Effectiveness of the Service Mapping Method in Re-designing the Bariatric Surgery Clinical Pathway of a Public Hospital

Loreggian Lara; Sartor Mafia Elisa; Strohmenger Laura; Rovati Marco Pietro Lucca

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Effectiveness of the Service Mapping Method in Re-designing the Bariatric Surgery Clinical Pathway of a Public Hospital

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Background： Nowadays obesity is the world＇s common disease. Bariatric surgery is the only therapy that providessignificant cost savings within Public Health Service, but the lack of diagnostic paths universally accepted causes enormous waste ofresources and disruptions. Service Mapping is the ideal methodology to describe work＇s organization and to plan a new service model.Methods： The Service Mapping has been used to represent the actual state of the bariatric surgery service and starting from the criticalaspects found, we have developed a desirable state of the service. Results： Experience-based design has given centrality to thebeneficiary, making the bariatric service sensitive to patient＇s needs and expectations. The micro-organization of work has improvedprofessionals＇ integration, avoiding the creation of new operational entities or additional costs. The service has been simplified both forclinicians and hospital managers. The strategic repositioning of the dietician and general practitioner＇s recognition within the bariatricpath allowed us to achieve better clinical outcomes. Conclusions： Service Mapping has highlighted clinicians＇ difficulties in providingthe service, emphasizing the importance of the beneficiary. The iconic representation is a powerful explicit framework, fundamental formanagement purposes, to understand the role of every subject involved in the service, to rationalize work＇s organization, and integratehealthcare activities.

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《药剂与药理学：英文版》 |2017年第008期|P.536-553|共18页
作者
Loreggian Lara; Sartor Mafia Elisa; Strohmenger Laura; Rovati Marco Pietro Lucca;
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作者单位

[1]The Department of Medicine of St Paul Hospital, Milan University, Milan 20142, Italy [2]The Department of Economics, Management and Quantitative Methods, Milan University, Milan 20122, Italy [3]The Department of Biomedical Surgical and Dental Sciences of St Paul Hospital Milan University, Milan 20142, Italy [4]The Department of Surgery of St Paul Hospital, Milan University, Milan 20142, Italy;

[1]The Department of Medicine of St Paul Hospital, Milan University, Milan 20142, Italy [2]The Department of Economics, Management and Quantitative Methods, Milan University, Milan 20122, Italy [3]The Department of Biomedical Surgical and Dental Sciences of St Paul Hospital Milan University, Milan 20142, Italy [4]The Department of Surgery of St Paul Hospital, Milan University, Milan 20142, Italy;

[1]The Department of Medicine of St Paul Hospital, Milan University, Milan 20142, Italy [2]The Department of Economics, Management and Quantitative Methods, Milan University, Milan 20122, Italy [3]The Department of Biomedical Surgical and Dental Sciences of St Paul Hospital Milan University, Milan 20142, Italy [4]The Department of Surgery of St Paul Hospital, Milan University, Milan 20142, Italy;

[1]The Department of Medicine of St Paul Hospital, Milan University, Milan 20142, Italy [2]The Department of Economics, Management and Quantitative Methods, Milan University, Milan 20122, Italy [3]The Department of Biomedical Surgical and Dental Sciences of St Paul Hospital Milan University, Milan 20142, Italy [4]The Department of Surgery of St Paul Hospital, Milan University, Milan 20142, Italy;

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原文格式 PDF
正文语种 CHI
中图分类医药、卫生;
关键词
Service mapping, bariatric surgery, obesity, public health costs, national health service, management.;

机译：服务制图;减肥手术;肥胖症;公共卫生费用;国家卫生服务;管理。;

Effectiveness of the Service Mapping Method in Re-designing the Bariatric Surgery Clinical Pathway of a Public Hospital

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