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E-Health: lacking financial resources and health quality production


Abstract


The health sector is being studied as an object of individual interest with that of society, in order to pursue equity without sacrificing efficiency, citizens of different Italian regions can access services that are equal in quantity and quality. In health care, the problem from the economic point of view is relevant as the health needs are infinite, while resources are limited and scarce. In the field of health, the objectives have evolved, passing from the elimination of infectious diseases to the extension of life. The World Health Organization defines health as a right to be counted among other fundamental rights that belong to people. The analysis of the work carried out focuses on the concept of healthcare seen through the eyes of economists, of how to deal with the fundamental economic questions of what, how and for whom to produce dictated by the distance between need and resources that drives the search for greater productivity and fair resource allocation systems; discussing the need and expectations for public health intervention. The Italian Health Service has founded its origins on the recognition of health as an individual right linked to citizenship and as a collective asset to be protected. The financing is based on the principle of the welfare state, which connects the payment to the contribution capacity and the use of services to anyone who manifests a need within the Italian territory. Since the beginning of the 1990s, a process of reorganization of the health system was initiated, which was mainly oriented towards the research and improvement of tools for assessing the quality perceived by the user. The search for tools that can reduce as much as possible the inconvenience that the citizen may encounter in contact with highly bureaucratic systems and structures such as health care tend to be. The socio-demographic evolution of the population and the need to balance the available resources with the quality of the healthcare provided, require the definition of new ways of providing health services. In the field of public health, a growing demand for quality in the provision of care and assistance services has intensified in recent years. The increase in interfaces between telematic networks and health and social services is part of the general transformation process of world society due to the progressive increase in the degree of use of ICT services. The improvement of the quality of health services concerns the management of total quality understood as the management process aimed at establishing the organizational activities that allow the improvement of overall performance. The success of the organization lies in the continuous and careful communication of the needs related to health by users caused by bad lifestyles, therefore prevention and socio-health policies should reduce the probability of citizens getting sick. From the analysis carried out, the proposal that is made is that the mission assigned to hospitals on the basis of their classification allows users to be "empowered" to health-related problems without compromising the principles of effectiveness, legal efficiency and health law. If the goal of our communities is to improve the health level of the population, it is important to promote health policies not only in terms of health services, but also aimed at removing or in any case reducing the impact of a series of risk factors . Therefore, it is hoped that future health policies will increasingly target individual and social risk factors, with health interventions also in sectors such as education, working conditions, transport and nutrition.

DOI Code: 10.1285/i25327518v3i2p31

Keywords: e-health; risk; health care; empowerment; health quality

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