Papers by Cristina Masella
Public Money & Management, 2019
Facilitating co-production in public services: management implications from a systematic literatu... more Facilitating co-production in public services: management implications from a systematic literature review. Public Money & Management, 39(4) pp. 233-240. For guidance on citations see FAQs.
International Journal of Operations & Production Management, 2002
The paper presents the main results of a benchmarking project involving eight Italian hospitals. ... more The paper presents the main results of a benchmarking project involving eight Italian hospitals. The project sought to examine and compare the organisational processes adopted in different operating blocks, i.e. complex organisational units comprising many different actors whose performance often has a significant influence on the level of work of the overall structure. The organisational survey was carried out by
Value in Health, 2012
OBJECTIVES: To assess the cost-effectiveness of a nurse facilitated, cognitive behavioural self-m... more OBJECTIVES: To assess the cost-effectiveness of a nurse facilitated, cognitive behavioural self-management programme for patients with heart failure compared with usual care including the un-facilitated access to the same manual, from the perspective of the NHS. METHODS: Data were obtained from a pragmatic, multicentre, randomised controlled 'open' trial conducted in seven centres in the UK between 2006 and 2008. Effectiveness was estimated as Quality-Adjusted Life Years. Resource use was measured prospectively on all patients using information provided by patients in postal questionnaires, case-note review, electronic record review and interviews with patients. Unit costs were obtained from the literature and applied to the relevant resource use to estimate total costs. Multiple imputation was used to handle missing data. RESULTS: There were no substantial differences in the utility scores between treatment groups in all follow-up assessments, in the use of medication or outpatient visits and both groups report a similar frequency of contact with health care professionals. After controlling for baseline utility and using imputed dataset, treatment was associated with a reduction in QALY of 0.004 and a reduction in costs of £116.2, generating an incremental costeffectiveness ratio of £29,036 for usual care. The probability that the intervention is cost-effective for thresholds between £20,000 and £30,000 is around 60%. CONCLUSIONS: There is little evidence that the addition of the intervention had any effect on costs or outcomes. The uncertainty around both estimates of cost and effectiveness mean that it is not reasonable to make recommendations based on cost-effectiveness alone.
Telemedicine and e-Health, 2009
The aim of the present study was to conduct a systematic literature review focused on telemedicin... more The aim of the present study was to conduct a systematic literature review focused on telemedicine services for patients affected by chronic obstructive pulmonary disease (COPD). In particular, it addresses (1) which telemedicine applications and related organizational models have been adopted for patients affected by COPD and (2) the impact of these applications. A computerized literature search was performed utilizing MEDLINE and Cochrane Library databases, selecting articles published between 1996 and 2008 using the following combination of keywords: [COPD] AND [telemedicine OR telehealth OR ehealth OR telecare] and after exclusions, 40 articles were considered. The adoption of telemedicine inevitably resulted in the reconfiguration of the existing practices and sociomaterial relationships. These organizational changes must be understood and addressed.
Measuring Business Excellence, 2012
Purpose-This study seeks to further the current debate about how to systematically improve hospit... more Purpose-This study seeks to further the current debate about how to systematically improve hospital performance by enhancing and balancing knowledge exploration and knowledge exploitation capabilities through the development of an electronic medical record (EMR). Design/methodology/approach-The study has an interpretative, inductive perspective, based on multiple and embedded case studies. Three large size Italian hospitals that have introduced an EMR were considered. Evidence was gathered by triangulating multiple sources of evidence. Findings-Three emergent strategies of EMR development are identified. Pros and cons of each strategy are stated and a set of propositions to be tested in further research are formulated. These results provide hospital managers and professionals with clearer guidelines about how to improve performance by implementing a tailored strategy to balance knowledge exploration and knowledge exploitation through the development of an EMR. Originality/value-Most of the literature on EMRs is focused on the benefits, the barriers and the enablers of their adoption. Little is understood about how hospital managers and professionals might leverage on the EMR to ambidextrously combine knowledge exploration and knowledge exploitation, and thus increase hospital performance. The study addresses this gap and offers original insights to advance both theory and practice.
Management Decision, 1993
... Source: Management Decision, Vol. 31 Iss: 5. Author(s): Giovanni Azzone, Umberto Bertele, Cri... more ... Source: Management Decision, Vol. 31 Iss: 5. Author(s): Giovanni Azzone, Umberto Bertele, Cristina Masella. ... last few years. Traditional methods are recognized asinadequate but there is no dominant methodology. Presents a ...
Knowledge Management Research & Practice, 2013
ABSTRACT Physicians’ willingness to share knowledge is a central antecedent of effective knowledg... more ABSTRACT Physicians’ willingness to share knowledge is a central antecedent of effective knowledge sharing within hospitals. This paper aims at supporting the micro-foundation of knowledge sharing with the identification of the factors that affect willingness to share and their classification according to a behavioural model grounded in the Theory of Planned Behaviour (TPB). The identification of antecedents and their classification is based on the review of the major contributions published on top tier and specialist journals. This study identifies 22 factors that affect physicians’ willingness to share. These factors are classified according to the TPB framework, which identifies three behavioural antecedents: attitude, subjective norm and perceived behaviour control. The organization of the factors allows appreciating the diffusion of knowledge-sharing behaviours as the result of three concurring perspectives: raising attention to the benefits of knowledge sharing, building up social pressures from relevant actors and designing appropriate organizational contingencies.
Journal of Medical Internet Research, 2013
Background: Heart failure patients with implantable defibrillators place a significant burden on ... more Background: Heart failure patients with implantable defibrillators place a significant burden on health care systems. Remote monitoring allows assessment of device function and heart failure parameters, and may represent a safe, effective, and cost-saving method compared to conventional in-office follow-up. Objective: We hypothesized that remote device monitoring represents a cost-effective approach. This paper summarizes the economic evaluation of the Evolution of Management Strategies of Heart Failure Patients With Implantable Defibrillators (EVOLVO) study, a multicenter clinical trial aimed at measuring the benefits of remote monitoring for heart failure patients with implantable defibrillators. Methods: Two hundred patients implanted with a wireless transmission-enabled implantable defibrillator were randomized to receive either remote monitoring or the conventional method of in-person evaluations. Patients were followed for 16 months with a protocol of scheduled in-office and remote follow-ups. The economic evaluation of the intervention was conducted from the perspectives of the health care system and the patient. A cost-utility analysis was performed to measure whether the intervention was cost-effective in terms of cost per quality-adjusted life year (QALY) gained. Results: Overall, remote monitoring did not show significant annual cost savings for the health care system (€1962.78 versus €2130.01; P=.80). There was a significant reduction of the annual cost for the patients in the remote arm in comparison to the standard arm (€291.36 versus €381.34; P=.01). Cost-utility analysis was performed for 180 patients for whom QALYs were available. The patients in the remote arm gained 0.065 QALYs more than those in the standard arm over 16 months, with a cost savings of €888.10 per patient. Results from the cost-utility analysis of the EVOLVO study show that remote monitoring is a cost-effective and dominant solution.
International Journal of Public Administration, 2014
ABSTRACT
International Journal of Healthcare Technology and Management, 2009
International Journal of Healthcare Technology and Management, 2008
... Keywords: assessment; assessment framework; decision making; dimensions; e-health; process;re... more ... Keywords: assessment; assessment framework; decision making; dimensions; e-health; process;review; telemedicine. ... Authors Type of study Findings Koch (2006) Article: review of the Lack of standards to combine international scientific incompatible information systems. ...
IEEE Journal on Selected Areas in Communications, 2000
mHealth (healthcare using mobile wireless technologies) has the potential to improve healthcare a... more mHealth (healthcare using mobile wireless technologies) has the potential to improve healthcare and the quality of life for elderly and chronic patients. Many studies from all over the world have addressed this issue in view of the aging population in many countries. However, there has been a lack of any consolidated evidence-based study to classify mHealth from the dual perspectives of healthcare and technology. This paper reports the results of an evidence-based study of mHealth solutions for chronic care amongst the elderly population and proposes a taxonomy of a broad range of mHealth solutions from the perspective of technological complexity. A systematic literature review was conducted over 10 online databases and the findings were classified into four categories of predominant mHealth solutions, that is, self-healthcare, assisted healthcare, supervised healthcare and continuous monitoring. The findings of the study have major implications for information management and policy development in the context of the Millennium Development Goals (MDGs) related to healthcare in the world.
Higher Education Quarterly, 2009
Central administrative services have recently received increasing attention from practitioners an... more Central administrative services have recently received increasing attention from practitioners and academics due to the challenging need to both manage scarce resources and provide high-quality services. In this context, performance measurement systems (PMSs) may ...
Perfomance …, 2004
... Emanuele Lettieri, Francesca Borga, Cristina Masella and Alberto Savoldelli ABSTRACT Many aca... more ... Emanuele Lettieri, Francesca Borga, Cristina Masella and Alberto Savoldelli ABSTRACT Many academics suggest that performance measurement [PM] could help ... The review was aimed at understanding the factors that influence:(i) the design exercise in the non-profit context ...
Giornale Italiano di Nefrologia, 2007
... Relativamente alla dimensione posizione nel ciclo di vita si fa riferimento alle varie tipo... more ... Relativamente alla dimensione posizione nel ciclo di vita si fa riferimento alle varie tipologie formalizzate nell ... la coerenza tra gli obiettivi del sistema sanitario e quelli del singolo attore ... relazione si articola in tre sezioni princi-pali: a) lo stato dell'arte sulla valutazione delle tecno ...
BMC Health Services Research, 2009
Background: Nowadays, new organisational strategies should be indentified to improve primary care... more Background: Nowadays, new organisational strategies should be indentified to improve primary care and its link with secondary care in terms of efficacy and timeliness of interventions thus preventing unnecessary hospital accesses and costs saving for the health system. The purpose of this study is to assess the effects of the use of teleconsultation by general practitioners in rural areas. Methods: General practitioners were provided with a teleconsultation service from 2006 to 2008 to obtain a second opinion for cardiac, dermatological and diabetic problems. Access, acceptance, organisational impact, effectiveness and economics data were collected. Clinical and access data were systematically entered in a database while acceptance and organisational data were evaluated through ad hoc questionnaires. Results: There were 957 teleconsultation contacts which resulted in access to health care services for 812 symptomatic patients living in 30 rural communities. Through the teleconsultation service, 48 general practitioners improved the appropriateness of primary care and the integration with secondary care. In fact, the level of concordance between intentions and consultations for cardiac problems was equal to 9%, in 86% of the cases the service entailed a saving of resources and in 5% of the cases, it improved the timeliness. 95% of the GPs considered the overall quality positively. For a future routine use of this service, trust in specialists, duration and workload of teleconsultations and reimbursement should be taken into account. Conclusions: Managerial and policy implications emerged mainly related to the support to GPs in the provision of high quality primary care and decision-making processes in promoting similar services.
emma.polimi.it
... U, Masella C. Strategic Management of New Product Development Processes: an Option BasedAppro... more ... U, Masella C. Strategic Management of New Product Development Processes: an Option BasedApproach. ... Azzone G, Bertelè U., Masella C. Strategic investment in new product development ... 155-180, 2006 - Capolongo S., Ospedale Pediatrico Meyer a Firenze, Arketipo, pp.92 ...
... Cristina Masella, Ph.D. Professor. Politecnico di Milano. P.zza Leonardo da Vinci, 32. Milan,... more ... Cristina Masella, Ph.D. Professor. Politecnico di Milano. P.zza Leonardo da Vinci, 32. Milan, Italy 20133. 0039 02 2399 4081. [email protected]. Franco Molteni, MD. Medical Doctor, Clinical Health Director. Villa Beretta. Via N. Sauro, 17. Costa Masnaga, (Lecco). Italy. ...
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Papers by Cristina Masella