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Journal Articles


Nuti S., Noto G., Vola F., Vainieri M. Let’s play the patients music: A new generation of performance measurement systems in healthcare. Management Decision, Vol. 56 Issue: 10, pp.2252-2272, 2018.

Cafagna G., Seghieri C., Vainieri M., Nuti S. A turnaround strategy: improving equity in order to achieve quality of care and financial sustainability in Italy. International Journal for Equity in Health, 17:169, 2018.


Di Martino M, Lallo A, Kirchmayer U, et al. Prevalence of antibiotic prescription in pediatric outpatients in Italy: the role of local health districts and primary care physicians in determining variation. A multilevel design for healthcare decision support. BMC Public Health 2017, 17:886


Di Martino M, Alagna M, Cappai G, et al. Adherence to evidence-based drug therapies after myocardial infarction: is geographic variation related to hospital of discharge or primary care providers? A cross-classified multilevel design. BMJ Open 2016;6:e010926.

Nuti S, Bini B, Grillo Ruggieri T, Piaggesi A, Ricci L. Bridging the Gap between Theory and Practice in Integrated Care: The Case of the Diabetic Foot Pathway in Tuscany. International Journal of Integrated Care. 2016;16(2):9. DOI:

Vainieri M, Vola F, Soriano GG, Nuti S. How to set challenging goals and conduct fait evaluation in regional public health systems. Insights from Valencia and Tuscany Regions. Health Policy (2016).

Nuti S, Grillo Ruggieri T, Podetti S. "Do university hospitals perform better than general hospitals? A comparative analysis among Italian regions." BMJ Open 6(8): e011426.


Nuti S, Seghieri C. Is variation management included in regional healthcare governance systems? Some proposals from Italy. Health policy 2014;114:71-8.

Seghieri, C., et al. (2014). "Applying discrete choice modelling in a priority setting: an investigation of public preferences for primary care models." European Journal of Health Economics 15(7): 773-785.


Cavalieri M. Geographical variation of unmet medical needs in Italy: a multivariate logistic regression analysis. International Journal of Health Geographics 2013;12:27.


Sant M, Minicozzi P, Allemani C, et al. Regional inequalities in cancer care persist in Italy and can influence survival. Cancer Epidemiology 2012;36:541-7.


Franzini L, Giannoni M. Determinants of health disparities between Italian regions. BMC Public Health 2010;10:296.


Mangano, A. An analysis of the regional differences in health care utilization in Italy. Health & Place 2009 16(2): p. 301-8.



The Performance Evaluation System of Health Care in Tuscany