Isabella Bonacci | Università degli Studi di Napoli "Federico II" (original) (raw)
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Papers by Isabella Bonacci
International Journal of Learning and Intellectual Capital, 2016
Lecture Notes in Information Systems and Organisation, 2014
The present work improves both the research hypotheses and the methodological study from the same... more The present work improves both the research hypotheses and the methodological study from the same authors, and aimes at working out the connections between technology-driven needs and social-related patterns in the Long-Term Care (LTC) milieu, seen as a complex disease network, from which many classes of chronic pathologies (namely, Thalassemia, Cardiovascular diseases, Diabetes Mellitus type 2) can be identified as peculiar subnetworks. The adoption and implementation of the Social Network Analysis to study the dynamics concerning technology-assisted LTC emerges as efficacious mean to strengthen the paradigm of patient-centered care, providing new perspectives for recognizing how the set of interactions and relationships within a "virtual team" (including formal and informal carers from different organizations) can bring to higher levels of knowledge transfer, organizational learning and innovation spreading.
International Journal of Information Systems in the Service Sector, 2010
Purpose -The present work focuses on the study of healthcare networks as key tool for innovation ... more Purpose -The present work focuses on the study of healthcare networks as key tool for innovation creation and spreading, by deploying the emergent paradigm of open innovation. During the early development of a technology, when the interactions among component types are unclear (in a state of flux) and, therefore, difficult to codify and freeze, organizations build connections with research centres and universities to explore alternative technological solutions. Once such interactions are better understood, codified, modularized and shared, then more exploitative networks (e.g. with suppliers and customers) may be better suited to exploit the current technology.
The introducing of the new Information and Communication Technologies (ICTs) brought to a redefin... more The introducing of the new Information and Communication Technologies (ICTs) brought to a redefinition about the organizational arrangements in terms of shaping inside and outside processes, with a resulting improvement of efficiency in managing inside and outside relationships (D'Atri, 2004). In this way, the implementation of Information Systems (IS) has to be intended as an input (Giustiniano, 2005) of a process of organizational change, and not as an outcome referring to employment conditions (static coherence between information system and organizational requirements: Ravagnani, 2000). It's important to highlight that, in a more general view, the concept of IS has to be intended not only in terms of technologies (e.g. supplying of automated processing tools), but also in terms of devices of horizontal (intra–organizational) connection, through which data are acquired, expanded and transmitted (Martinez, 2004). The importance of IS at a corporate level has to be mainly r...
ad una progressiva estensione dei tradizionali sistemi di governo e controllo del sistema sanitar... more ad una progressiva estensione dei tradizionali sistemi di governo e controllo del sistema sanitario. L'esperienza internazionale dimostra che non esi-stono modelli istituzionali ed organizzativi vincenti sugli altri, sia nei risvolti economici che clinici e so-ciali: l'esperienza statunitense mostra che il modello di libero mercato non risolve né il problema della spesa sanitaria nazionale, né quello del diritto di sa-lute universalistico, mentre i paesi che hanno adotta-to modelli di tipo Beveridge presentano una spesa sanitaria pubblica piuttosto elevata con un'assisten-za estesa a tutti, ma non sempre di elevata qualità; fattore comune di preoccupazione è il costo crescen-te dell'assistenza sanitaria, combinato nei vari mo-Il monitoraggio dei fattori di rischio nella gestione delle patologie cronico-degenerative: analisi dei flussi informativi nel territorio sannita 1. Introduzione La crescente offerta diagnostico-terapeutica, il cambiamento degli stili di vita, l...
In the last decades the healthcare markets have been influenced by deep structural changes: by on... more In the last decades the healthcare markets have been influenced by deep structural changes: by one side, the acceleration of technological development (that led to an improvement of the quality of cares, and to a general costs increasing, too); by the other side, the enhancing of the decisional autonomy in both suppliers and purchasers (Robone e Zanardi, 2006). Target of the present research work has been to verify how the introduction of Information and Communication Technologies (ICTs) can positively impact on a territorial context characterized by a low degree of computerizing and a not easy handling of data and information flows; the aim is to develop a model that, through di implementation of ICT solutions, allow the modification of the dynamics of communication and interaction/integration among the operators involved in the patient care path, in order to the realization of an information framework able to the circulation and the exchange of complete, individual and accurate cl...
One of the most relevant sources of complexity characterizing the healthcare organizations, in th... more One of the most relevant sources of complexity characterizing the healthcare organizations, in the Italian Public Sector, concerns their social frame, connected to the combination of relational, formal and informal aspects, and to the different approaches about decisional, clinical and organizational processes (Cic-chetti, 2004). The increasing social incidence of the chronic–degenerative pathol-ogies, such as Diabetes Mellitus type 2, has led to enlighten these issues. In such context, the e–government national strategy first points out on the need of strate-gies of integration and interoperability among information systems, to ensure a safe exchange of information (CNIPA, 2008). The activity of "integrated design" of information flows between doctors and patients, by introducing and implement-ing ICT solutions, allows the creation and the development of reticular organiza-tional forms in which many non contiguous actors work at the same time on the diagnosis and care pro...
Purpose -The concept of intellectual capital has emerged as the solution to set forth those intan... more Purpose -The concept of intellectual capital has emerged as the solution to set forth those intangible assets that play a key role either in defining the value of an organizational system and in planning and governing management actions to improve effectiveness and efficiency of internal organizational processes . In particular, the intellectual capital stands as highly relevant in the dynamics of growth and value creation for knowledge-intensive organizational systems . In the Healthcare Organizations (HCOs), specifically, the information delivery is a mostly tacit feature, closely linked to the processes development or, at least, exploited in a high specialization context, where the extreme fragmentation of the expertise and the deployment of "islands-shaped" information systems has been hindering the sharing of information. Part of the information flow may instead be "captured" through the application of appropriate ICT solutions, aimed at tracking the processes and better interpreting their information outputs.
Lecture Notes in Information Systems and Organisation, 2014
International Journal of Pharmaceutical and Healthcare Marketing, 2011
ABSTRACT Purpose – The aim of the present paper is to examine how the introduction of information... more ABSTRACT Purpose – The aim of the present paper is to examine how the introduction of information and communication technologies (ICTs) can have positive implications in a territorial context, where healthcare organizations are characterized by limited organizational independence and lack of individual statutory autonomy, with limited level of integration between the involved parties (healthcare operators, managers, and patients) and an uneven management of data and of information-sharing. Design/methodology/approach – The approach taken was an investigation based on a combination of quantitative and qualitative methods for information-gathering and data-analysis in the context of diabetes care. A case study approach was adopted with the aim of enhancing general practitioners' (GPs') performance levels through an evaluation monitoring and by controlling care paths dynamics. Findings – The realization of the target care path for chronic–degenerative pathologies in the Local Health Trust “Naples 4” in Campania Region (Italy) led to the identification of a suitable framework that modifies, through the implementation of ICT tools, the communications dynamics and the interaction/integration for those actors involved in a patient's care path. Originality/value – Healthcare markets are currently experiencing an acceleration of technological developments; the study tries to show how the appropriate adoption of new technologies can lead to improvements for the quality of care, managing at the same time the consequent rising costs in the sector.
International Journal of Learning and Intellectual Capital, 2016
Lecture Notes in Information Systems and Organisation, 2014
The present work improves both the research hypotheses and the methodological study from the same... more The present work improves both the research hypotheses and the methodological study from the same authors, and aimes at working out the connections between technology-driven needs and social-related patterns in the Long-Term Care (LTC) milieu, seen as a complex disease network, from which many classes of chronic pathologies (namely, Thalassemia, Cardiovascular diseases, Diabetes Mellitus type 2) can be identified as peculiar subnetworks. The adoption and implementation of the Social Network Analysis to study the dynamics concerning technology-assisted LTC emerges as efficacious mean to strengthen the paradigm of patient-centered care, providing new perspectives for recognizing how the set of interactions and relationships within a "virtual team" (including formal and informal carers from different organizations) can bring to higher levels of knowledge transfer, organizational learning and innovation spreading.
International Journal of Information Systems in the Service Sector, 2010
Purpose -The present work focuses on the study of healthcare networks as key tool for innovation ... more Purpose -The present work focuses on the study of healthcare networks as key tool for innovation creation and spreading, by deploying the emergent paradigm of open innovation. During the early development of a technology, when the interactions among component types are unclear (in a state of flux) and, therefore, difficult to codify and freeze, organizations build connections with research centres and universities to explore alternative technological solutions. Once such interactions are better understood, codified, modularized and shared, then more exploitative networks (e.g. with suppliers and customers) may be better suited to exploit the current technology.
The introducing of the new Information and Communication Technologies (ICTs) brought to a redefin... more The introducing of the new Information and Communication Technologies (ICTs) brought to a redefinition about the organizational arrangements in terms of shaping inside and outside processes, with a resulting improvement of efficiency in managing inside and outside relationships (D'Atri, 2004). In this way, the implementation of Information Systems (IS) has to be intended as an input (Giustiniano, 2005) of a process of organizational change, and not as an outcome referring to employment conditions (static coherence between information system and organizational requirements: Ravagnani, 2000). It's important to highlight that, in a more general view, the concept of IS has to be intended not only in terms of technologies (e.g. supplying of automated processing tools), but also in terms of devices of horizontal (intra–organizational) connection, through which data are acquired, expanded and transmitted (Martinez, 2004). The importance of IS at a corporate level has to be mainly r...
ad una progressiva estensione dei tradizionali sistemi di governo e controllo del sistema sanitar... more ad una progressiva estensione dei tradizionali sistemi di governo e controllo del sistema sanitario. L'esperienza internazionale dimostra che non esi-stono modelli istituzionali ed organizzativi vincenti sugli altri, sia nei risvolti economici che clinici e so-ciali: l'esperienza statunitense mostra che il modello di libero mercato non risolve né il problema della spesa sanitaria nazionale, né quello del diritto di sa-lute universalistico, mentre i paesi che hanno adotta-to modelli di tipo Beveridge presentano una spesa sanitaria pubblica piuttosto elevata con un'assisten-za estesa a tutti, ma non sempre di elevata qualità; fattore comune di preoccupazione è il costo crescen-te dell'assistenza sanitaria, combinato nei vari mo-Il monitoraggio dei fattori di rischio nella gestione delle patologie cronico-degenerative: analisi dei flussi informativi nel territorio sannita 1. Introduzione La crescente offerta diagnostico-terapeutica, il cambiamento degli stili di vita, l...
In the last decades the healthcare markets have been influenced by deep structural changes: by on... more In the last decades the healthcare markets have been influenced by deep structural changes: by one side, the acceleration of technological development (that led to an improvement of the quality of cares, and to a general costs increasing, too); by the other side, the enhancing of the decisional autonomy in both suppliers and purchasers (Robone e Zanardi, 2006). Target of the present research work has been to verify how the introduction of Information and Communication Technologies (ICTs) can positively impact on a territorial context characterized by a low degree of computerizing and a not easy handling of data and information flows; the aim is to develop a model that, through di implementation of ICT solutions, allow the modification of the dynamics of communication and interaction/integration among the operators involved in the patient care path, in order to the realization of an information framework able to the circulation and the exchange of complete, individual and accurate cl...
One of the most relevant sources of complexity characterizing the healthcare organizations, in th... more One of the most relevant sources of complexity characterizing the healthcare organizations, in the Italian Public Sector, concerns their social frame, connected to the combination of relational, formal and informal aspects, and to the different approaches about decisional, clinical and organizational processes (Cic-chetti, 2004). The increasing social incidence of the chronic–degenerative pathol-ogies, such as Diabetes Mellitus type 2, has led to enlighten these issues. In such context, the e–government national strategy first points out on the need of strate-gies of integration and interoperability among information systems, to ensure a safe exchange of information (CNIPA, 2008). The activity of "integrated design" of information flows between doctors and patients, by introducing and implement-ing ICT solutions, allows the creation and the development of reticular organiza-tional forms in which many non contiguous actors work at the same time on the diagnosis and care pro...
Purpose -The concept of intellectual capital has emerged as the solution to set forth those intan... more Purpose -The concept of intellectual capital has emerged as the solution to set forth those intangible assets that play a key role either in defining the value of an organizational system and in planning and governing management actions to improve effectiveness and efficiency of internal organizational processes . In particular, the intellectual capital stands as highly relevant in the dynamics of growth and value creation for knowledge-intensive organizational systems . In the Healthcare Organizations (HCOs), specifically, the information delivery is a mostly tacit feature, closely linked to the processes development or, at least, exploited in a high specialization context, where the extreme fragmentation of the expertise and the deployment of "islands-shaped" information systems has been hindering the sharing of information. Part of the information flow may instead be "captured" through the application of appropriate ICT solutions, aimed at tracking the processes and better interpreting their information outputs.
Lecture Notes in Information Systems and Organisation, 2014
International Journal of Pharmaceutical and Healthcare Marketing, 2011
ABSTRACT Purpose – The aim of the present paper is to examine how the introduction of information... more ABSTRACT Purpose – The aim of the present paper is to examine how the introduction of information and communication technologies (ICTs) can have positive implications in a territorial context, where healthcare organizations are characterized by limited organizational independence and lack of individual statutory autonomy, with limited level of integration between the involved parties (healthcare operators, managers, and patients) and an uneven management of data and of information-sharing. Design/methodology/approach – The approach taken was an investigation based on a combination of quantitative and qualitative methods for information-gathering and data-analysis in the context of diabetes care. A case study approach was adopted with the aim of enhancing general practitioners' (GPs') performance levels through an evaluation monitoring and by controlling care paths dynamics. Findings – The realization of the target care path for chronic–degenerative pathologies in the Local Health Trust “Naples 4” in Campania Region (Italy) led to the identification of a suitable framework that modifies, through the implementation of ICT tools, the communications dynamics and the interaction/integration for those actors involved in a patient's care path. Originality/value – Healthcare markets are currently experiencing an acceleration of technological developments; the study tries to show how the appropriate adoption of new technologies can lead to improvements for the quality of care, managing at the same time the consequent rising costs in the sector.