Advertisement

Producing evidence in support of disinvestment: The experience of the Tuscany region in Italy

Published:November 09, 2015DOI:https://doi.org/10.1016/j.ejim.2015.10.021
      In this journal, Macchi and Pavan [
      • Macchi L.
      • Pavan A.
      Managing a research hospital at the time of a global economics crisis: cruising between Scylla and Charybdis.
      ] have described how, in Italy, a research hospital can be managed at the times of a global economic crisis and have pointed out that, as a matter of fact, sustainability has become the main concern for hospital managers and physicians. This implies to promote a more critical evaluation of health-care interventions leading in some cases to negative approval decisions. While other countries have debated the question of ‘saying No’ for nearly 20 years particularly in the field of pharmaceutics and medical devices [
      • Steinbrook R.
      Saying no isn't NICE—the travails of Britain's National Institute for Health and Clinical Excellence.
      ], Italy has had some delay not only in recognizing that these interventions of governance are needed, but also in effectively implementing the interventions themselves.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to European Journal of Internal Medicine
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Macchi L.
        • Pavan A.
        Managing a research hospital at the time of a global economics crisis: cruising between Scylla and Charybdis.
        Eur J Intern Med. 2015 Jul; 26: 377-378
        • Steinbrook R.
        Saying no isn't NICE—the travails of Britain's National Institute for Health and Clinical Excellence.
        N Engl J Med. 2008 Nov 6; 359: 1977-1981
        • Howard D.H.
        • Gross C.P.
        Producing evidence to reduce low-value care.
        JAMA Intern Med. 2015; 12: 1-2
        • Messori A.
        Producing evidence in support of disinvestment: the experience of the Tuscany region in Italy (PubMed Commons), Published 15 October 2015.
        ([accessed 15 October 2015])
        • Brunetto M.R.
        • De Luca A.
        • Messori A.
        • Zignego A.L.
        Reducing the price of new hepatitis C drugs in the Tuscany region of Italy.
        BMJ. Jun 24 2015; 350: h3363
        • Messori A.
        • Maratea D.
        • Fadda V.
        • Trippoli S.
        New and old antithrombotic treatments for patients with atrial fibrillation.
        Int J Clin Pharm. 2013 Jun; 35: 297-302