Health and Management Laboratory, Institute of Management, Sant'Anna School of Advanced Studies, Piazza Martiri della Libertà, 33, 56127 Pisa, Italy.
Int J Environ Res Public Health. 2021 Feb 4;18(4):1481. doi: 10.3390/ijerph18041481.
The ability to deal with adversity and the resilience of people and groups are shown to depend positively on the tendency to nurture positivity. Therefore, the aim of this study is to evaluate whether Learning from Excellence (LfE) can be an effective method to manage systematic health systems, when transparent disclosure and benchmarking of data are adopted in performance evaluation. This study consists of a quantitative and a qualitative phase. In the former, maternal care is investigated at the regional level, starting from performance data and indicators of the maternity pathway referred to 98 healthcare providers in 10 Italian regions, that share the same evaluation system. The second phase investigates qualitatively the organizational determinants and the experience of professionals involved in the pathway, through the organization of on-site workshops. We identified the seven best practices among the 42 units of analysis. Communication, trust and shared goals among health professionals involved in the pathway emerged as core themes from the qualitative analysis. This study confirms that LfE under the conditions of benchmarking assessment and transparent disclosure of data can be implemented systematically in management practice, in order to boost health personnel's resilience and, in general, the organizational climate in the working environment.
人们应对逆境的能力和韧性被证明与培养积极性的倾向呈正相关。因此，本研究旨在评估在采用数据透明披露和基准测试进行绩效评估时，从卓越中学习（LfE）是否可以成为管理系统卫生系统的有效方法。本研究包括定量和定性两个阶段。在前一个阶段，从母婴路径的绩效数据和指标开始，对来自意大利 10 个地区的 98 个医疗保健提供者进行了区域性母婴保健调查，这些地区采用了相同的评估系统。第二阶段通过组织现场研讨会，从组织的角度调查了参与该路径的专业人员的决定因素和经验。我们从 42 个分析单位中确定了 7 个最佳实践。从定性分析中得出，参与路径的卫生专业人员之间的沟通、信任和共同目标是核心主题。本研究证实，在基准评估和数据透明披露的条件下，LfE 可以系统地在管理实践中实施，以提高卫生人员的适应力，以及总体上改善工作环境中的组织氛围。
