I problemi di salute pubblica, come la non autosufficienza degli anziani, sono globali, interdipendenti, complessi e a volte imprevedibili. Sono definiti wicked problem poiché i soggetti coinvolti hanno interpretazioni e interessi contrastanti rispetto alla loro risoluzione, e possono essere affrontati attraverso approcci di collaborative governance. Infatti, i servizi sociosanitari sono caratterizzati da una elevata frammentazione istituzionale, dovuta al modello organizzativo, e dalla presenza di altri attori pubblici e da privati for profit e non. Questo articolo studia i servizi sanitari e sociosanitari per non autosufficienti, focalizzandosi sulla fase di quantificazione dei servizi residenziali, attraverso il caso della Regione Toscana nella programmazione di lungo periodo dei posti letto delle strutture residenziali.
Les problèmes de santé publique, comme la perte d’autonomie des personnes âgées, sont globaux, interdépendants, complexes et parfois imprévisibles. Ces problèmes sont qualifiés de wicked problems en raison des interprétations divergentes et des intérêts conflictuels des acteurs impliqués dans leur résolution. Ils nécessitent des approches de gouvernance collaborative. Les services sociaux et de santé se caractérisent par une forte fragmentation institutionnelle, impliquant diverses entités publiques, privées à but lucratif et non lucratif. Cet article étudie les services sanitaires et sociaux pour les personnes âgées dépendantes, en se concentrant sur les services résidentiels dans la région de Toscane, pour la planification à long terme des lits dans les maisons de retraite.
Public health problems, such as the non-self-sufficiency of the elderly, are global, interdependent, complex, and sometimes unpredictable. They are defined as wicked problems because the actors involved have conflicting interpretations and interests concerning their resolution, and can be addressed through collaborative governance approaches. Indeed, social and health services are characterized by a high degree of institutional fragmentation, due to the organizational model, and the involvement of various public, private, for-profit and non-profit entities. This article studies social and health services for the dependent elderly, focusing on the commissioning stage of the residential services, through the case of the Tuscany Region in the long-term planning of nursing home beds.
Les problèmes de santé publique, comme la perte d’autonomie des personnes âgées, sont globaux, interdépendants, complexes et parfois imprévisibles. Ces problèmes sont qualifiés de wicked problems en raison des interprétations divergentes et des intérêts conflictuels des acteurs impliqués dans leur résolution. Ils nécessitent des approches de gouvernance collaborative. Les services sociaux et de santé se caractérisent par une forte fragmentation institutionnelle, impliquant diverses entités publiques, privées à but lucratif et non lucratif. Cet article étudie les services sanitaires et sociaux pour les personnes âgées dépendantes, en se concentrant sur les services résidentiels dans la région de Toscane, pour la planification à long terme des lits dans les maisons de retraite.
Public health problems, such as the non-self-sufficiency of the elderly, are global, interdependent, complex, and sometimes unpredictable. They are defined as wicked problems because the actors involved have conflicting interpretations and interests concerning their resolution, and can be addressed through collaborative governance approaches. Indeed, social and health services are characterized by a high degree of institutional fragmentation, due to the organizational model, and the involvement of various public, private, for-profit and non-profit entities. This article studies social and health services for the dependent elderly, focusing on the commissioning stage of the residential services, through the case of the Tuscany Region in the long-term planning of nursing home beds.
