title: [Re-organization of health services in Italy and the role of medical directors of hospitals and local health units].
abstract: Health authorities, medical directors and managers are called to face increasing and inter-related challenges regarding the ongoing financial crisis, aging of the population and the need to acquire innovative medical technologies. These challenges need to be tackled in order to ensure sustainability of the healthcare systems and appropriateness and quality of healthcare services. In Italy, the role of medical directors has progressively evolved over the years and now requires strengthened managerial skills and additional professional expertise and skills to plan, implement and evaluate the new systems of government. We performed an extensive literature review and a qualitative study involving six semi-structured interviews with key actors (health managers) in order to explore and clarify the possible future role of medical directors in Italy and what training should be provided to residents in Hygiene and Preventive Medicine.
authors: Unità di Sanità Pubblica, dipartimento di Scienze biomediche, biotecnologiche e traslazionali (S.Bi.Bi.T), Università degli Studi di Parma, Italia.
authors: Carlo
authors: C
authors: Signorelli
authors: Unità di Sanità Pubblica, dipartimento di Scienze biomediche, biotecnologiche e traslazionali (S.Bi.Bi.T), Università degli Studi di Parma, Italia.
authors: Veronica
authors: V
authors: Ciorba
authors: Unità di Sanità Pubblica, dipartimento di Scienze biomediche, biotecnologiche e traslazionali (S.Bi.Bi.T), Università degli Studi di Parma, Italia.
authors: Federica
authors: F
authors: Pezzetti
authors: Unità di Sanità Pubblica, dipartimento di Scienze biomediche, biotecnologiche e traslazionali (S.Bi.Bi.T), Università degli Studi di Parma, Italia.
authors: Anna
authors: A
authors: Odone
authors: Direttore socio-sanitario, Azienda Socio-Sanitaria Territoriale di Pavia, Italia.
authors: Armando
authors: A
authors: Gozzini
authors: Dipartimento di Economia, Università degli Studi di Parma, Italia.
authors: Antonello
authors: A
authors: Zangrandi
mesh_terms: D006298:Health Services Administration; D006761:Hospitals; D006801:Humans; D007558:Italy; D009936:Organizational Innovation; D008486:Physician Executives; D036301:Qualitative Research