1.
In Italia, l’introduzione dei DRG (Diagnosis Related Group) ha comportato:
Correct Answer
A. il passaggio da pagamento a costi a pagamento a prestazione
Explanation
The introduction of DRG in Italy resulted in a shift from payment based on costs to payment based on performance.
2.
Le leggi regionali sono promulgate:
Correct Answer
A. Dal Presidente della Giunta, che rappresenta la Regione
Explanation
Le leggi regionali sono promulgate dal Presidente della Giunta, che rappresenta la Regione. This means that the President of the Regional Government is responsible for enacting regional laws. The President of the Regional Government is the highest executive authority in a region and is elected by the Regional Council. They serve as the representative of the region and have the power to sign and enact laws that have been approved by the Regional Council. Therefore, the correct answer is that regional laws are promulgated by the President of the Regional Government.
3.
La funzione del controllo di gestione è quella di:
Correct Answer
A. Ottimizzare il rapporto tra costi e risultati dell’azione amministrativa
Explanation
The function of management control is to optimize the relationship between costs and results of administrative action. This means that the management control is responsible for finding ways to minimize costs while maximizing the desired outcomes of administrative actions. By doing so, it helps ensure that resources are used efficiently and effectively, ultimately leading to improved performance and achievement of objectives.
4.
Qual è l’organo delle ASL e AO competente ad adottare il Bilancio preventivo economicopluriennale?
Correct Answer
A. il Direttore Generale
Explanation
The correct answer is "il Direttore Generale". The Direttore Generale, or General Director, is the organ of the ASL and AO that is responsible for adopting the economic multi-year budget.
5.
Il personale dirigenziale del ruolo sanitario del SSN è articolato:
Correct Answer
A. Su un unico livello dirigenziale, con graduazione delle posizioni
Explanation
The correct answer states that the managerial staff of the healthcare role in the National Health Service (SSN) is structured on a single managerial level with a gradation of positions. This means that there is only one level of management, but within that level, positions are ranked or graded based on factors such as experience, responsibilities, and qualifications. This explanation clarifies the organizational structure of the managerial staff in the healthcare role of the SSN.
6.
L’omessa indicazione del termine e dell’autorità cui è possibile ricorrere, da indicare nelprovvedimento amministrativo ai sensi dell’art. 3 della legge n.241/90:
Correct Answer
A. Determina irregolarità dell’atto amministrativo
Explanation
The omission of indicating the deadline and authority to which one can appeal in the administrative measure, as required by Article 3 of Law No. 241/90, results in the irregularity of the administrative act. This means that the act is not in compliance with the legal requirements and procedures, but it does not render the act completely ineffective, illegitimate, or non-existent.
7.
Possono intervenire nel procedimento amministrativo per far valere i relativi diritti partecipativi:
Correct Answer
A. i portatori di interessi pubblici o privati cui possa derivare un pregiudizio dal provvedimento
Explanation
The correct answer states that individuals or entities who may suffer harm from the decision can intervene in the administrative procedure to assert their participatory rights. This means that those who have a stake, whether public or private, and can potentially be negatively affected by the decision have the right to participate and defend their interests.
8.
Che cosa si intende per contrattualizzazione del pubblico impiego?
Correct Answer
A. La separazione tra fonti pubblicistiche dell’organizzazione degli uffici e fonti privatistiche di regolazione del rapporto di lavoro
Explanation
The correct answer is the separation between public law sources of office organization and private law sources of labor regulation. This means that the contractualization of public employment involves distinguishing between the legal framework that governs the organization of public offices and the legal framework that regulates the employment relationship. This separation ensures that public employees are subject to both public law principles and private law principles in their employment contracts.
9.
L’esercizio del diritto di accesso con modalità informatiche:
Correct Answer
A. e’ previsto dal D.Lgs. 82/2005
Explanation
The correct answer is "e’ previsto dal D.Lgs. 82/2005." This means that the exercise of the right of access with computerized methods is provided for by the Legislative Decree 82/2005. This implies that individuals have the legal right to access information through electronic means, as established by this specific legislation.
10.
Il riconoscimento del carattere scientifico degli I.R.C.C.S. e la relativa revoca compete:
Correct Answer
A. Al Ministero della Salute
Explanation
The correct answer is "Al Ministero della Salute". The recognition of the scientific character of the I.R.C.C.S. (Istituti di Ricovero e Cura a Carattere Scientifico) and the revocation of this recognition is the responsibility of the Ministry of Health.
11.
A quale anno risale la legge di abolizione del sistema mutualistico in Italia?
Correct Answer
A. 1977
12.
Che cosa si intende per accreditamento istituzionale?
Correct Answer
A. L'autorizzazione ad erogare prestazioni per conto del SSN
Explanation
Accreditation is the process of granting official authorization or recognition to an institution or organization. In this context, "accreditamento istituzionale" refers to the authorization to provide services on behalf of the SSN (Servizio Sanitario Nazionale), which is the Italian National Health Service. Therefore, the correct answer is "L'autorizzazione ad erogare prestazioni per conto del SSN" which means "The authorization to provide services on behalf of the SSN."
13.
28. A quale ente/organismo istituzionale fa capo l’attività sanitaria assistenziale degli I.R.C.C.S. di diritto pubblico ?
Correct Answer
A. Regione
Explanation
The correct answer is "Regione". The explanation for this is that the activity of healthcare assistance provided by the IRCCS (Istituti di Ricovero e Cura a Carattere Scientifico) of public law is under the jurisdiction of the Region. The Region is responsible for overseeing and coordinating healthcare services within its territory, including the IRCCS institutions.
14.
Quali sono i ruoli di afferenza del personale dirigenziale del SSN?
Correct Answer
A. Sanitario, amministrativo, professionale e tecnico
Explanation
The correct answer is "sanitario, amministrativo, professionale e tecnico". This answer suggests that the roles of the managerial staff in the National Health Service (SSN) include healthcare-related duties, administrative tasks, professional responsibilities, and technical functions.
15.
L’orario di lavoro del dirigente medico assunto a tempo indeterminato e con rapporto di lavoro esclusivo alle dipendenze di un ente del SSN è pari a:
Correct Answer
A. 38 ore settimanali
Explanation
The correct answer is 38 ore settimanali. This means that the working hours for a medical manager employed indefinitely and exclusively by a SSN entity are 38 hours per week.
16.
Per accedere alla carica di Direttore Generale di un’Azienda Ospedaliera è necessario:
Correct Answer
A. essere iscritti in apposito Albo regionale
Explanation
To access the position of General Director of a Hospital Company, it is necessary to be registered in a specific regional register. This means that individuals aspiring to this position must meet the requirements and qualifications set by the regional authorities in charge of managing healthcare institutions. Being registered in the regional register ensures that candidates have the necessary qualifications and credentials to assume such a high-level position in the healthcare sector.
17.
Il Collegio Sindacale di un’ASL dura in carica:
Correct Answer
A. tre anni
Explanation
The Collegio Sindacale of an ASL (Local Health Authority) remains in office for a duration of three years. This means that the members of the Collegio Sindacale serve for a period of three years before their term ends.
18.
Per i dipendenti pubblici l’inadempimento ai doveri d’ufficio costituisce:
Correct Answer
A. Illecito disciplinare
Explanation
In the context of public employees, failure to fulfill their duties constitutes a disciplinary offense. This means that if a public employee does not comply with their obligations or responsibilities related to their job, they can face disciplinary action. This action can include penalties such as warnings, suspensions, or even termination of employment. It is important for public employees to adhere to their duties in order to maintain the integrity and efficiency of the public administration.
19.
30. La cessione definitiva di un contratto individuale di lavoro da una Pubblica Amministrazione ad un’altra, con continuità del rapporto, corrisponde alla definizione di:
Correct Answer
A. Mobilità
Explanation
The correct answer is "mobilità." In this context, "la cessione definitiva di un contratto individuale di lavoro da una Pubblica Amministrazione ad un'altra, con continuità del rapporto" refers to the permanent transfer of an individual employment contract from one Public Administration to another, while maintaining the employment relationship. This is commonly known as "mobilità" in Italian labor law.
20.
I LEA comprendono:1.... ... ... in ambiente di vita e di lavoro2.assistenza distrettuale3.assistenza ospedaliera
Correct Answer
assistenza sanitaria collettiva
Explanation
The correct answer is "assistenza sanitaria collettiva." This answer is correct because it aligns with the information provided in the question. The question states that the LEA (Local Health Authorities) include various types of assistance, including assistance in the living and working environment, district assistance, hospital assistance, and collective health assistance. "Assistenza sanitaria collettiva" translates to "collective health assistance," which fits within the context of the question.
21.
I LEA comprendono:1.assistenza sanitaria collettiva in ambiente di vita e di lavoro2. ... ...3.assistenza ospedaliera
Correct Answer
assistenza distrettuale
Explanation
The correct answer is "assistenza distrettuale". This means that the LEA (Livelli Essenziali di Assistenza) includes district healthcare assistance. This refers to the provision of healthcare services at the local or community level, such as primary care clinics, community health centers, and home healthcare services. It is an essential component of the overall healthcare system, ensuring that individuals have access to basic healthcare services within their local communities.
22.
I LEA comprendono:1.assistenza sanitaria collettiva in ambiente di vita e di lavoro2.assistenza distrettuale3. ... ...
Correct Answer
assistenza ospedaliera
Explanation
The correct answer is "assistenza ospedaliera" because it is mentioned in the question that "I LEA comprendono" which translates to "The LEA include" and then a list of items is given. Among these items, "assistenza ospedaliera" is mentioned, indicating that it is one of the components included in the LEA.
23.
CUP
Correct Answer
centro unico prenotazioni
centro unico di prenotazione
Explanation
The correct answer is "centro unico prenotazioni" or "centro unico di prenotazione." Both of these options refer to a centralized booking or reservation center.
24.
•Le ASL assicurano i...•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
lea
25.
•Le ASL assicurano i LEA•Le ASL sono aziende di ... ... con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
diritto pubblico
Explanation
The correct answer is "diritto pubblico" because it is stated in the given information that ASL (Aziende Sanitarie Locali) are legal entities that aim to provide efficiency, effectiveness, and cost-effectiveness to the healthcare organization. This implies that ASL operates under public law, which governs the functions and operations of public entities. Additionally, the mention of ASL having infraregional dimensions further supports the notion that they operate within a legal framework governed by public law.
26.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con ... ... al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
personalità giuridica
Explanation
The correct answer is "personalità giuridica". This means that the ASL (Aziende Sanitarie Locali) have legal personality. This is important because it allows them to carry out their functions and responsibilities as public entities, ensuring efficiency, effectiveness, and cost-effectiveness in the healthcare organization. The ASLs are public law companies with infraregional dimensions, and their functions are carried out through corporate acts.
27.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di ..., efficacia ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
efficienza
Explanation
The correct answer is "efficienza". The passage states that the ASL (Aziende Sanitarie Locali) are public law companies with legal personality in order to provide the healthcare organization with efficiency, effectiveness, and economy. Therefore, the concept of "efficienza" aligns with the purpose of ASLs as mentioned in the passage.
28.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, ... ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
efficacia
Explanation
The given answer "efficacia" is correct because it accurately describes one of the main goals of ASL (Aziende Sanitarie Locali), which is to provide efficiency and effectiveness in the organization of healthcare services. ASLs are public law companies with legal personality that operate at a local level, and their functions are carried out through corporate acts. Therefore, the goal of ASLs is to ensure the effectiveness and efficiency of healthcare services provided to the local population.
29.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed ....•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
economicità
Explanation
The correct answer is "economicità" because it is mentioned in the given information that the ASL (Aziende Sanitarie Locali) are public law companies with legal personality in order to provide the healthcare organization with efficiency, effectiveness, and economicità. Therefore, economicità is a key aspect of the ASL's functions and operations.
30.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed economicità.•Le ASL hanno dimensione ....•Le funzioni dell’ASL vengono svolte con atto aziendale.
Correct Answer
infraregionali
infraregionale
Explanation
The correct answer is "infraregionali" because the sentence states that the functions of the ASL (aziende di diritto pubblico) are carried out through aziendale acts. Since the ASL is a regional organization, it can be inferred that the functions are performed at an infraregional level, meaning within a specific region or area within the region. Therefore, "infraregionali" is the correct term to describe the level at which the ASL functions are carried out.
31.
•Le ASL assicurano i LEA•Le ASL sono aziende di diritto pubblico con personalità giuridica al fine di dotare l’organizzazione sanitaria di efficienza, efficacia ed economicità.•Le ASL hanno dimensione infraregionali.•Le funzioni dell’ASL vengono svolte con ... ...
Correct Answer
atto aziendale
Explanation
The correct answer is "atto aziendale". The given statement mentions that ASLs (Aziende Sanitarie Locali) are public law companies with legal personality in order to provide the healthcare organization with efficiency, effectiveness, and economy. The functions of ASLs are carried out through "atto aziendale", which refers to the corporate act or deed that outlines the organization's objectives, structure, and operations. This act serves as a framework for the ASL's activities and decision-making processes.
32.
AUTONOMIA DELLE ASL •...•Organizzativa•Contabile•Amministrativa•Patrimoniale•Tecnica
Correct Answer
gestionale
Explanation
The given answer "gestionale" is correct because it completes the list of different types of autonomy that ASL (Azienda Sanitaria Locale) has. The previous options mentioned in the list include organizational, accounting, administrative, patrimonial, and technical autonomy. "Gestionale" refers to managerial or management autonomy, which means that ASL has the authority to make decisions and manage its resources and operations independently.
33.
AUTONOMIA DELLE ASL •Gestionale•...•Contabile•Amministrativa•Patrimoniale•Tecnica
Correct Answer
organizzativa
Explanation
The correct answer is "organizzativa" because it completes the list of different areas of autonomy for the ASL (Azienda Sanitaria Locale) which includes "gestionale, contabile, amministrativa, patrimoniale, tecnica, and organizzativa." This suggests that the ASL has autonomy in various aspects of its organization and management.
34.
AUTONOMIA DELLE ASL •Gestionale•Organizzativa•..•Amministrativa•Patrimoniale•Tecnica
Correct Answer
contabile
Explanation
The given answer, "contabile," fits within the context of the question as it completes the list of different aspects of autonomy for ASL (Azienda Sanitaria Locale). The list includes "gestionale" (management), "organizzativa" (organizational), "amministrativa" (administrative), "patrimoniale" (financial), "tecnica" (technical), and finally "contabile" (accounting). Each aspect represents a specific area in which ASL has autonomy and responsibility.
35.
AUTONOMIA DELLE ASL •Gestionale•Organizzativa•Contabile•...•Patrimoniale•Tecnica
Correct Answer
amministrativa
Explanation
The correct answer is "amministrativa". This answer is suggested because it fits logically with the list of other words provided (gestionale, organizzativa, contabile, patrimoniale, tecnica). The word "amministrativa" also makes sense in the context of ASL (Azienda Sanitaria Locale), as it refers to administrative functions and responsibilities within the organization.
36.
AUTONOMIA DELLE ASL •Gestionale•Organizzativa•Contabile•Amministrativa•...•Tecnica
Correct Answer
patrimoniale
Explanation
The given answer "patrimoniale" is the missing word in the list of autonomia delle ASL (Local Health Authorities) capabilities. This suggests that ASLs have autonomy in managing their assets and financial resources.
37.
AUTONOMIA DELLE ASL •Gestionale•Organizzativa•Contabile•Amministrativa•Patrimoniale•...
Correct Answer
tecnica
Explanation
The given answer "tecnica" is the correct answer because it completes the list of autonomous functions of the ASL (Azienda Sanitaria Locale) which includes "Gestionale" (management), "Organizzativa" (organizational), "Contabile" (accounting), "Amministrativa" (administrative), "Patrimoniale" (asset), and "tecnica" (technical).
38.
Potere di adottare autonomamente provvedimenti amministrativi che implicano potestà pubblica
Correct Answer
autonomia amministrativa
Explanation
The given correct answer is "autonomia amministrativa". This term refers to the power to autonomously adopt administrative measures that imply public authority. It implies the ability of an administrative body to make decisions and take actions independently within its designated scope of authority without external interference or control. This concept is often associated with decentralized administrative systems where specific administrative bodies have the power to make decisions and implement policies within their respective areas of responsibility.
39.
•potere di individuare autonomamente la struttura organizzativa dell’Azienda sia come sistema organizzativo interno (staff di direzione ), sia come livelli di decentramento ( poteri di gestione, di controllo )
Correct Answer
autonomia organizzativa
Explanation
The given answer is "autonomia organizzativa" which translates to "organizational autonomy" in English. This refers to the ability to independently identify and understand the organizational structure of the company, both in terms of internal organization (management staff) and levels of decentralization (management and control powers). This means that the individual has the capability to analyze and comprehend how the company is structured and operates, including its hierarchical levels and decision-making processes.
40.
Potere di disporre del patrimonio sia con atti di acquisizione, sia con atti di cessione, sia con atti di amministrazione
Correct Answer
autonomia patrimoniale
Explanation
The given statement explains that the power to dispose of assets can be exercised through acts of acquisition, acts of transfer, and acts of administration. This refers to the concept of "autonomia patrimoniale," which means the ability to independently manage and control one's own assets. This concept allows individuals or entities to have the freedom to make decisions regarding their own assets, including acquiring new ones, transferring them to others, or administering them as they see fit.
41.
•Il potere di determinare in piena autonomia gli obiettivi dell’azione• programmare le attività• provvedere alla allocazione delle risorse umane, strumentali e finanziarie• procedere al conferimento dei poteri e alle attribuzioni delle responsabilità• il modo di controllare l’andamento della gestione• la verifica dei risultati.
Correct Answer
autonomia gestionale
Explanation
The given answer "autonomia gestionale" is correct because it accurately reflects the concept described in the previous statements. Autonomia gestionale refers to the power and ability to independently determine the objectives of an action, plan activities, allocate human, instrumental, and financial resources, delegate powers and assign responsibilities, control the progress of management, and verify the results. This term encompasses all the aspects mentioned in the previous statements, making it the correct answer.
42.
Potere di decidere le procedure e le modalità di impiego delle risorse.
Correct Answer
autonomia tecnica
Explanation
The correct answer is "autonomia tecnica." This term refers to the power or authority to decide the procedures and methods of resource utilization. It implies having the freedom and independence to make technical decisions without external interference or control. This autonomy allows individuals or organizations to exercise their expertise and judgment in determining how resources should be used in a particular context.
43.
Sono organi delle ASL-direttore generale-... ...-collegio di direzione
Correct Answer
collegio sindacale
Explanation
The given answer, "collegio sindacale," is correct because it is one of the organs of the ASL (Azienda Sanitaria Locale) or Local Health Authority. The collegio sindacale, also known as the board of auditors, is responsible for monitoring the financial management of the ASL and ensuring compliance with regulations. They review financial statements, conduct audits, and provide independent oversight to safeguard the organization's financial integrity.
44.
Organi delle ASL
Correct Answer(s)
A. Direttore generale
B. Collegio sindacale
G. Collegio di direzione
45.
•Il finanziamento alle ASL per acquistare i servizi è basato su ... ...•La remunerazione dei soggetti erogatori dei servizi sanitari (produttori pubblici e privati) è basato su pagamento a prestazione, tranne per i MMG e PLS pagati per la parte maggiore a quota capitaria.
Correct Answer(s)
quota capitaria
Explanation
The correct answer is "quota capitaria." This refers to a fixed amount of money allocated per capita or per person. In the context of the question, it means that the payment for healthcare services provided by public and private producers is based on a fixed amount per person, except for general practitioners (MMG) and pediatricians (PLS) who are paid mostly based on a per capita quota.
46.
•Il finanziamento alle ASL per acquistare i servizi è basato sulla quota capitaria.•La remunerazione dei soggetti erogatori dei servizi sanitari (produttori pubblici e privati) è basato su... ... ..., tranne per i MMG e PLS pagati per la parte maggiore a quota capitaria.
Correct Answer(s)
pagamento a prestazione
Explanation
The financing for ASL to purchase services is based on a per capita quota. The remuneration for healthcare service providers (both public and private producers) is based on a payment for performance, except for MMG and PLS which are primarily paid based on the per capita quota.
47.
•Il finanziamento alle ASL per acquistare i servizi è basato sulla quota capitaria.•La remunerazione dei soggetti erogatori dei servizi sanitari (produttori pubblici e privati) è basato su pagamento a prestazione, tranne per i MMG e PLS pagati per la parte maggiore a ... ...
Correct Answer(s)
quota capitaria
Explanation
The correct answer is "quota capitaria" because the financing provided to the ASL (Local Health Authorities) for purchasing services is based on a per capita quota. This means that the funding allocated to each ASL is determined by the number of residents in their area. This system ensures that resources are distributed fairly and proportionally based on the population size. Additionally, the remuneration of healthcare service providers (both public and private) is based on a fee-for-service model, except for general practitioners (MMG) and pediatricians (PLS) who are paid a fixed amount for the majority of their services.
48.
•È il rapporto tra costi ( servizi) e benefici (diminuzione della morbilità e/o mortalità)
Correct Answer(s)
efficienza
Explanation
The answer "efficienza" is correct because it refers to the relationship between costs (services) and benefits (reduction in morbidity and/or mortality). In other words, it means achieving the desired outcomes with the least amount of resources or input. This concept is crucial in various fields, including economics, business, and healthcare, as it helps organizations optimize their operations and allocate resources effectively to maximize the desired outcomes.
49.
La capacità di raggiungere gli obiettivi prefissati
Correct Answer(s)
efficacia
Explanation
The given answer "efficacia" is the correct one because it accurately translates the phrase "la capacità di raggiungere gli obiettivi prefissati" which means "the ability to achieve predetermined goals" in English. "Efficacia" refers to the effectiveness or efficiency in achieving desired outcomes or goals, making it the most suitable term to describe the given phrase.
50.
Si ottiene scegliendo i costi di risorse minime che danno gli stessi outcomes, anche usando i costi di risorse superiori.
Correct Answer(s)
economicità
Explanation
This explanation states that the correct answer is "economicità" because it refers to obtaining the same outcomes by choosing the minimum resource costs, even if higher resource costs are available. In other words, it suggests that the concept of economicità involves finding the most cost-effective solution by minimizing resource expenses while achieving the desired results.