Papers by Stefano Calciolari
Public Management Review, 2012
Public sector organizations are simultaneously subject to three types of environmental pressure: ... more Public sector organizations are simultaneously subject to three types of environmental pressure: institutional, economic and political. How do these pressures influence the strategic behaviour of public organizations when confronted with efficiency-oriented reforms? We focus on the strategic behaviour of Swiss municipalities facing the amalgamation wave: a reform characterized by a strong economic rationale. Results confirm that the success of reforms depends not only on its matching with economic underpinnings. It is also necessary to take the political leadership and the responsibility of reform implementation.
Journal of Integrated Care, 2011
... Stefania Ilinca, PhD candidate, Faculty of Economics, Università della Svizzera Italiana, Lug... more ... Stefania Ilinca, PhD candidate, Faculty of Economics, Università della Svizzera Italiana, Lugano, Switzerland. Abstract. ... context, largely driven by four main catalysts: technological development, social pressures, financial constraints (Anessi-Pessina and Cantu, 2006; Glendinning ...
International Journal of Health Planning and Management, 2008
Assessing public sector ICT investments represents the premise for successful implementation of a... more Assessing public sector ICT investments represents the premise for successful implementation of an e-health strategy. The recent literature stresses the importance of going beyond the mere financial and/or technical dimensions of the analysis. Consequently, the paper proposes an example of e-health project evaluation aiming to develop measures which get close to the notion of benefits to the different stakeholders involved: top management, patients, local community. The case study refers to an Italian health care organization that implemented a project of digitalization of its clinical reports production few years ago. Based on on-field research, different approaches are used to assess costs and benefits from different stakeholders' perspectives. The results of a multidimensional evaluation are reported to emphasize the need for different measures to assess the sustainability of an e-health project according to the financial convenience, the social role of the organization, and the contingent situation. Copyright © 2007 John Wiley & Sons, Ltd.
Journal of Digital Imaging, 2009
This contribution focuses on picture archiving and communication systems (PACS) in the Italian Na... more This contribution focuses on picture archiving and communication systems (PACS) in the Italian National Healthcare System (NHS). It finally aims to test the Chiefs Radiology Department’s perceptions about PACS along the main evaluation dimensions emerging from the literature. First, a brief review of the main literature concerning PACS evaluation leads the authors to classify the different approaches undertaken and highlight the main variables of investigation. Second, the evidence emerging from a survey is presented and discussed in the light of the literature review. The survey aims to: (a) map out the degree of PACSs diffusion and their main features in the Italian NHS; (b) verify whether and how PACS impact the dimensions analyzed in many evaluation studies carried out to date; (c) test the relationship between some measured impacts and specific PACS features.
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Papers by Stefano Calciolari