Abstract
Innovation in governance and services should be the target of the Italian National Recovery and Resilience Plan. Monitoring processes, impacts, and outcomes requires a system of new indicators that are practical to collect. Secondary data sources, their availability, and their information potential should be evaluated, and primary sources should be implemented to supplement traditional disease surveillance. This work highlights the most relevant aspects for bridging the mismatching between complex community needs and current health/social supply and how those aspects could be faced. As a result, we propose a structured multi-phases process for setting the design and functionalities of a cooperative information system, built on the integration between secondary and primary data for informing policies about chronic low back pain (CLBP), a widely recognized determinant of disability and significant economic burden. In particular, we propose the Dress-KINESIS, a tool for improving community capacity development and participation that allows one to freely collect big health and social data and link it to existing secondary data. The system also may be able to monitor how the resources are distributed across different care sectors and suggest how to improve efficiency based on the patient’s CLBP risk stratification. Moreover, it is potentially customizable in other fields of health.
Highlights
Accepted: 1 October 2021The National Recovery and Resilience Plan (NRRP), which outlines how Italy will invest €191.5 billion from the European Union to emerge from the pandemic crisis, has been submitted to the European Commission.60% of these resources are loans that should be paid back by generating public value.This implies that during the 5 years, the Italian Government put in place mechanisms that reward implementation, and not just good intentions, for achieving specific aims both in the social and health field, according to the definition of innovation not just as a new idea but a new practice that produces incremental changes [1].Innovation in governance and services is usually not a physical artefact but a change in the relationships between service providers and their users
Our work aims to highlight the most relevant aspects for bridging the mismatching between complex community needs and the current health/social supply and how these aspects could be implemented to build innovation in governance and services, which is relevant for NRRP implementation (Figure 1)
We propose a customization of the Dress system, the Dress-KINESIS, as the base for chronic low back pain (CLBP) cooperative information system implementation
Summary
60% of these resources are loans that should be paid back by generating public value This implies that during the 5 years, the Italian Government put in place mechanisms that reward implementation, and not just good intentions, for achieving specific aims both in the social and health field, according to the definition of innovation not just as a new idea but a new practice that produces incremental changes [1]. Innovation in governance and services is usually not a physical artefact but a change in the relationships between service providers and their users. In such changes, judgements have to be made about processes, impacts, and outcomes, as well as the products. The purpose of monitoring is to provide routine, timely information for program management on whether the program is making progress
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