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Exit Voice and Loyalty in the Italian Public Health Service: Macroeconomic and Corporate Implications

机译:意大利公共卫生服务部门的退出发言权和忠诚度:宏观经济和企业影响

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摘要

The paper analyses how customers of public health organizations can express their dissatisfaction for the services offered to them. The main aim is to evaluate the effects that possible dissatisfaction of Italian public health service customers can have on public health organizations. We adopted the methodological scheme developed by Hirschman with exit, voice, and loyalty, considering the macroeconomic and corporate implications that it causes for Italian public health organizations. The study investigated the effects developed by exit of the patients on the system of financing of local health authorities considering both the corporate level of analysis and the macroeconomic level. As a result, local health authority management is encouraged to pay greater attention to the exit phenomena through the adoption of tools that promote loyalty, such as the promotion of voice, even if exit is not promoting, at a macroeconomic level, considerable attention to this phenomenon.
机译:本文分析了公共卫生组织的客户如何表达对提供给他们的服务的不满。主要目的是评估意大利公共卫生服务客户可能不满意可能对公共卫生组织产生的影响。考虑到这对意大利公共卫生组织的宏观经济和企业影响,我们采用了赫希曼(Hirschman)提出的具有退出,发言权和忠诚度的方法学方案。这项研究考虑了公司层面的分析和宏观经济层面,研究了因患者退出而对当地卫生部门筹资系统产生的影响。因此,通过采用促进忠诚度的工具(例如,提高声音),即使在宏观经济层面上退出并没有得到促进,也鼓励地方卫生当局管理层更加注意退出现象。现象。

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