The Managerial and Organizational Impact of Therapeutic Adherence in the National Health System: A Regional Social Welfare Comparison in the Perspective of Planning PNRR Funding and Social Welfare Regulation

This article analyses therapeutic adherence to the national health system from a multidimensional perspective, through a comparative analysis of regulation and planning at different levels of European, national, regional and corporate governance. This analytical path is oriented to identify the critical issues and possible strategies aimed not only to overcome them, but also to implement the current management through organizational tools and alternative management models. In this evolution, an important role is played by the funding deriving from the PNRR intended to implement both territorial medicine and digital innovation, as main axes of the path to improving therapeutic adhesion. The conclusions concern the application of organizational models ( one health, change management, value based health) able to channel these resources towards this area of therapeutic adherence. In the current phase of planning and financing from PNRR mission 6, italian institutions such as AGENAS and the Ministry of Health have initiated the reform of the D.M. n. 70/2015 through outline the lines of development of social protection to support social assistance adherence therapeutic. This programming path is accompanied by the regulation of local health care characterized by a greater continuity of care between hospital and home and multidisciplinary coordination for a wider take-up.

Clinical Guidelines and Clinical Judgment

This chapter reviews the continuing discourse in medicine regarding the circumstances in which clinicians should adhere to evidence-based practice guidelines or exercise their own judgment, sometimes called “expert opinion.” There are at least two broad reasons why patient care adhering to guidelines may differ from the care that clinicians provide. First, guideline developers and clinicians may differ in their ability to predict how decisions affect patient outcomes. Second, guideline developers and clinicians may differ in how they evaluate patient outcomes. Welfare comparison of adherence to guidelines and decentralized decision making requires consideration of both factors, and perhaps others as well. This chapter looks at how limited ability to assess patient risk of illness and to predict treatment response may affect the welfare achieved by adherence to guidelines and by decentralized clinical practice.

Electricity Trading in a Successive Oligopoly Market: A Social Welfare Comparison between the Generation and Retail Sectors’ Liberalization

<p><em>This study models the electricity industry as a successive</em><em> Cournot</em><em> oligopoly market to compare the market performance between the generation and retail sectors’ liberalization. We show that, assuming identical fixed costs on free entry into both generation and retail sectors, liberalization of the retail sector can dominate that of the generation sector with regard to social welfare.</em></p>

CAN TOTAL DEREGULATION BE A BETTER OPTION THAN PARTIAL DEREGULATION?

This paper examines entry deregulation in an industry where natural monopoly and potential competition are vertically related. We find that the upstream fixed cost plays an important role to affect the overall welfare comparison between total and partial deregulation. When the upstream fixed cost is sufficiently large, the number of downstream firms is limited in both situations; in other words, the duplication of downstream fixed costs is relatively irrelevant so that the double markup effect dominates. Consequently, the regulator can only replicate total deregulation to maximize social welfare in the event of partial deregulation. If it is the case, we suggest that total deregulation is superior to partial deregulation since the latter suffers more regulatory cost than that of the former.

Perbandingan Kesejahteraan Antara Pengusaha dan Pegawai Perspektif Maqashid Syariah di Kelurahan Kejawan Putih Tambak Surabaya

This study aims to identify and analyze Comparison Between Employers and Employees Welfare maqashid Shariah Perspective in the Village Kejawan Putih Tambak Surabaya. That is the basis of interview questions to determine the welfare comparison between employers and employees in terms of five aspects, namely, religion, life, intellect, lineage and property.This study used a qualitative approach with ethnographic strategy. Data was collected through interviews and direct observation to study the object. The analysis technique used is descriptive qualitative analysis narrate the results of interviews and direct observation.The results of this study is that there is little difference between employers and employee welfare. The welfare of employers better meet the criteria Maqashid Shariah Perspective. The employers have more time to gather with family, having time to pray in the mosque, pay more attention to their health and have more social activities than employees. While employees have limited time togather with family, can not pray in a timely manner, rarely have time to socialize and do not have time for a workout. Therefore employers mental welfare is better than employees.