La flessibilità del lavoro nel Servizio Sanitario Nazionale prima e durante la pandemia da Covid-19

Vicarelli, Giovanna

doi:10.3280/sl2022-162001

Cited by 6 publications

(10 citation statements)

References 5 publications

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“…However, conflicts between the two levels of government are frequent and coordination looks difficult when discussing the measures to contain the pandemic. 59 , 60 , 61 …”

Section: Resultsmentioning

confidence: 99%

Health system resilience and health workforce capacities: Comparing health system responses during the COVID‐19 pandemic in six European countries

Burau

Falkenbach

Neri

et al. 2022

Health Planning & Management

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Background The health workforce is a key component of any health system and the present crisis offers a unique opportunity to better understand its specific contribution to health system resilience. The literature acknowledges the importance of the health workforce, but there is little systematic knowledge about how the health workforce matters across different countries. Aims We aim to analyse the adaptive, absorptive and transformative capacities of the health workforce during the first wave of the COVID‐19 pandemic in Europe (January‐May/June 2020), and to assess how health systems prerequisites influence these capacities. Materials and Methods We selected countries according to different types of health systems and pandemic burdens. The analysis is based on short, descriptive country case studies, using written secondary and primary sources and expert information. Results and Discussion Our analysis shows that in our countries, the health workforce drew on a wide range of capacities during the first wave of the pandemic. However, health systems prerequisites seemed to have little influence on the health workforce's specific combinations of capacities. Conclusion This calls for a reconceptualisation of the institutional perquisites of health system resilience to fully grasp the health workforce contribution. Here, strengthening governance emerges as key to effective health system responses to the COVID‐19 crisis, as it integrates health professions as frontline workers and collective actors.

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“…However, conflicts between the two levels of government are frequent and coordination looks difficult when discussing the measures to contain the pandemic. 59 , 60 , 61 …”

Section: Resultsmentioning

confidence: 99%

Health system resilience and health workforce capacities: Comparing health system responses during the COVID‐19 pandemic in six European countries

Burau

Falkenbach

Neri

et al. 2022

Health Planning & Management

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“…However, the emancipation of central and northern women seems not to have prevented the fourth meaning of medicalization from taking root, that linked to the concept of biomedicalization (Clarke et al, 2009). This is probably due to the better (Vicarelli and Spina, 2020). More general differences are due to the north-south dualism in the development process and in resources allocation.…”

Section: Discussionmentioning

confidence: 99%

“…In this regard, what should be pointed out is that maternity care appears to be similar to the broader healthcare sector, showing the same characteristics in terms of distributive justice and, in particular, in terms of equity of resources, thus limiting equity in access and equality in outcome (Vicarelli and Spina, 2020). Since before the establishment of the Italian National Health Service (INHS) in 1978, Italy showed strong health inequalities.…”

Section: Introductionmentioning

confidence: 99%

The several faces of the medicalization of birth. Italy and its peculiarities

Spina

2023

Front. Sociol.

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BackgroundMedical-scientific advances in maternal care gradually improved the health of mothers and new-borns. However, this has contributed to increasing levels of medicalization, defined as the overuse of medical interventions even in low-risk pregnancies and childbirths. In Italy pregnancy and birth still appear to be rather medicalized than in the rest of Europe. Moreover, the uneven distribution of these practice over the territory appears to be evident. The purpose of this article is to both highlight and explain the Italian peculiarity in terms of high medicalization of childbirth and its territorial variability.Theoretical frameworkThe extensive literature on medicalization of childbirth was systematized by some scholars who use childbirth as a case study to distinguish four meanings of medicalization, by classifying them into two generations of theories. Alongside this literature several studies attempted to interpret differences in maternity model of care showing the important role played by path dependence.ResultsIn the European scenario, Italy stands out for its high percentage of cesarean sections, but also for its excessive recourse to antenatal visits during pregnancy and the application of interventions during labor and vaginal births. Going into regional detail, however, Italian situation appears rather uneven: relevant differences emerge in relation to medicalization of both pregnancy and birth.DiscussionThe article explores the possibility that areas whit different sociocultural, economic, political and institutional background may have introjected different meanings of medicalization, thus reproducing different maternity models of care. In fact, the simultaneous presence, in Italy, of four different meanings of medicalization seems to be rooted. Even with some similar traits, different conditions and situations emerge in different geographical areas, leading to the prevalence of one meaning rather than another and resulting on different outcomes in terms of medicalization.ConclusionThe data presented in this article seem to deny the existence of a national maternity model of care and. On the contrary, they confirm the idea that medicalization is not necessarily linked to the different health conditions of mothers in different geographical areas and that a path dependent variable is able to explain it.

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“…The overall better situation in Brescia than Ancona, also reflects the pre-pandemic difference between the respective Regional Health Systems (RHSs). The Italian National Health Service (NHS) presents indeed historical 'distortions', which have compromised its effectiveness in emergency management, mainly due to a 'differentiated regionalism' generating welfare territorial inequalities, especially regarding access to health services [100]. As Spandonaro and D'Angela [101] underlined, in Italy three clusters of RHSs can be identified, based on levels of performance: excellent for five regions, including Lombardy; intermediate for 11 regions, including Marche; and critical for other regions.…”

Section: Plos Onementioning

confidence: 99%

The impact of the COVID-19 pandemic on frail older people ageing in place alone in two Italian cities: Functional limitations, care arrangements and available services

Melchiorre,

Cerea,

Socci

et al. 2024

PLoS ONE

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The study aimed to explore and compare effects of lockdown, due to the COVID-19 pandemic in 2020, on frail older people living alone at home in Brescia and Ancona, two urban cities located respectively in Northern and Central Italy. This country was the Western epicenter of the first wave of the pandemic (February-May 2020), which affected the two cities differently as for infections, with a more severe impact on the former. A follow-up study of the IN-AGE research project (2019) was carried out in July-September 2020, by means of telephone interviews, involving 41 respondents. Semi-structured questions focused on the effects of the first wave of the pandemic on their mobility and functional limitations, available care arrangements, and access to health services. The lockdown and social distancing measures overall negatively impacted on frail older people living alone, to a different extent in Ancona and Brescia, with a better resilience of home care services in Brescia, and a greater support from the family in Ancona, where however major problems in accessing health services also emerged. Even though the study was exploratory only, with a small sample that cannot be considered as representative of the population, and despite differences between the two cities, findings overall suggested that enhancing home care services, and supporting older people in accessing health services, could allow ageing in place, especially in emergency times.

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La flessibilità del lavoro nel Servizio Sanitario Nazionale prima e durante la pandemia da Covid-19

Cited by 6 publications

References 5 publications

Health system resilience and health workforce capacities: Comparing health system responses during the COVID‐19 pandemic in six European countries

Health system resilience and health workforce capacities: Comparing health system responses during the COVID‐19 pandemic in six European countries

The several faces of the medicalization of birth. Italy and its peculiarities

The impact of the COVID-19 pandemic on frail older people ageing in place alone in two Italian cities: Functional limitations, care arrangements and available services

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