Abstract
Introduction
Orthopedics has its own specificities in terms of costs, primarily related to the purchase of orthopedic devices and usage of operating rooms, as well as in terms of management issues connected with the organization of medical staff, nursing care, and ancillary support. This paper analyzes the application of benchmarking techniques in the health care sector. It discusses opportunities and limits of benchmarking in the public service sector, focusing on orthopedics; a sector characterized by its own specificities in terms of costs, organization, and management.
Methods
This paper takes into consideration the first Italian benchmarking project realized in orthopedics that involved three Italian centers of excellence: IRCCS Istituto Ortopedico Galeazzi (Milan), Azienda Ospedaliera CTO—Maria Adelaide (Turin), and IRCCS Istituto Ortopedico Rizzoli (Bologna). It aimed to carry out a comparative analysis in order to identify the best performance and to improve the service and the organizational effectiveness.
Results
Relevant differences were assessed between the three hospitals involved and possible areas of innovation were detected.
Discussion
The results of the study highlight the significant reproducibility of benchmarking techniques due to the opportunity of standardizing procedures. Moreover, the differences concerning location, ownership, supply, purchasing, and accreditation processes, each one a potential limitation, provide information that is helpful in identifying relative gaps and that suggest paths leading to improvement.
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Conflict of interest
The authors are not aware of any potential conflicts that may bias their work. The manuscript is a nonprofit study based on the application of managerial benchmarking. Therefore, conflicts of interest should not exist. The study presented in this manuscript is of an observational nature and is based on a managerial benchmarking, without any direct involvement of patients. As far as the authors are aware, the study raises no ethical issues.
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Porazzi, E., Zagra, L., Restelli, U. et al. The first Italian benchmarking project in the field of orthopedics. Eur Orthop Traumatol 3, 155–160 (2012). https://doi.org/10.1007/s12570-012-0123-9
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DOI: https://doi.org/10.1007/s12570-012-0123-9