Nowadays, the number of elderly is growing, with consequent increase of chronic diseases. An effective approach to reduce the costs incurred is required. The Chronic Care Model has proven to be a good starting point for a better management of economic and human resources.
This work aims to identify a method by the coordinator of the OU (operational unit) for the training of gratified personnel through the use of a rewarding system. The continuous transformations that concern the Italian healthcare scene lead the operators to face always new needs and problems. Professionals can not only be considered as workers but bearers of qualified intellectual, professional and cultural skills. Individual coordinators are required to be real leaders within their operational units and to use their managerial skills in achieving company objectives and in evaluating the personnel they manage. The main factor to which difficulties in the management of staff are related concerns the motivation, defined as a state of mind together with aspirations, needs, orientations, that pushes people to act and to use a behavior characterized by commitment, perseverance and determination. The need to better rationalize the resources available, to promote high quality health care, improving safety, efficiency and appropriateness has led the general management and coordinator of the OU to use the reward systems. With the introduction of this procedure aimed at enhancing the merit and encouraging virtuous behavior during the provision of health services, the public employment reform participates in the evolution of the regulatory framework and it turns on the change that is taking place in the world of work.
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