Bachelor's degree in Nursing (to qualify as a nurse) (Trento)


Course code
Name of lecturer
Armando Borghesi
Number of ECTS credits allocated
Academic sector
Language of instruction
INF TN - 3° anno 1° sem dal Oct 14, 2019 al Dec 20, 2019.

To show the organization of the course that includes this module, follow this link * Course organization

Lesson timetable

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Learning outcomes

To acquire a good knowledge about the organization of the National Health Service for operating effectively in the complex environment of the Health System. To learn methods and acquire expertise for performing an appropriate professional role towards the customers and the NHS’s staff.


• The determinants of Health-:
­- The concept and the meaning of health; the “determinants” of health; the healthy lifestyles.
­- The constitutional right to the health.
­- The role and the contribution of the Health Systems for attaining health.

• The Health Systems and the Italian National Health Service (NHS)-:
­- The different models of the world’s Health Systems, particularly the “National Health Service” [NHS].
­- The development of the Italian Health System: from a health insurance scheme to the National Health Service model, equity and access to the health care. The central Government’s responsabilities and the regional and provincial Authorities’ duties in the health matters. The Local Health Units (USL).
-­ The principles, objectives and duties of the National Health Service according to the Law No 833/1978 that established it.
­- The need for health and the demand for health services.
­- Community diagnosis (ascertain the health of the population and the health services provided).
­- The concept of priority setting.

• The organizational setup of the NHS and the operational arrangements of the Local Health Trusts (ASL)-:
­- Organizational models of the ASL.
­- Methods for the organization of work and for integration: structural and functional departments; multidisciplinary/ multiprofessional teams; guidelines and procedures; organization of the activities into processes; clinical networks; guidelines and protocols.
­- Appropriateness, effectiveness and impact of the health services provided.
­- Sustainability, efficiency , cost-benefit.
­- The new 2017’s Essential healthcare levels (LEA).
­- Health information System: use of data and indicators for ascertaining the hospital performance and the population health.
­- The hospital’s standards.
­- National health planning (National Health Plan; National Health Plan for Prevention 2014-2018; National Health Plan for Vaccination 2017-2019); regional and local health planning.
­- Monitoring and evaluation of the performance attained.
­- Accreditation of the health services.
­- Integration between health and social security (welfare) activities. Single Access Point (PUA), Multidisciplinary Evaluation Unit (UVM).
­- Integration between Hospital care and Primary Health Care; the need for increased collaboration between Primary Care and Hospital Care; the intermediate health care; the role and the future of the hospital; the potential and the prospects of the Community Medicine.
­- The Medical records and the Discharge hospital form (SDO).
­- Hospital financing and planning, and the DRG (Diagnosis Related Groups) system. The coding system according to the ICD-9-CM for: DRG’s allocation; financing of the hospitals; epidemiological scope; evaluation of the hospital’s productivity; evaluation of the effectiveness of health care.
­- National evaluation report of the outcome (PNE): data analysis of the Discharge hospital forms for evaluating the outcome of the health care.
­- Health services charter.
- The vaccinations among the health workers.

Reference books
Author Title Publisher Year ISBN Note
Mooney G. Economics, Medicine and Health Care Prentice Hall, London 2002
Iandolo C., Hanau C. Etica ed Economia nella Azienda Sanità Franco Angeli, Milano 1994
Iandolo, Hanau Etica ed economia nell’azienda sanità. Ed. Franco Angeli 1994
Casati G., Vichi M.C. Il percorso assitenziale del paziente in ospedale Mc Graw Hill, Milano 2002
Francesconi A. Innovazione organizzativa e tecnologica in sanità. – Il ruolo dell’Health Technology Assessment Franco Angeli, Milano 2007
Destro C., Sicolo N. La continuità di cura e assistenza al paziente complesso. – Manuale pratico sull’organizzazione dei percorsi di cura integrati C.G. Edizioni Medico Scientifiche, Torino 2009
Cicchetti A La progettazione organizzativa Franco Angeli, Milano 2004
Mascia D. L’organizzazione delle reti in sanità Franco Angeli, Milano 2009
Lega F., Mauri M., Prenestini A. L’ospedale tra presente e futuro. – Analisi, diagnosi e linee di cambiamento per il sistema ospedaliero italiano Egea, Milano 2010
Brenna A. Manuale di economia sanitaria CIS - Milano 2003
Drummond M.C., Sculpher M.J., Torrance G.W., O’Brien B.J., Stoddart G.L. Metodi per la valutazione economica dei programmi sanitari Il Pensiero Scientifico Editore, Roma 2010
Detels R., Beaglehole R., Lansang M.A, Gulliford M. Oxford Textbook of Public Health Oxford University Press, New York 2011

Assessment methods and criteria

Written examination with multiple choice questions and open questions.
Oral exam at the student’s request or after failure of the written exams.

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