Business School, University of Edinburgh, United Kingdom.
Centre for Health Economics, University of York, United Kingdom.
Health Policy. 2021 Sep;125(9):1179-1187. doi: 10.1016/j.healthpol.2021.07.012. Epub 2021 Jul 31.
The paper discusses the responses to the COVID-19 crisis in the acute phase of the first wave of the pandemic (February-May 2020) by different Italian regions in Italy, which has a decentralised healthcare system. We consider five regions (Lombardy, Veneto, Emilia-Romagna, Umbria, Apulia) which are located in the north, centre and south of Italy. These five regions differ both in their healthcare systems and in the extent to which they were hit by the first wave of COVID-19 pandemic. We investigate their different responses to COVID-19 reflecting on seven management factors: (1) monitoring, (2) learning, (3) decision-making, (4) coordinating, (5) communicating, (6) leading, and (7) recovering capacity. In light of these factors, we discuss the analogies and differences among the regions and their different institutional choices.
本文讨论了意大利在具有分散式医疗体系的情况下，不同地区在疫情第一波（2020 年 2 月至 5 月）的急性期对 COVID-19 危机的反应。我们考虑了意大利北部、中部和南部的五个地区（伦巴第、威尼托、艾米利亚-罗马涅、翁布里亚、普利亚）。这五个地区在医疗体系以及受 COVID-19 疫情第一波冲击的程度上存在差异。我们研究了它们对 COVID-19 的不同反应，反映在七个管理因素上：（1）监测，（2）学习，（3）决策，（4）协调，（5）沟通，（6）领导，和（7）恢复能力。根据这些因素，我们讨论了地区之间的相似之处和不同之处，以及它们不同的制度选择。
