This study analyses the main legal issues arising in the field of the medical liability litigation.
In particular, the author outlines the problems related to the existence of a large number
of proceedings (even though the damage compensation claims are usually not as relevant)
and the burdens connected to their management in charge of the medical operators and of
the insurance companies, notwithstanding the possible negative outcome of the litigation.
Subsequently the author identifies the possible advantages, as well as the limits connected to
the resort to the devices of alternative dispute resolution, describing the most significant experiences
in the field of the conciliation and the mediation.
Mediazione in sanità: riflessioni a margine dei dispositivi legislativi
The contribution presents the story legislation, the specificity of mediation and data of a qualitative
research on the topic of mediation in health. In 2010, a provision of law had imposed
the “obligation” of mediation in conflicts between patients and doctors, and between different
operators of the production system health. A subsequent disposal of the Consulta made the
regulation in 2012 non active. However, this rule was an opportunity to learn, even through a
qualitative inquiry is known as the mediation by the people and by health technicians and as
an area for action in the litigation has on health.
Lavorare con i conflitti. Ascolto e mediazione dei conflitti lavorativi nelle aziende sanitarie
This paper describes a project of listening and conflict mediation developed jointly by two
healthcare companies in Bologna. The start of this new activity was driven by the assumption
“take care of those who have to take care”. Quality of care relationship is closely related
to organizational climate: better workplace relationship produce better care for citizens and
greater satisfaction for professionals. A group of internal professionals, called “Consiglieri
di Fiducia”, was chosen by companies and trained to listen and manage workplace conflicts.
Conflict mediation, in accordance with the relational-symbolic paradigm, is an essential tool
of their work. The paper evaluate the first year of this experience and the encouraging outcomes
of the 25 cases examined by the Consiglieri in this period.
Empowerment dei cittadini in sanità: quale ruolo per le ICT? Il caso della Lombardia
This paper explanes the relationship between using ICT in healthcare and the empowerment
of the citizens, with a particular attention to the case of Lombardia, which from a lot of time
is increasing the use of ICT in health. This paper considers in particular the Electronic Health
Record, very important component of the healthcare system in Lombardia. The use of the EHR
is coherent with the perspective of improving the participation of the citizen in caring personal
wellbeing, through the increasing of personal empowerment in the professional logic, in the
consumer logic and in the community logic. However, there are still some difficulties in the
dissemination of the use of ICT in health, particularly difficulties like the technological and
cultural digital divide, which are discussed in the paper.
Favorire la partecipazione nell’ambito della salute mentale: il modello delle Family Group Conference
The involvement of patients and families in the definition of care plan is not only a right, but
also an essential element to ensure health protection.
For mental health practitioners it could be really difficult to work consistently with the
theoretical framework of participation.
The Family Group Conference model, originated in New Zealand in the end of ’80s and
internationally widespread, can be an effective way of working to involve the patient, his/her
family and the other significant relationship. During a sequence of meetings, families, in collaboration
with professionals, work to define a common health care plan. This is the result of a
dialogical exchange between technical and experiential knowledge.
The paper, after presenting the model in its general features, offers an analysis of the
same within the specific context of mental health.
CENTRO DOCUMENTAZIONE SUI SERVIZI ALLA PERSONA – BANCA DATI SUI GIOVANI
Il punto sui giovani.Anno 2012 – Un confronto europeo
This paper takes into exam young people’s condition, by comparing the results of the main
sociological surveys carried out in 2012 in Italy and Europe. We decided to base this analysis
on Millennials – those who are born approximately between 1982 and 2003 – because at the
present their generation is at the centre of the political and sociological agenda and because
the consequences of the economic and financial crisis make young people much more vulnerable
and hinders them from planning their life.