Health Organization and Management

A.Y. 2020/2021
8
Max ECTS
80
Overall hours
SSD
MED/02 MED/36 MED/42 MED/43 MED/44 SECS-P/07 SECS-P/10
Language
Italian
Learning objectives
The course is designed to complete the student's education through an analysis of the context variables, knowledge of which is essential basis for further professional development. It refers in particular to ethical issues, medical-legal, organizational, economic and related safety in the workplace, without neglecting the consideration of the historical evolution of orthoptic and ophthalmology, something that allows professionals in training to develop a professional identity. The course contributes to the achievement of the following goals set out in the manifest of the studies:
· Knowledge of the principles and standards that define the scope of its activities and responsibilities of the orthoptist;
· Knowledge of the principles of bioethics, ethical, legal and medical legal profession;
· knowledge of the fundamentals, evolution and characteristics of theory and conceptual models of care and rehabilitation.
Expected learning outcomes
Students: (i) have a good knowledge of the evolution of thought, techniques and instrumentation conceived and used in Medicine and Surgery, important for understanding the birth and evolution of Orthoptics and Ophthalmology; (ii) will know the general principles of the Italian judicial system, the foundations of professional responsibility, the duties of professionals and their role in risk management, the laws on protection of personal data and privacy; (iii) will describe challenges and scenarios of the italian health care sector and the implications in health trusts management; (iv) know the foundations of planning and operational mechanisms as applied to health care organizations; (v) know the foundations of imaging techniques in medicine, the utilization of radiations, the principal norms and regulations in radioprotection according to the European legislation; (vi) know the organization of occupational medicine in the National Health Service and its legislation, and the concepts of occupational disease, work-related illness, work accident; chemical-physical, biological and psycho-social risk factors; (vii) will know the foundations of the organization and functioning of the Italian national health service.
Course syllabus and organization

Single session

Responsible
The lessons will be perfomed on-line through the Microsoft teams platform and they will be available both (sychronous and asychronous) at the same time based on the first trimester timetable. They will be registred and available on the Microsoft teams platform.
Prerequisites for admission
No prior knoweldge needed.
Assessment methods and Criteria
Multiple choice tests and short open-ended questions. The test of the single module is considered passed if the number of correct answers is equal to 50% of the possible correct answers. The score is attributed on the basis of the number of correct answers provided in all modules, on a proportional basis. Up to a maximum of three modules can be recovered.
To prepare for the test it is necessary to use the materials of the lessons and the recommended texts.
Medical history
Course syllabus
Origins and Meaning of Medicine and History of Medicine; Transitional Medicine; Systematic Anatomy, Animated Anatomy, Microscopic Anatomy; Galilean Experimental Method and Scientific Instrumentation
Enlightenment and public health; The birth of the clinic and its tools (semeiotics, diagnostics and therapy); The problems of surgery and their resolution: analgesia, anesthesia, asepsis and antisepsis
20th century: new concepts, tools and therapies
History of Orthoptics and History of Ophthalmology
Teaching methods
Lectures
Teaching Resources
- Bock G., Quaderno di Storia della Medicina e della chirurgia, Rudiano (BS), GAM Editrice, 2004
- Ovio G., Storia dell'oculistica, vol. 1 dalle origini al 1850, Cuneo, Tip. Ghibaudo, 1951
- Revell M. J. Strabismus. A history of orthoptic tecniques, London, Barrie and Jenkins for the British Optical Association, 1971
Radioprotection
Course syllabus
1.Physical bases and principles of radiobiology
2.Radiodiagnostic: indications and contraindications of diagnostic and interventional procedures; radiation protection of patients
3.Nuclear medicine: indications and contraindications of diagnostic and therapeutic procedures; radiation protection of patients
4.radiotherapy: indications and contraindications to therapeutic procedures; radiation protection of patients
5.Radiation protection of operators
Teaching methods
Lectures
Teaching Resources
Educational Material provided
Hygiene and public health
Course syllabus
How health is defined and the implication for health care services organization. Comparing health care systems.
The Italian National Health Service (I-NHS): how it was built and reformed.
The organization of I-NHS: three levels, national, regional, local.
The organization of the delivery of care at local level; hospital care: evolution, organization and functioning.
Primary care: the fight for sustainability
Teaching methods
Lectures
Teaching Resources
Damiani - Ricciardi : Manuale di programmazione e organizzazione sanitaria. Idelson
Educational Material provided through ARIEL - UNIMI platform
Forensic medicine
Course syllabus
Basics of the Italian legal system
The code of Ethics
Malpractice and accountability. Imprudence, wilful behaviour, negligence and their legal consequences, Insurance Medicine
Public officer, penalisation and prosecution.
The duties for the Podiatrist:
- professional secrecy
- informed consent for adults and minors
- duty to inform the authorities
Laws of protection of personal data.
Teaching methods
Lectures
Teaching Resources
Educational Material provided
Occupational medicine
Course syllabus
- Principles and current status of the occupational health.
- Principles for risk evaluation.
- Chemical, biological, physical and psychological hazards frequently observed for health workers.
- Standard organization of the system for health and safety in health systems and other organizations.
Teaching methods
Lectures
Teaching Resources
Educational Material provided
Business administration and Management
Course syllabus
Scenario and challenges for the Italian health sector and health organizations
Why "management does matter"in health services
Most important managerial tools: strategic planning, budgeting, human resource management
Designing the service: business planning and modeling in healthcare
Teaching methods
Lectures, case discussion and guest speeches from practitioners
Teaching Resources
Educational Material provided
Suggested Bibliografy:
Federico Lega, Economia e Management Sanitario: Settore, Sistema, Aziende, Protagonisti, EGEA, 2018.
Organization studies
Course syllabus
Get to know the Organization of the Healthcare Company, the organizational design processes and the operational tools, through the following program:
- Definition and structure of a healthcare company
- Aims and objectives of a healthcare company
- Relationships of the healthcare company with the external environment
- Pivotal factors for the success of a healthcare company
- Coordination mechanisms of a healthcare company
Teaching methods
Lectures
Teaching Resources
Borgonovi E., Introduzione all'economia dell'amministrazione pubblica, Giuffrè, 1984
Borgonovi E., Principi e sistemi aziendali per le amministrazioni pubbliche, EGEA 1996
Business administration and Management
SECS-P/07 - BUSINESS ADMINISTRATION AND ACCOUNTING STUDIES - University credits: 1
Lessons: 10 hours
Professor: Lega Federico
Forensic medicine
MED/43 - FORENSIC MEDICINE - University credits: 1
Lessons: 10 hours
Hygiene and public health
MED/42 - HYGIENE AND PUBLIC HEALTH - University credits: 2
Lessons: 20 hours
Medical history
MED/02 - MEDICAL HISTORY - University credits: 1
Lessons: 10 hours
Occupational medicine
MED/44 - OCCUPATIONAL MEDICINE - University credits: 1
Lessons: 10 hours
Professor: Bollati Valentina
Organization studies
SECS-P/10 - ORGANIZATION AND HUMAN RESOURCE MANAGEMENT - University credits: 1
Lessons: 10 hours
Professor: Troiano Pasquale
Radioprotection
MED/36 - IMAGING AND RADIOTHERAPY - University credits: 1
Lessons: 10 hours
Professor: Ottobrini Luisa
Professor(s)
Reception:
Weekly - plese write to federico.lega@unimi.it
Department of Scienze Biomediche per la Salute - Via Pascal 36