Is regional emergency management key to containing COVID-19? A comparison between the regional Italian models of Emilia-Romagna and Veneto

Troisi, Roberta; Alfano, Gaetano

doi:10.1108/ijpsm-06-2021-0138

Cited by 27 publications

(5 citation statements)

References 33 publications

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“…In particular, a lognormal probabilistic model have been adopted for both both dFPS and IDIs [6]. The mean value μ and standard deviation σ have been estimated by performing a statistical analysis [22]- [30] of the data. The parameters of the probabilistic distribution have been computed adopting the maximum likelihood method according to [31].…”

Section: Bi-variate Probabilistic Analysis Of the Resultsmentioning

confidence: 99%

Evaluation of the Effect of Masonry Infills on Response of Rc Buldings Equipped With FPS Devices: A Case Study

Gino,

Miceli,

Ricioppo

et al. 2023

Proceedings of the 8th International Conference on Computational Methods in Structural Dynamics and Earthquake Engineering (COM

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The assessment of existing structures and infrastructures located in areas with a relevant seismic hazard is one of the challenges for engineers over the last years. With reference to buildings built during 60's and 70's, most of them was realized as reinforced concrete (RC) framed structures disregarding seismic design issues in comparison to the current specifications. In order to enhance the seismic response to seismic actions of existing RC structures, over the years, the isolation system adopting friction pendulum (FP) devices turned out to be one of the most diffused. The aim of this work is to investigate the influence of the retrofitting intervention performed using single-concave friction pendulum devices (FPS) on the seismic response on an existing framed reinforced concrete building located in high seismicity region. The existing building presents both in plane and in elevation irregularities also related to the masonry infills. The effect of the masonry infills on the performance of the building is evaluated in probabilistic terms and useful recommendations for assessment of such kind of structures are reported.

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Section: Bi-variate Probabilistic Analysis Of the Resultsmentioning

confidence: 99%

Evaluation of the Effect of Masonry Infills on Response of Rc Buldings Equipped With FPS Devices: A Case Study

Gino,

Miceli,

Ricioppo

et al. 2023

Proceedings of the 8th International Conference on Computational Methods in Structural Dynamics and Earthquake Engineering (COM

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“…The decision-making process was centralised, leading to a short-circuiting of a localized response regime ( Askim and Bergström, 2022 ; see Troisi and Alfano 2022 for a counter example), and it was concentrated, with the Prime Minister and the Minister of Health keeping a tight rein on the process while the cabinet was on the sidelines – an unusual feature in Norway, where prime ministerial dominance is uncommon ( Christensen, 2003 ). Political and bureaucratic executives were exposed to divergent views, reflecting a general dedication to knowledge-based policymaking ( Christensen and Holst, 2017 ).…”

Section: Concluding Discussionmentioning

confidence: 99%

Crisis decision-making inside the core executive: Rationality, bureaucratic politics, standard procedures and the COVID-19 lockdown

Askim

Christensen

2022

Public Policy and Administration

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The article explains how the unprecedented pandemic management decision to lock down the country came about, using the case of Norway and drawing on unique interview material from political and administrative executives. Urgency and precaution were the government’s primary considerations in March 2020, with proportionality and due process only peripheral decision premises. Voices of moderation were drowned out at critical moments to pave the way for a lockdown. Moreover, Norway’s lockdown decision lacked distinct and official agency, with none of the key actors able to say precisely when, where and by whom this decision of unprecedented size and scope had been taken. An interpretation using Graham Allison’s analytical models shows that the rational policy model most accurately captures the case. The suggested implication is that when senior political executives take active control of an ultra-high-stakes process, decisions are unlikely to be the product of political resultants or organisational output.

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“…Finally, per capita public expenditure for Covid-19 was measured as control variable. Previous results do not provide conclusive evidence since some studies show no correlation between public expenditure and the ability to contain Covid-19 [ 44 , 65 ], whereas other studies report lower Covid-19 fatalities in countries with significant resources dedicated to health-care [ 66 ].…”

Section: Methodsmentioning

confidence: 98%

“…In the present study, we performed several DEAs distinguishing two different types of demand for services that regional health care systems have to deal with: Covid-19 and non Covid-19. In addition, in Covid-19 crisis [ 44 ] demand is not constant over time. In the next step, we distinguished between three phases of demand: from March 2020 to June 2020, coinciding with the first surge of the pandemic; from July 2020 to September 2020, when demand of Covid-19 patients declined; from October 2020 to December 2020, coinciding with the second surge of the pandemic.…”

Section: Methodsmentioning

confidence: 99%

The other side of the crisis: organizational flexibility in balancing Covid-19 and non-Covid-19 health-care services

Troisi

Simone

Vargas

et al. 2022

BMC Health Serv Res

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Background Many healthcare systems have been unable to deal with Covid-19 without influencing non-Covid-19 patients with pre-existing conditions, risking a paralysis in the medium term. This study explores the effects of organizational flexibility on hospital efficiency in terms of the capacity to deliver healthcare services for both Covid-19 and non-Covid-19 patients. Method Focusing on Italian health system, a two-step strategy is adopted. First, Data Envelope Analysis is used to assess the capacity of hospitals to address the needs of Covid-19 and non-Covid-19 patients relying on internal resource flexibility. Second, two panel regressions are performed to assess external organizational flexibility, with the involvement in demand management of external operators in the health-care service, examining the impact on efficiency in hospital capacity management. Results The overall response of the hospitals in the study was not fully effective in balancing the needs of the two categories of patients (the efficiency score is 0.87 and 0.58, respectively, for Covid-19 and non-Covid-19 patients), though responses improved over time. Furthermore, among the measures providing complementary services in the community, home hospitalization and territorial medicine were found to be positively associated with hospital efficiency (0.1290, p < 0.05 and 0.2985, p < 0.01, respectively, for non-Covid-19 and Covid-19 patients; 0.0026, p < 0.05 and 0.0069, p < 0.01, respectively, for non-Covid-19 and Covid-19). In contrast, hospital networks are negatively related to efficiency in Covid-19 patients (-0.1037, p < 0.05), while the relationship is not significant in non-Covid-19 patients. Conclusions Managing the needs of Covid-19 patients while also caring for other patients requires a response from the entire healthcare system. Our findings could have two important implications for effectively managing health-care demand during and after the Covid-19 pandemic. First, as a result of a naturally progressive learning process, the resource balance between Covid-19 and non-Covid-19 patients improves over time. Second, it appears that demand management to control the flow of patients necessitates targeted interventions that combine agile structures with decentralization. Finally, untested integration models risk slowing down the response, giving rise to significant costs without producing effective results.

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Is regional emergency management key to containing COVID-19? A comparison between the regional Italian models of Emilia-Romagna and Veneto

Cited by 27 publications

References 33 publications

Evaluation of the Effect of Masonry Infills on Response of Rc Buldings Equipped With FPS Devices: A Case Study

Evaluation of the Effect of Masonry Infills on Response of Rc Buldings Equipped With FPS Devices: A Case Study

Crisis decision-making inside the core executive: Rationality, bureaucratic politics, standard procedures and the COVID-19 lockdown

The other side of the crisis: organizational flexibility in balancing Covid-19 and non-Covid-19 health-care services

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