[Autom. eng. transl.] A scientifically acceptable, organizational practicable and economically sustainable management of the complex patient requires an approach to its management through a new model of health care, which makes systemic medicine or "Systems Medicine" its conceptual basis, which really places individual citizens at the center of the health care process, reconciling individual differences in all stages of the process, from prevention through diagnosis and treatment to follow-up. The first step towards such a system is cognitive: given the current difficulties of health information systems, the need has arisen to identify the population of complex patients, with the related characteristics, also for the purpose of outlining appropriate schemes and management paths. To this end, the paper analyzes the cohort of the "complex" patients of the Lazio Region, starting from an analysis of hospital admissions, which at this time constitute the most robust basis for a valid survey of the phenomena. The next step, as highlighted in the previous chapters, is the construction of a management and monitoring platform for all the factors that can influence the development of the disease in a given individual, including not only genetic and biological factors, but also influences environmental and lifestyle-related, as well as individual care episodes, precisely in order to integrate complex information coming from multiple data sources and generate an output that can be used to support the health of individual citizens. Only in this way can the orientation of organizational-managerial systems be achieved: the current contingency of scarcity of resources, with the urgent need for priority allocation of resources in the most optimal and efficient way possible imposes, starting from this sphere , a change in health systems, in the medium-long term, towards logics of sustainability and creation of "value" (cost / outcome ratio) for the citizen-patient. It is, however, undoubtedly possible that this transformation will be possible by acting, in addition to organizational development, on the culture and development of resource management systems, which are truly integrated and oriented to health problems and no longer to the single and punctual delivery of individuals care services.
|Translated title of the contribution||[Autom. eng. transl.] Hypotheses for sustainable management of complexity; economic analysis|
|Number of pages||15|
|Publication status||Published - 2013|
- MEDICINA DI SISTEMA