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The
project foresees the constitution of an operating Committee,
formed of the Project Scientific Coordinator and of the
Scientific Responsible of the various Operative Units. The
intent is to proceed, with the recognition of all the existing
informative sources on the healthcare expenses and with the
predisposition of a relationship on the possibility to make
comparisons among the information deriving from the
economic-patrimonial accounting adopted in the various regions.
The
monitoring of the healthcare expenses, aiming at the direction
and at the control, demands the ability to carry out a
standardization of the expenses in comparison to the main
variables that influences it, such as:
In
the first place, it is therefore necessary to estimate, with
statistical models, the significance of such expense
conditioning factors, consequently identifying standardization
criteria, that render it comparable on a national, regional
and/or local base.
The
second step foresees the drawing of data from controlling
techniques, in order to define efficiency and equity pointers
(on standardized data) useful for benchmarking.
Furthermore,
the project foresees to use techniques of surveying, such as
questionnaires to hand out to qualified witnesses, so as to
refine the benchmarking system and rendering it adherent to the
requirements of the regional local government. In order to
estimate the possibility of being implemented of the monitoring
system set up in the previous phases, the most suitable tool is
that of a sample survey, aiming at highlighting the possible
local informative needs, that can be usefully delegated at a
central level, thus stimulating the participation of
the local health units to the monitoring system.
The
objective consists in the validation of a particular computer
device so as to homogenize and to translate all the bookkeeping
and extra bookkeeping information coming from health units that
have adopted different economic-patrimonial accounting models.
As
far as the definition of a healthcare expenses prevision model
is concerned, it will be necessary to carry out a careful survey
of the economic and medical-managerial literature, in order to
collect and to test the prevision and simulation techniques of
the expenses in different economic and social-demographic
contexts.
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