Ateneo - UPO

Understanding the organization, financing, and safe management of healthcare trusts within the National Health Service

Required Reading (Core Texts):

• Zangrandi, A., Economia e Management per le professioni sanitarie, 2011, McGraw-Hill Libri Italia. Chapters: 2, 4, 5 (Sections 1 & 2), 6, 7, 8, 9, 10.
• CERGAS Bocconi, Rapporto OASI 2025 – Osservatorio sulle Aziende e sul Sistema sanitario Italiano, EGEA, 2025.
• Schiavone, F., Management delle aziende sanitarie, 2026, McGraw-Hill Libri Italia.

Further Reading (Recommended/Supplementary Texts):

• Zanella, R., Manuale di economia sanitaria (3rd Edition), Maggioli Editore.
• Viola, C. & Benvenuto, M., Management sanitario. Governance, organizzazione e innovazione, 2025, Tangram Edizioni Scientifiche.
• Borgonovi, E., Management per la salute. Scienza, diritti, responsabilità sociale, efficienza, FrancoAngeli, 2021.

Policy Documents & Institutional Guidelines:

• Italian Ministry of Health, Raccomandazioni per la sicurezza delle cure (Recommendations for Patient Safety and Quality of Care).
• Italian Ministry of Health, DM 77/2022 – Modelli e standard per l’assistenza territoriale (Ministerial Decree 77/2022 – Models and Standards for Community and Primary Care).
• Italian Ministry of Health, Piano Nazionale della Cronicità, 2016 (National Plan for Chronic Illnesses, 2016).

The proposed course is generally aimed at guiding students, as well as future professionals, to the role of the nurse professional within the national health organization, identifying socio-economic, legislative/legal peculiarities and bioethical implications.

In particular, the course is aimed at:

 - help to reassemble the complex framework of the NHS and the reality of the Health Trusts;

 - provide keys for a more in-depth understanding of organizational dynamics;

 - reconstruct the evolution of the health professions in organizational and managerial terms

- It will allow you to recognize the main management tools used in healthcare organizations, such as accreditation, indicators, quality systems, performance evaluation,

- Understand the evolution of organizational models in healthcare, with particular reference to hospital-territory integration, taking charge of chronicity, continuity of care, multi-professionalism

- Develop a critical reading of the healthcare organizational context, useful for placing the role of the nurse within business, care and management processes

Students with physical disabilities, Learning Disabilities or Special Education Needs can request specific services and tools via the Staff Sviluppo e Coordinamento Carriere e Servizi alle Studentesse e agli Studenti, consulting the University webpage: https://www.uniupo.it/en/services/services-students-physical-or-learning-disabilities Students with disabilities, learning disabilities or special education needs, once they have contacted the University Staff, can refer to the tutor in charge of the course to define the examination modalities, concerning academic aspects.

The learning test will be conducted in an integrated manner with the other disciplines pertaining to the integrated course of "Organization and Management of Care Processes." The test consists of 64 closed multiple-choice questions of which only one is correct and 2 open-ended questions

The Ethics and Bioethics part includes 12 closed questions in which knowledge will be assessed and 2 open questions in the form of a case, in which students will have to identify The ethically questionable behaviors enacted and apply The contents of the Code of Ethics.

The exam is considered passed if students correctly answers at least 60% of the closed questions for each discipline and expresses The required contents in the open questions. In this regard, the docents have formulated a specific correction grid.

If students achieves a total of 95% correct answers, thay will be graded with 30/30, keeping the minimum threshold of 60% unchanged. If students does not exceed this threshold they repeat the exam in its entirety, taking the test again including questions from all disciplines. Students have 1 hour and 30 minutes to complete the test.

1.The meaning of institution, company and organization.

2. The National Health Service: institution and characterizing aspects;

3. The Regional Health Service

4. The financing of the NHS;

5. Organization and functioning of a healthcare company;

6. Management tools: accreditation, indicators, quality system, performance evaluation and risk management

7. New organizational models in healthcare: a brief overview

Knowledge and understanding:

• Know the basic concepts of institution, company, and organization applied to the healthcare sector.
• Describe the organization, evolution, and funding mechanisms of the National (NHS) and Regional (RHS) Health Systems.
• Identify the organizational models of community care (with reference to DM 77/2022) and hospital services.

Applying knowledge and understanding:

• Recognize and interpret core management tools and performance indicators used in wards to evaluate care quality.
• Apply basic institutional procedures aimed at patient safety and clinical risk management