title: Measuring and benchmarking the quality of two different organizational ways in delivering infant vaccination.
abstract: The aim of this study was the quality of service evaluation of two different organizational ways in delivering infant vaccination according to a Regional Vaccination Plan. Eleven vaccination centres were selected in two Local Health Units (ASLs) belonging to the Regional Health Service of the Lazio Region, Italy. The services offering paediatric vaccinations for children under three years of age, delivered without an appointment (VACP) or with the need for an appointment (VACL), were investigated. The quality aspects under evaluation were communicational efficiency, organisational efficiency and comfort. Subjective data were collected from different stakeholders and involve the elicitation of best and worst feasible performance conditions for the ASLs when delivering VACP/VACL services. Objective data consists in the observation of current performances of the selected vaccination centres. Quality scorecards were obtained from the combination of all data. Benchmarking between VACP and VACL, i.e., two different organisational ways in delivering infant vaccination, can be performed as a result of the probabilistic meaning of the evaluated scores. An expert of vaccination services, i.e., a virtual combination of patients, doctors and nurses, claims the quality of service delivery of the ASLs under investigation with probability 78.03% and 69.67% for VACP and VACL, respectively. In other words, for short, the quality scores of the ASLs were 78.03% for VACP and 69.67% for VACL. Furthermore our results show how to practically improve the current service delivery. The QuaVaTAR approach can result in improvements of the quality of the ASLs for the two different ways of delivering paediatric vaccinations in a simple and intuitive way.
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;; Department of Biomedicine and Prevention, Laboratory SOS-NHS, University of Rome Tor Vergata, Italy;
authors: M
authors: M
authors: Maurici
authors: Department of Biomedicine and Prevention, Laboratory SOS-NHS, University of Rome Tor Vergata, Italy;
authors: L
authors: L
authors: Paulon
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: C
authors: C
authors: Carlino
authors: Service of Medical Statistics and Information Technology, Fatebenefratelli Foundation for Health Research and Education, AFaR Division, Rome, Italy;
authors: A
authors: A
authors: Campolongo
authors: Local Health Units (ASL) RMH, Lazio region, Italy;
authors: R
authors: R
authors: Catapano
authors: Local Health Units (ASL) RMF, Lazio region, Italy.
authors: S
authors: S
authors: Sgricia
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: E
authors: E
authors: Franco
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: B
authors: B
authors: Bagnato
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: M
authors: M
authors: Benigni
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: C
authors: C
authors: D'Anna
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: L
authors: L
authors: Di Marzio
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: M
authors: M
authors: Ferrante
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: A
authors: A
authors: Fraioli
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: A
authors: A
authors: Giordani
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: F
authors: F
authors: Laudati
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: M L
authors: ML
authors: Mangia
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: C
authors: C
authors: Marchetti
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: C
authors: C
authors: Meleleo
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: R
authors: R
authors: Papa
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: F
authors: F
authors: Perrelli
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: S
authors: S
authors: Pozzato
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: S
authors: S
authors: Rabbiosi
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: S
authors: S
authors: Rossi
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: L
authors: L
authors: Seminara
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: L
authors: L
authors: Serino
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: M T
authors: MT
authors: Sinopoli
authors: Department of Biomedicine and Prevention, Specialization School in Hygiene and Preventive Medicine, University of Rome Tor Vergata, Italy;
authors: D
authors: D
authors: Sorbara
mesh_terms: D019985:Benchmarking; D002675:Child, Preschool; D003142:Communication; D006801:Humans; D017589:Immunization Programs; D007223:Infant; D007558:Italy; D014611:Vaccination / Q000592:standards*
keywords: Health Services Administration; Quality of Healthcare; Vaccination