Year XVI-Issue,09-2000

 

 

 

 

 

 

 

Genina Iacobone

In 1950s and 60s, market research and business management techniques from the United States made their appearance in Italy. Innovative techniques changed the entire approach to selling to the point that Adriano Olivetti and other entrepreneurs felt it necessary to set up a business school to introduce these ideas to Italian business practice.

The precise aim of market research then and now was to identify and make consumers aware of their subconscious desires. At present, this type of research is used in surveys, especially in the health sector, to award the "blue quality label" to this or that hospital or university department, and is based on objectively insufficient data. There is no doubt that the institutions examined cannot give documented opinions or appraisals. This is not enough to ensure an inquiry or research is scientifically accurate, nor is it enough to bestow awards of excellence upon a particular institution or head physician.

The reasons are as follows:

1) Universities and hospitals are extremely reticent and do not provide information on the results achieved by the establishment in general, even less so, on individual wards or departments.

2) This "conspiracy of silence" was heightened still further with the advent of general managers with the power to choose their own staff and who should (the conditional tense is essential), be responsible for the results.Local health (ASL) and regional authorities also favour silence even though their public status ought, we stress ought, to oblige them to provide the information requested.This silence damages operators in the sector who are committed to their work and whose professionalism is often unappreciated. It does not take a congress or debate to understand that this is one of the reasons why many doctors prefer to work abroad, so depriving the Italian health sector of valuable expertise and prestige.

3) Over the past two years, we have contacted many hospitals, ASLs and regional authorities asking for information, sending printed forms prepared by experts that are easy to fill in.To date, we must acknowledge that only Molise has sent us a volume containing all the information requested in full and complete form. Where other regions are concerned, the very regions that boast of their public health programmes supplied superficial, incomplete data.

Our thanks, therefore, to the Molise health authorities for their kind help and co-operation.We have plenty more to write on this subject as specialised journalists, ordinary citizens and patients. We will certainly do so, despite the opposition and silence, as soon as we have gathered the necessary data, based on scientifically sound data, not hearsay. We promise you that the resulting "league table" will be full of surprises...