TY - JOUR
T1 - The development of a tool for measuring the implementation of stewardship in public health
AU - La Torre, Giuseppe
AU - De Belvis, Antonio
AU - Di Thiene, Domitilla
AU - Saulle, Rosella
AU - Marino, Marta
AU - Specchia, Maria Lucia
AU - Villari, Paolo
AU - Ricciardi, Walter
AU - Boccia, Antonio
PY - 2012
Y1 - 2012
N2 - Background: Stewardship is contemplated as a way to make the National Health Service more efficient
and effective within the context of devolution. In December 2010, the Minister of Health commissioned
the University of “Sapienza” and “Cattolica” of Rome the task of testing and ensuring that we have the
appropriate tools for evaluating the implementation level of Stewardship as part of the realization of the
Actions contemplated in the National Prevention Plan and their application to the Italian Regions context.
Methods: the method of analysis included two phases: 1) implementation of the evaluation model and
assessment tool; 2) validation of the tool, with the objective of ascertaining its technical-informational
functionality. The questionnaire included 141 answers in a closed format (singles or multiples) and was
subdivided into five areas of analysis. Every function of Stewardship was adjusted by a “weight” and a
score (from 0 to 5) assigned by a panel of experts was applied to each item.
Results: “Ensuring Accountability” was indicated as the most important Stewardship function.
“Ensuring accountability”, “Leadership”, “Resources Management and services”, “Accountability”
and “Evidence based medicine/Evidence based prevention”, respectively, characterized each function.
Responses were received from 75% of experts. Moreover, suggestions were collected for each question.
Conclusi ons: Considering this relatively new field of interest, to date there are no tools for looking at
all aspects of stewardship. However, a rigorous instrument could be crucial for the success of policies.
The proposed method could enable one to assess the level of Stewardship implementation, and to
compare and propose actions for improvement. This could be essential to achieving the highest levels
of quality in Public Health.
AB - Background: Stewardship is contemplated as a way to make the National Health Service more efficient
and effective within the context of devolution. In December 2010, the Minister of Health commissioned
the University of “Sapienza” and “Cattolica” of Rome the task of testing and ensuring that we have the
appropriate tools for evaluating the implementation level of Stewardship as part of the realization of the
Actions contemplated in the National Prevention Plan and their application to the Italian Regions context.
Methods: the method of analysis included two phases: 1) implementation of the evaluation model and
assessment tool; 2) validation of the tool, with the objective of ascertaining its technical-informational
functionality. The questionnaire included 141 answers in a closed format (singles or multiples) and was
subdivided into five areas of analysis. Every function of Stewardship was adjusted by a “weight” and a
score (from 0 to 5) assigned by a panel of experts was applied to each item.
Results: “Ensuring Accountability” was indicated as the most important Stewardship function.
“Ensuring accountability”, “Leadership”, “Resources Management and services”, “Accountability”
and “Evidence based medicine/Evidence based prevention”, respectively, characterized each function.
Responses were received from 75% of experts. Moreover, suggestions were collected for each question.
Conclusi ons: Considering this relatively new field of interest, to date there are no tools for looking at
all aspects of stewardship. However, a rigorous instrument could be crucial for the success of policies.
The proposed method could enable one to assess the level of Stewardship implementation, and to
compare and propose actions for improvement. This could be essential to achieving the highest levels
of quality in Public Health.
KW - Stewardship
KW - Stewardship
UR - http://hdl.handle.net/10807/40441
M3 - Article
SN - 1723-7807
SP - 106
EP - 114
JO - Italian Journal of Public Health
JF - Italian Journal of Public Health
ER -