Health care systems organisation, professional values and responsibilities

A.Y. 2020/2021
5
Max ECTS
50
Overall hours
SSD
IUS/07 MED/42 MED/50 SECS-P/10
Language
Italian
Learning objectives
Provide students with a clear picture of the guiding principles of the National Health Service and the of the local health authorities, so that they can understand the basic rules that are aimed at ensuring effectiveness and performance efficiency in radiology and how the principles of "clinical governance " are transferred in the context of Radiology Services.
Expected learning outcomes
At the end, students must:
- know the structure of the Italian National Health Service
- know the rules at the base of the principles of effectiveness to efficiency in service Radiology, Radiotherapy and Nuclear Medicine
- be able to contribute to the application of the principles of "clinical governance" in the service of Radiology/Radiotherapy/Nuclear Medicine.
Course syllabus and organization

Single session

Didactic methods.
Half of the students, according to pre-established shifts, will participate from time to time in face-to-face lessons in classrooms suitably equipped for the Covid emergency, where safety conditions allow it.
Furthermore, to allow them to be used both in synchronous and asynchronous mode for students not present in the classroom, the lessons will be held simultaneously on the Microsoft Teams platform and can be followed both in synchrony on the basis of the first semester and in asynchronous mode, because they will be registered and left on the same platform available to students not present in the classroom.
Lessons may also include pre-recorded materials.
If the situation worsens, the lessons will be delivered through the Microsoft Teams platform and can be followed both in synchronous according to the scheduled time and asynchronously, because they are recorded through the same platform.

Program and reference material.
The program and reference material will not change. The teaching material (slides displayed during the lectures) will be available on the Ariel platform dedicated to teaching.

Methods for verifying learning and evaluation criteria.
The exam will take place in writing in the presence or in the event of an aggravation of the pandemic, with the moodle + seb + webconference modality to be activated in collaboration with the Center for educational innovation and multimedia technologies of the University of Milan.
Prerequisites for admission
In-depth knowledge of the contents of the module of " General and applied hygiene".
Assessment methods and Criteria
Written exam with 30 quizzes (with 3 or 4 answer options). Each exact answer will be assigned 1 point. There are no penalties for unanswered or incorrect answers. The test can also be taken twice in the same session.
The final exam aims to assess the achievement of the set educational objectives.
The booking on the UNIMIA portal, within the dates established for each appeal, is mandatory for the examination.
Labour law
Course syllabus
The law in general.
Labor law: definition.
Self-employment and subordinate work.
The employment contract.
Rights and duties of the employee and the employer.
Causes of suspension of the employment relationship.
Termination of the employment relationship.
The public employment relationship.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
DEL PUNTA: Diritto del Lavoro - Giuffrè, 2017
Organisation of the healthcare system, and healthcare legislation
Course syllabus
Regulatory evolution of Health Systems in Italy.
The National and Regional Health System.
From 833/78 to market-economicization.
The process of Market-economicization of the Italian National Health System (SSN): organizational structure, functioning mechanisms.
Hints on the financing system, Essential levels of assistance (LEA), the authorization process, accreditation and contractual agreements.
The regional health system: the Lombard model.
Taking care of chronic patients.
Evolution and transformation of the hospital.
The Medical Services Management and the Medical Services Management of a territorial hospital.
Organizational models.
The Department: a way of working and managing the patient's course.
Other organizational models: the emergency department (DEA), the Complex Operative Unit (UOC), the one-day hospitalization: day hospital and day surgery; the day service; materials and articles brought into contact with food (MOCA) and one-day low-complexity surgery (BOCA).
Medical practices.
The multidisciplinary assessment units: the multidisciplinary consultation.
The national plan results. The Gelli law. Preventable vs. predictable accidents.
Hospital risk management: clinical risk.
Performance evaluation.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
BUIATTI, CARNEVALE, GEDDES, MACIOCCO: Trattato di Sanità Pubblica - La Nuova Italia Editrice, Roma, 1993
BRENNA: Manuale di Economia Sanitaria - Centro per l'Informazione Sanitaria - Milano, 1999
CASATI: Programmazione e Controllo di Gestione nelle Aziende Sanitarie - McGraw-Hill Libri Italia, Milano, 2000
DETELS, MCEWEN, BEAGLEOLE, TANAKA: Oxford Textbook of Public Health - Oxford University Press, New York, 2002
MINTZBERG: La progettazione dell'organizzazione aziendale - Il Mulino, Bologna, 1996
MOONEY: Economics, Medicine and Health Care - Prentice Hall, London, 2002
SPINSANTI: Management per la nuova sanità - EdiSES, Napoli, 2000
DOMENICHETTI: Definizione di priorità sanitarie e razionamento. Efficacia, efficienza verso equità e compassione - Tendenze nuove, marzo-aprile, 4-14, 2001
HANSLUWKA: Measuring the Health of Populations, indicators and interpretation - Social Science and Medicine, vol. 20, n. 12, 1207-1224, 1985
Governance of the practice of medicine; professional malpractice
Course syllabus
Definition of the concept of professional profile and professional identity.
Professional autonomy.
Formative path of the RT(R): the evolution from auxiliary art to health care profession.
The deontological code: practical applications of the ethical norm.
Definition of the legal rules relating to the concept of fault in the civil and criminal code.
Concept of personal injury.
Concept of professional responsibility.
Biological damage and justification of the health act.
Legal implications arising from the abusive exercise of the profession.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
SCARDIGNO: Normativa e storia illustrata tecnico-sanitaria di radiologia medica - Marrapese Ed., Roma
ASCOLESE, BINETTI, BELMONTE ZOBEL: Dal Core Competence al Core Curriculum - Società Universo Editrice, Roma
GENTILOMO, ZOIA: Medicina Legale e delle Assicurazioni - R. Cortina Editore, Milano
SALA: Etica e bioetica per l'infermiere - Carocci Faber, Roma
LATTARULO: Bioetica e deontologia professionale - McGraw Hill, Milano
Business management
Course syllabus
Part 1: Corporate strategy and managerial decisions.
Value chain, value system and activity-based system.
Definition of value and its determinants.
Resources and competences.
Firm strategy.
Marketing.
Operations.
The supply side.
Financing decisions.
Part 2: Organization, planning and control.
Criteria and models for organizational design.
Relationships between organization, technology and strategy.
Evolution of organizational forms.
Networks and corporate relationships.
Budgeting and control systems.
Part 3: Circular Economy.
Teaching methods
The course is divided into a series of lectures with slide shows in Power Point. The lectures slides are uploaded to the Ariel website.
Teaching Resources
AIROLDI, BRUNETTI, CODA: Corso di Economia Aziendale - Il Mulino, 2005
LEGA: Management della Sanità: comprendere e gestire le sfide del settore e delle aziende sanitarie - EGEA, 2016
Business management
SECS-P/10 - ORGANIZATION AND HUMAN RESOURCE MANAGEMENT - University credits: 1
Lessons: 10 hours
Governance of the practice of medicine; professional malpractice
MED/50 - APPLIED MEDICAL TECHNOLOGY AND METHODOLOGY - University credits: 1
Lessons: 10 hours
Labour law
IUS/07 - LABOUR LAW - University credits: 1
Lessons: 10 hours
Organisation of the healthcare system, and healthcare legislation
MED/42 - HYGIENE AND PUBLIC HEALTH - University credits: 2
Lessons: 20 hours