Fanelli Simone, Lanza Gianluca, Zangrandi Antonello
Department of Public Management, University of Parma , Parma, Italy.
Int J Health Care Qual Assur. 2018 May 14;31(4):337-349. doi: 10.1108/IJHCQA-02-2017-0035.
Purpose The purpose of this paper is to describe the design and construction of a privilege mapping system (clinical and organizational competences) of the medical staff of the Niguarda Hospital in Milan, Italy. The second aim is to measure and assess the impact of implementing an evaluation process of clinical competences at the same hospital. Design/methodology/approach The paper retraces the development and implementation of the evaluation of the privilege system, highlighting the subjects involved, the phases and outputs. Moreover, a questionnaire was distributed to 50 heads of unit involved in the planning, building and implementation of competences mapping. Five areas were investigated: competences evaluation for professional development; the impact on work organization and professional roles; professional collaboration; its impact according to context (hospital or unit) and time scale (short or long term); and ability to evaluate clinical outcome. Findings Results reveal success factors for the development and implementation of a privilege mapping system. Furthermore, the survey revealed that clinical leaders are aware of the importance of competences evaluation. In particular, they consider it as a management tool useful for professional development, for identifying excellence and planning operational activities. Originality/value Literature and practical evidence recognize the need to assess the clinical and organizational competences in order to assign tasks and responsibilities. However, there are no studies that describe the construction of systems of evaluation of privileges, as it has never been investigated as professionals perceive these tools.
目的 本文旨在描述意大利米兰尼瓜尔达医院医务人员特权映射系统（临床和组织能力）的设计与构建。第二个目标是衡量和评估在同一家医院实施临床能力评估过程的影响。 设计/方法/途径 本文追溯了特权系统评估的发展与实施过程，突出了所涉及的主体、阶段和成果。此外，还向参与能力映射规划、构建和实施的50个科室负责人发放了问卷。调查了五个方面：专业发展的能力评估；对工作组织和专业角色的影响；专业协作；根据背景（医院或科室）和时间尺度（短期或长期）的影响；以及评估临床结果的能力。 研究结果 结果揭示了特权映射系统开发与实施的成功因素。此外，调查显示临床负责人意识到能力评估的重要性。特别是，他们将其视为对专业发展、识别卓越表现和规划运营活动有用的管理工具。 原创性/价值 文献和实践证据都认识到有必要评估临床和组织能力，以便分配任务和职责。然而，目前尚无研究描述特权评估系统的构建，因为从未从专业人员对这些工具的认知角度进行过调查。
