions ◽  
Democratic Regime ◽  
Organizational Models ◽  
Different Types ◽  
Transition Times ◽  
Movement Participation

The second chapter covers the main characteristics of transition time in the four countries: Italy, Greece, Spain, and Portugal. After developing the theoretical model on paths of transition, with a focus on social movement participation, the chapter looks at social movements and protest events as turning points during transition, covering in particular the specific movement actors, their organizational models, and their repertoires of action and frames. The chapter focuses on two dimensions: the role of mobilization in the transition period, which implies the analysis of how elites and masses interact, ally, or fight with each other in the process, and the outcome of transitions as continuity versus rupture of the democratic regime vis-à-vis the old one. It concludes by elaborating some hypotheses on how different modes of transition may produce different types and uses of (transition) memories.

scholarly journals The contribution of case mix, skill mix and care processes to the outcomes of community hospitals

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
J Lenzi ◽  
K Y C Adja ◽  
D Pianori ◽  
C Reno ◽  
M P Fantini
Keyword(s):  
Older People ◽  
Unmet Needs ◽  
Working Hours ◽  
Case Mix ◽  
Community Hospitals ◽  
Organizational Models ◽  
Skill Mix ◽  
Processes Of Care ◽  
Hospital Variation ◽  
Care Processes

Abstract Background The rapid increase in the proportion of older people underscores the need for new organizational models to face the unmet needs of frail patients with multiple conditions. Community hospitals (CHs) could be a solution to tackle these needs and foster integration between acute and primary care. The aim of this study was to investigate which patients' characteristics and which care processes affect clinical outcomes, in order to identify who could benefit the most from CH care and the best skill mix to deliver in this setting of care. Methods This study included all patients aged ≥65 and discharged in 2017 from the 16 CHs of Emilia-Romagna, northern Italy. Data sources were the regional CH informative system and hospital discharge records. CH skill mix and processes of care were collected with a survey; 3 non-respondent CHs were excluded. The study outcome was in-hospital variation of the Barthel index (BI) (≥10 vs. <10). We performed a 2-level random-intercept logistic regression analysis, and used the variance partition coefficient (VPC) to quantify the proportion of BI improvement that lay at CH level. Results Of the 13 CHs, 7 admitted ≥150 patients, 8 had a general practitioner medical support model, and 6 had >12 nurses' working hours/week/bed. Overall, 53% of the patients had a BI improvement ≥10 (4% to 71% across CHs). The patient case mix (i.e. baseline BI, female, older age, transfer from acute care) explained a portion of variability across CHs, as shown by the VPC that decreased from 0.32 to 0.26. Skill mix and processes of care were not associated with BI change, and the VPC resulting from controlling for these variables was virtually unchanged (0.28). Conclusions Patients' characteristics explained part of between-CH variation in BI improvement. Professional skill mix and processes of care, albeit fundamental to achieve appropriate care and respond to the unmet needs of the frail elderly, did not account for differences in CH-specific outcomes. Key messages A combination of quantitative and qualitative methods might better explain the outcome variability across intermediate care services. Multidisciplinary CH teams and services can be helpful to address the unmet needs of older people, but further studies are necessary.

scholarly journals The microfoundations of physicians’ managerial attitude

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Fausto Di Vincenzo ◽  
Daria Angelozzi ◽  
Federica Morandi
Keyword(s):  
Middle Managers ◽  
Health Care Organizations ◽  
Primary Data ◽  
Organizational Models ◽  
Managerial Skills ◽  
Strategic Approach ◽  
Italian National Health Service ◽  
Management Roles ◽  
Italian National Health ◽  
The Right

Abstract Background Accountable care has profoundly changed the organizational models adopted by health care organizations and, consequently, the skill set required for doctor-managers who have become middle managers and must deal with the operational management of their units. The aim of this study was to identify the psychological microfoundations (i.e., traits) of physicians’ managerial attitude. Specifically, we analysed the roles played by narcissism, specialization choices and identification with the organization. Methods We collected primary data on a population of ward unit heads in the Italian National Health Service. A logistic regression model predicting the levels of managerial attitude was employed. Results The results indicate that high levels of narcissism and identification with the organization are related to higher managerial attitude (instead of clinical attitude). Additionally, we found that physicians with a technique-oriented specialization present a higher probability of manifesting managerial attitude (in comparison to clinical attitude). Conclusions Hospital managers can benefit from the use of these findings by developing a strategic approach to human resource management that allows them to identify, train and select the right mix of technical knowledge and managerial skills for middle-management roles.

scholarly journals The Organizational Meaning of Research

2013 ◽  
Vol 30 (1) ◽  
Author(s):  
Marco Adria ◽  
Patricia Boechler
Keyword(s):  
Continuing Education ◽  
Meaning Making ◽  
Life Time ◽  
Cognitive Change ◽  
Organizational Life ◽  
Organizational Models ◽  
Research Activities ◽  
University Continuing Education ◽  
Organizational Action ◽  
Extended Reflection

Practitioners and theorists have given attention recently to the role and status of research activities in Canadian university continuing education units. For individuals in units that are increasing the proportion of their organizational activities devoted to research, there will be an ongoing process of cognitive change and development as a new organizational culture emerges. Sensemaking is used in this article as a heuristic for exploring the process of incorporating and developing research activities in university continuing education units. Sensemaking is the cognitive process of justifying or legitimating a decision or outcome after the decision or outcome is already known. It is associated with organizational models that reject an exclusively rational decision-making paradigm of organizational action. Sensemaking recognizes the centrality of the following elements in the interpretation of research activities and their relationship to organizational life: time, identity construction, and the ongoing creation of context. The authors provide an extended reflection on the process of meaning-making that may be experienced by individuals as conventional research becomes a more important part of organizational life. Such a reflection may support and inform the change process as it occurs in university continuing education units.

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