Evidence map›Paper›PMID 39430988›Full record

ArticleJournal of preventive medicine and hygiene2024

Rethinking patient flows in a changing healthcare system: a unified approach.

Marco Scattaglia, Michele Morandi, Maria Grazia Varì, Fabrizio Bert

Abstract read
In one paragraph

Article in Journal of preventive medicine and hygiene, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Marco ScattagliaSan Giovanni Bosco Hospital, Asl Città di Torino, Turin, Italy.
Michele MorandiSan Giovanni Bosco Hospital, Asl Città di Torino, Turin, Italy.
Maria Grazia VarìDepartment of Public Health Sciences and Paediatrics, University of Turin, Turin, Italy.
Fabrizio BertDepartment of Public Health Sciences and Paediatrics, University of Turin, Turin, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: The management of chronic diseases poses a challenge to the National Health Service (NHS), but it can also offer an opportunity for a radical renovation of healthcare provision. To improve the appropriateness of healthcare settings, it is essential to adopt integrated approach in all healthcare settings. Methods: This study was conducted at San Giovanni Bosco Hospital, in the area of the "Città di Torino" Local Health Authority, between June 2021 and December 2022. Its main goal was to manage hospital patient flows in an integrated manner in order to improve the efficiency of the entire healthcare system. The data were examined in terms of effectiveness in optimizing hospital flows. Results: The data indicated that hospital outpatient activities can become more specialized by leveraging the greater technological potential that a hospital possesses. At San Giovanni Bosco Hospital, the hub of the "Città di Torino" Local Health Authority (ASL), differential patient pathways were established in order to enhance the efficiency of the entire system by deploying hospital staff in a community setting. Implementation of the Otorhinolaryngology pathway avoided the hospitalization of 249 patients, who would otherwise have added strain to the overall organization of the hub hospital, which is currently short of space. Conclusions: A significant effort is needed in order to build an integrated network that provides patients with reliable and stable references. The approach adopted at San Giovanni Bosco Hospital resulted in an improvement in the use of both hospital and territorial facilities.

Indexed as

Delivery of Health CareCritical PathwaysEfficiency, OrganizationalHumansItalyAppropriatenessHospitalPatient flows

Identifiers

PMID39430988
PMCPMC11487722

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.