Civil Service Reforms in Italy: The Importance of External Endorsement and Administrative Leadership

Cristofoli, Daniela; Nasi, Greta; Turrini, Alex; Valotti, Giovanni

doi:10.1111/j.1468-0491.2011.01524.x

Cited by 16 publications

(13 citation statements)

References 62 publications

(101 reference statements)

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“…Together with other technologies, mHealth can really make a difference by enhancing performance [ 57 , 58 ] and improving the quality of life of cancer patients. However, this implies adequate use as part of the care process, along with adequate vision, systematic and consistent use, and alignment with the actual objectives that organizations, decision makers, and stakeholders [ 59 , 60 ] really want to achieve with the use of mHealth and any other technologies.…”

Section: Discussionmentioning

confidence: 99%

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

Nasi¹,

Cucciniello²,

Guerrazzi³

2015

J Med Internet Res

Self Cite

141

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BackgroundHealth care systems are gradually moving toward new models of care based on integrated care processes shared by different care givers and on an empowered role of the patient. Mobile technologies are assuming an emerging role in this scenario. This is particularly true in care processes where the patient has a particularly enhanced role, as is the case of cancer supportive care.ObjectiveThis paper aims to review existing studies on the actual role and use of mobile technology during the different stages of care processes, with particular reference to cancer supportive care.MethodsWe carried out a review of literature with the aim of identifying studies related to the use of mHealth in cancer care and cancer supportive care. The final sample size consists of 106 records.ResultsThere is scant literature concerning the use of mHealth in cancer supportive care. Looking more generally at cancer care, we found that mHealth is mainly used for self-management activities carried out by patients. The main tools used are mobile devices like mobile phones and tablets, but remote monitoring devices also play an important role. Text messaging technologies (short message service, SMS) have a minor role, with the exception of middle income countries where text messaging plays a major role. Telehealth technologies are still rarely used in cancer care processes. If we look at the different stages of health care processes, we can see that mHealth is mainly used during the treatment of patients, especially for self-management activities. It is also used for prevention and diagnosis, although to a lesser extent, whereas it appears rarely used for decision-making and follow-up activities.ConclusionsSince mHealth seems to be employed only for limited uses and during limited phases of the care process, it is unlikely that it can really contribute to the creation of new care models. This under-utilization may depend on many issues, including the need for it to be embedded into broader information systems. If the purpose of introducing mHealth is to promote the adoption of integrated care models, using mHealth should not be limited to some activities or to some phases of the health care process. Instead, there should be a higher degree of pervasiveness at all stages and in all health care delivery activities.

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Section: Discussionmentioning

confidence: 99%

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

Nasi¹,

Cucciniello²,

Guerrazzi³

2015

J Med Internet Res

Self Cite

141

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“…This strand of research is embedded in more general efforts to assess the level of implementation of management reforms in the public sector (Brudney and Wright 2002;Moon and de Leon 2001). Several studies demonstrate that, among several other factors, the presence of leadership with a strong emphasis on innovation and change enhances the adoption of elements from the reform agenda (Burke and Costello 2005;Cristofoli et al 2011;Hansen 2011;Hennessey 1998). Moreover, the more favourably leaders evaluate the symbolic costs and benefits of results-oriented reforms (Moynihan 2005) and the more they internalize the values of reinventing government (Moon and de Leon 2001;Sanger 2008), the larger the impact of this factor.…”

Section: The Reformist Approach To Public Leadershipmentioning

confidence: 99%

Public Leadership: A review of the literature and framework for future research

Vogel

Masal

2014

Public Management Review

193

204

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This study analyses and reviews the literature on public leadership with a novel combination of bibliometric methods. We detect four generic approaches to public leadership (i.e. a functionalist, a behavioural, a biographical and a reformist approach) which differ with regard to their philosophy of science (i.e. objective vs subjective) and level of analysis (i.e. micro-level vs multi-level). From our findings, we derive four directions for future research which involve shifting the focus from the aspect of 'leadership' to the element of 'public', from simplicity to complexity, from universalism to cultural relativism and from public leadership to public followership.

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“…The existing literature also usually involved a single specific stakeholder, whereas our vision takes in multiple types of stakeholders [ 64 , 65 ] working in this specific field, who all perceive benefits resulting from their involvement. Thus, all these benefits should be analyzed.…”

Section: Discussionmentioning

confidence: 99%

The Performance of mHealth in Cancer Supportive Care: A Research Agenda

Nasi¹,

Cucciniello²,

Guerrazzi³

2015

J Med Internet Res

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BackgroundSince the advent of smartphones, mHealth has risen to the attention of the health care system as something that could radically change the way health care has been viewed, managed, and delivered to date. This is particularly relevant for cancer, as one of the leading causes of death worldwide, and for cancer supportive care, since patients and caregivers have key roles in managing side effects. Given adequate knowledge, they are able to expect appropriate assessments and interventions. In this scenario, mHealth has great potential for linking patients, caregivers, and health care professionals; for enabling early detection and intervention; for lowering costs; and achieving better quality of life. Given its great potential, it is important to evaluate the performance of mHealth. This can be considered from several perspectives, of which organizational performance is particularly relevant, since mHealth may increase the productivity of health care providers and as a result even the productivity of health care systems.ObjectiveThis paper aims to review studies on the evaluation of the performance of mHealth, with particular focus on cancer care and cancer supportive care processes, concentrating on its contribution to organizational performance, as well as identifying some indications for a further research agenda.MethodsWe carried out a review of literature, aimed at identifying studies related to the performance of mHealth in general or focusing on cancer care and cancer supportive care.ResultsOur analysis revealed that studies are almost always based on a single dimension of performance. Any evaluations of the performance of mHealth are based on very different methods and measures, with a prevailing focus on issues linked to efficiency. This fails to consider the real contribution that mHealth can offer for improving the performance of health care providers, health care systems, and the quality of life in general.ConclusionsFurther research should start by stating and explaining what is meant by the evaluation of mHealth’s performance and then conduct more in-depth analysis in order to create shared frameworks to specifically identify the different dimensions of mHealth’s performance.

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Civil Service Reforms in Italy: The Importance of External Endorsement and Administrative Leadership

Cited by 16 publications

References 62 publications

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

The Role of Mobile Technologies in Health Care Processes: The Case of Cancer Supportive Care

Public Leadership: A review of the literature and framework for future research

The Performance of mHealth in Cancer Supportive Care: A Research Agenda

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