The present work analyzes the results of an Italian care management project, called Leonardo, promoted by Apulia Region, in the south of Italy, in partnership with Pfizer. The work starts from the consideration that care management represents an innovation in the management of the chronic diseases because it introduces a new model in the organization of healthcare services. Such a model needs gradual refinements in a continuous improvement perspective, in order to be effective. The proposed approach is about the adoption of a Business Process Modelling technique to "model" all phases and activities of the care management process as developed in Leonardo Project. Then this model is used to define the key performance indicators, to analyze the Leonardo Project results and to enhance the underlying care management process. Specific attention has been dedicated to analyze the impact of the software proposed by Pfizer and used to support the care managers and the family doctors in the Leonardo Project. The process model, in fact, helped us to identify several limitations related to the adopted software and to formulate the correct requirements to overcome these issues. In other words, the paper aims to illustrate how tools borrowed from enterprise modelling domain can help to identify and overcome the weaknesses of a care management process and to design more effective software tools in a continuous refinement cycle.
The paper wants to underline why the BRICS as a legal network represents a new challenge for the European Union. The state of the art on the BRICS theme can be resumed in few thematic profiles: on which parameters are the relationships of the BRICS countries with the other world players, from the European Union to Italy, observed and judged; what convergences of constitutional significance do the BRICS countries present; what theories and methods of comparison are Legal Scholars using to study the BRICS phenomenon; what conditional convergences do the BRICS countries produce within their own "network of transfer" for practices and policies; what is the role of national Constitutions as conditional factors in the BRICS economic relationships and what competitive benefit do the BRICS countries have on the global market. But all these points leave the new geography drawn by the BRICS countries out of consideration and the fact that it operates as a legal network and network to transfer practices and policies is neglected. The paper tries to sketch a critical outline of this new international and atypical subject.
En este artículo, la autora se propone analizar la relación compleja entre un texto constitucional y el contexto social en el que se aplican los considerandos de los jueces como intermediarios del diálogo. La primera parte analiza la relación tiempo-sociedad en cuyos hechos se verifica la oportunidad de entender la temporalidad del sujeto inserto en aquella sociedad; ésta, a su vez, se coloca en el contexto más amplio de una situación de temporalidad natural. El segundo punto está dedicado a la relación tiempo-Constitución. En la dimensión temporal, sin embargo, la Constitución cambia en diversos sentidos, algunas veces conserva el texto pero los conceptos reciben nuevas lecturas; en otras, el texto constitucional es revisado de acuerdo con el procedimiento formal pero conservando el núcleo fundamental; finalmente, suelen modificar su contenido en una perspectiva de satisfacer los intereses de una clase política o de un grupo social. El último punto está dedicado al tiempo de los jueces con particular referencia a los instrumentos utilizados en las decisiones como herramienta temporal de la actividad juzgadora.
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