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HAVE A DELIVERY, HAVE A CHOICE. Analysis inside the system of Private and Public healthcare in Italy. POLITECNICO DI MILANO SCUOLA DEL DESIGN LABORATORIO DI SINTESI FINALE A.A. 2012|13 – C3 PROJECT BY TIZIANA ALOCCI FEDERICO BIRAGHI ELENA FIORENTINI DIMITRI NUBE DANIELA SONIA PESSOT SARA PORCO

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DensityDesign Research Lab. A.Y. 2012-2013. Integrated Course Final Synthesis Studio. Credits: Federico Biraghi, Elena Fiorentini, Dimitri Nube, Daniela Sonia Pessot, Sara Porco

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  • HAVE A DELIVERY,HAVE A CHOICE.

    Analysis inside the system of Private and Public healthcare in Italy.

    POLITECNICO DI MILANO

    SCUOLA DEL DESIGNLABORATORIO DI SINTESI FINALEA.A. 2012|13 C3

    PROJECT BY

    TIZIANA ALOCCIFEDERICO BIRAGHIELENA FIORENTINI

    DIMITRI NUBEDANIELA SONIA PESSOTSARA PORCO

  • HAVE A DELIVERY,HAVE A CHOICE.

    Analysis inside the system of Private and Public healthcare in Italy.

    POLITECNICO DI MILANO

    SCUOLA DEL DESIGNLABORATORIO DI SINTESI FINALEA.A. 2012|13 C3

    PROJECT BY

    TIZIANA ALOCCIFEDERICO BIRAGHIELENA FIORENTINI

    DIMITRI NUBEDANIELA SONIA PESSOTSARA PORCO

  • 01 02RESEARCH BRIEFINGINTRODUCTION

    RESEARCH QUESTIONWHERE TO BEGIN

    INDEX OFCONTENTS

    The report is divided into six sections to follow research protocol order. This process is also synthesized in the unfoldable diagram (00) on the left, so that you can identify and relate each step at any point of the reading.

    THE REPORT IS DIVIDED INTO SIX SECTIONS TO FOLLOW RESEARCH PROTOCOL ORDER. THIS PROCESS IS ALSO SYNTHESIZED IN THE UNFOLDABLE DIAGRAM ON THE LEFT, SO THAT YOU CAN IDENTIFY AND RELATE EACH STEP AT ANY POINT OF THE READING.

    GOVERNANCE ONG BLOG&FORUM

    INLINK ANALYSIS

    KEYWORD ANALYSIS

    KEYWORD POLISH

    RELEVANCE SELECTION

    MANUAL POLISH

    THEMATIC SELECTION

    CHECK AND COUNT

    05

    05

    03 03 03

    RESEARCH QUESTION

    ACTORS

    PRIVATE STRUCTURE PUBLIC STRUCTURE

    OUTLINK ANALYSIS

    OUTLINK POLISH

    VISUALIZATION

    HIGHLIGHT STRUCTURE

    GEOLOCATION

    INLINK ANALYSIS

    KEYWORD ANALYSIS

    KEYWORD POLISH

    RELEVANCE SELECTION

    MANUAL POLISH

    THEMATIC SELECTION

    CHECK AND COUNT

    OUTLINK ANALYSIS

    OUTLINK POLISH

    VISUALIZATION

    HIGHLIGHT STRUCTURE

    GEOLOCATION

    INLINK ANALYSIS

    KEYWORD ANALYSIS

    KEYWORD POLISH

    RELEVANCE SELECTION

    MANUAL POLISH

    THEMATIC SELECTION

    CHECK AND COUNT

    VISUALIZATION

    P.H. IMAGINARY

    P.H. CLASSIFICATION

    SPECIAL KEYWORDS

    VISUALIZATION

    LISTMUS TEST

    STRAINER

    OUTLINK ANALYSIS

    OUTLINK POLISH

    VISUALIZATION

    HIGHLIGHT STRUCTURE

    WITH AN OBSTRETIC WARD WITH AN OBSTRETIC WARD

    02

    03

    03

    04 05 04 05

    05 06

    05

    03

    INDEX OF CONTENTS 00 8PROTOCOL DIAGRAM 00 7

    VISUALIZATION

  • 03 04 05a 06RESEARCH SCENARIORESEARCH SCENARIO: FIELD OF ACTION.

    NETWORK STRUCTURENETWORK STRUCTURE:ONDA OSSERVATORIOAND BOLLINI ROSA.A GEOGRAPHICAL APPROACH.

    KEYWWORDS ANALYSISGENERIC SEMANTIC RESEARCH:GO DEEPLY TO THE HEARTH TO THE PHENOMENON.SEMANTIC ORBIT, ANALYSIS OF EACH KEYWORD.SEMANTIC RESEARCH: WHO TALK MORE THEN OTHER.RELEVANCE VISUALIZATION:A QUALITY PARAMETER

    LITMUS TEST AND CONCLUSIONLITMUS TEST: TAKING A LOOK AT THE BACKWARDS.CONCLUSION.

    INDEX OF CONTENTS 00 9

    05bSCENARIO IN PRIVATE SECTOR: A PARTICULARY IMAGINARY.SPECIAL KEYWORDS.

  • 01

    RESEARCHBRIEFING

    RESEARCH BRIEFING 01 11

  • Despite the global percentage of caesarean sections is between 10% and 15%, the data provided by the World Health Organization show that the proportion changes significantly from country to country.

    There is a profound imbalance between the different countries, which leads to a situation of global lack of homogeneity.After observing and studying the problem from structured sources and official documents, it has been possible to determine a perspective from which to study and develop research.Determine the actors involved and their relationship has allowed us to better understand the phenomenon.The medical implications of childbirth have been taken into consideration and analyzed as filters that lead to the choice of a natural or surgical solution.Our research revealed as the medical implications are not the decisive factor in the choice of type of delivery.We now have to consider the

    system that stays around the event delivery, from the geographical location of residence of the mother, to its economic and socio-cultural position.In the schema of flows and relationships of this system we have been defining the actors:

    MotherGovernanceNGOPublic Health care structurePrivate Health care structure

    Introduction

    RESEARCH BRIEFING 01 13

    The world percentage rate of Caesarean

    Section delivery is about 10-15% but exist

    a deep imbalace from country to country:

    In Italy the 38% of delivery are made by

    Caesarean Section.

    Is the higher rate in Europe.

    AS YOU CAN SEE IN THE FOLLOWING

    PAGES, IS IMPORTANT TO UNDERLINE

    THAT WE DECIDED TO KEEP THE

    KEYWORDS IN ITALIAN BECAUSE IT

    IS THE LANGUAGE IN WHICH THE

    RESEARCH WAS DONE.

  • RESEARCHQUESTION

    02

    RESEARCH QUESTION 02 15

  • From the data obtained from research and documents, emerged that in Italy, a country characterized by a high rate of cesarean delivery, there is a close relationship between the type of health structure public or private and the percentage of cesarean delivery.It appears that in Italy the highest percentage of cesarean delivery is recorded in the private structures. Source: CeDAP 2009, Ministry of Health, table 30 page 44.

    This information has reinforced our vision of the centrality of the health structure in the schema of actors and relationships, and gave us the starting point to investigate further this controversy. So our research question is:

    Why does the majority of caesarean section occur at private hospitals than at public ones?

    After the definition of the research question, we proceeded with the identification of a research protocol that could

    help us investigate the issue by reading the countless digital data inside the web. At this stage, Internet has represented the main source for the study of our subject.

    Where to begin?

    RESEARCH QUESTION 02 17

    In Italy, why does the majority of CS occur at private hospitals than at public ones?

  • RESEARCHSCENARIO

    03

    RESEARCH SCENARIO 03 19

  • 490 87 637 326

    1 3 5

    PRIVATE STRUCTUREFROM AIOP.IT

    PRIVATE STRUCTUREWITH AN OBSTRETIC WARD

    PUBLIC STRUCTUREFROM SALUTE.GOV.IT

    PUBLIC STRUCTUREWITH AN OBSTRETIC WARD

    GOVERNANCE MINISTERODELLA SALUTE

    ORGANIZZAZIONINON GOVERNATIVE

    BLOG ANDFORUMS

    RESEARCH SCENARIO 03 20

  • Actors definea relationsnetwork, ourscenario.

    RESEARCH SCENARIO 03 21

  • We have chosen to start our analysis from the main actors defined in the previous steps, trying to identify the digital data associated with them.To analyze the actor health care structure in the network of web, we have chosen to proceed by defining a set of urls associated with the various health care structure in Italy.To do this, it was necessary to acquire the list of the name of public and private structures.After that, we have made a first screening in order to obtain only relevant structures for the purposes of our analysis and research.We obtained the list of private structures from the website AIOP.IT Italian Association of private hospitals (490), which was then cleaned, maintaining only structures with a maternity ward (87). The same procedure was followed for the public, the list of names was obtained through the website of the Ministry of Health www.salute.gov.it, starting from a corpus of 637 urls later reduced to 326.

    For the actor governance we have used as a reference during the entire process of analysis, the site of the Ministry of Health.The N.G.O taken into account for the semantic search inherent cesarean delivery, have been chosen according to a criterion that we wanted to keep constant in this digital search. The three ONG were selected by taking the first results of the query non-profit NGO delivery on Google.it on December 4th, 2012:

    AistmarAvulsscSafety and life

    For the actor mother, the definition of the corpus of websites on which to develop the research was achieved through a more subjective process. Identifying the mother as the most involved actor in emotional and personal, we have chosen to shift this same vision in the selection of the type of internet sources from which to extrapolate the data.For this reason, we have

    Research scenario:field of action

    narrowed the focus of research in forums. In this way, it is possible a more intimate and personal vision of the phenomenon, which typically characterizes the actor mother. The five forums were selected through the search query childbirth forum pregnancy on Google.it on December 4th, 2012:

    www.forum.alfemminile.comwww.bravibimbi.it/forumwww.forum.gravidanzaonline.it/www.nostrofiglio.it/forumwww.mammole.it/forum-gravidanza/forum.php

    RESEARCH SCENARIO 03 23

    The scenario is defined around

    the relationships among the different

    actors of the system:

    Mother, Governance, N.G.O., Private

    Healthcare and Public Healthcare.

  • NETWORKSTRUCTURE

    04

    NETWORK STRUCTURE 04 25

  • 326 197 1,374 514

    PUBLIC STRUCTUREWITH AN OBSTETRIC WARD

    PUBLIC STRUCTUREWITH RUNNING LINKS

    OUTLINKANALYSIS

    OUTLINK POLISHNODES

    SOCIAL NETWORKDOCUMENTSMAILTO LINKSLOG INSMAPSWEB AGENCYALBO PRETORIO

    FILTERS

    NETWORK STRUCTURE 04 26

  • 87 45 196 109

    PRIVATE STRUCTUREWITH AN OBSTETRIC WARD

    PRIVATE STRUCTUREWITH RUNNING LINKS

    OUTLINKANALYSIS

    OUTLINK POLISHNODES

    Public VS Private.Understandingthe network.

    NETWORK STRUCTURE 04 27

  • Network structure:O.N.Da Osservatorioand Bollini Rosa

    NETWORK STRUCTURE 04 29

    From the analysis of outlinks obtained from the websites of public and private structures emerged as common points two specific websites: Onda Osservatorio and Bollini Rosa.

    Given the result that emerged from the combination of the lists, we decided to investigate this aspect in order to obtain any interesting ideas to our research.

    The first step was to understand what the two sites be treated and which entities were referring.It is important to stress that these sites are closely related.

    Onda Osservatorio is the National Observatory on Women's Health and according to its statutes the aim is to study, protect, inform, educate and stimulate.Bollini Rosa is the reporter's hospitals realized by Onda Osservatorio, based on their level of women friendship.

    The program aims to identify the realities clinical and / or scientific strongly progressive in an Italian

    health in order to facilitate the choice of place of care by women and reward structures that possess characteristics suitable for woman.

    After making an initial analysis, we have tried to extract common points, relevant for the purposes of our research. After an initial research of outlinks made through NaviCrawler, that was too general and unspecific, we decided to consider only the outlinks from the pages of the sites considered significant for the purposes of research.

    Given the different structures of the sites we tried to find a research setting that could be consistent despite the diversity.The site Onda Osservatorio contains a lot of material on events, exhibitions and documentation on the topics. Rather than external links in fact the site is characterized by a great deal of internal links to files .pdf.

    The Observatory focuses on women's health and it contains many topics unrelated to our

    specific research. Otherwise, the site Bollini Rosa deals the subject of childbirth and pregnancy by offering a range of specific information on structures and related services.

    In order to make a comparative analysis we chose to analyze the outlinks from the pages relating to: Partner Sanitary for Onda Osservatorio pages of specialized centers in the sections Gynecology and maternal and child health, for Bollini Rosa the section Hospitals winners.Regarding the partners, the visualization shows 22 results for Bollini Rosa and 55 for Onda Osservatorio. Only three partners are in common.The analysis of outlinks on healthcare structures instead produced more results; 162 links for Bollini Rosa and 140 for Onda Osservatorio, of which 128 are in common.

    The visualization of the data shows that there are no significant relationships between the partners, while there are

    As we can see the Public and Private

    Healthcare have in common two websites,

    both related topics about women health.

  • common links to many health structures, both public and private.

    Another interesting aspect that emerged from the analysis is the presence of several companies related to the pharmaceutical industry, especially for the site Onda Osservatorio.

    The visualizations show the links

    generated from the site Onda Osservatorio and Bollini Rosa both for hospital recommended that for the partner, the points on which two overlapping lines show common links, then the outlinks present both in Onda Osservatorio that in Bollini Rosa.

    NETWORK STRUCTURE 04 30

    AON

    ADI ITALIA

    COSMETICI MAGISTRALI

    LOWEPIRELLAFRONZONI

    HTTP://WWW.NEONATOLOGIA.IT

    HTTP://WWW.NEURO.IT

    RADIO24

    ADDTHIS

    MARIECLAIRE

    IL SOLE 24ORE

    HTTP://EASYBABY.IT

    NOVARTISPIRELLI

    FONDAZIONE FIERAMILANO

    FARMINDUSTRIA

    PFIZER

    JANSSEN-CILAG

    MUNDIPHARMA

    THERAMEX

    ABOCA

    PROGETTO ITACA

    ONDAOSSERVATORIO

    AMMI-ITALIA

    ANIAAON

    AMGENDOMPE

    MUSEO SCIENZA

    FONDAZIONE PFIZER

    MUSTELA

    SIDITALIABENEDETTA DINTINO

    HTTP://WWW.REUMATOLOGIA.IT

    BASF

    HTTP://WWW.PSICHIATRIA.IT

    SIGO

    SINPF

    SIOG

    SIPREC

    SIP

    SISMER

    SOCIET ITALIANA DI ENDOCRINOLOGIA

    BIOGENIDEC

    BOLLINI ROSA

    WHO

    LEGA TUMORI

    BOSCH

    MANAGERITALIA

    RICHTERITALY

    CANCERWORLD

    COVIDIEN

    YAKULT

    TEVAITALIA

    HTTP://WWW.TUTTOPARLADITE.IT

    DOCGENERICI

    SERVIERROCHE

    DONNE DERMATOLOGHE

    SHIREITALIA

    HRA-PHARMA

    EFFIKITALIA

    EPITECH

    GSK

    BIOTECHSOL

    UNIVERSIT BOCCONI

    GREY

    CARDIF

    DANONE

    LEFT PARTNER

    RIGHT RECOMMENDED STRUCTURES

    O.N.DA OSSERVATORIO

    HOW TO READ IT?

    BOLLINI ROSA

    PARTNER + RECOMMENDED STRUCTURES

  • NETWORK STRUCTURE 04 31

    Onda Osservatorio website returns many

    link related to pharmaceutical industries

    and no significant relations among partner.

    AZIENDA OSPEDALIERA SIENA

    AZIENDA OSPEDALIERA LODI

    AO SALVATORE

    AO BROTZU

    AZIENDA OSPEDALIERA BUSTO ARSIZIO

    AZIENDA OSPEDALIERA CHIARI

    AO DESENZANO DEL GARDA

    AZIENDA OSPEDALIERA GARBAGNATE

    AZIENDA OSPEDALIERA MELEGNANO

    SANTA MARIA DEGLI ANGELI

    AZIENDA OSPEDALIERA SACCO

    AZIENDA OSPEDALIERA BOLOGNA

    OSPEDALI RIUNITI TRIESTE

    AO CAREGGI TOSCANA

    AZIENDA OSPEDALIERA UNIVERSITARIA CAGLIARI

    AO VALTELLINA E VALCHIAVENNA

    AZIENDA SANITARIA BRESSANONE

    AS MERANO

    AZIENDA SANITARIA FIRENZE

    ASL ROMA

    ASL ASTI

    ASL BARI

    ASL TARANTO

    ASL 1 LIGURIA

    ASL 1 UMBRIA

    ASL 1 ABRUZZO

    ASL 2 LIGURIA

    ASL 3 UMBRIA

    ASL 4 LIGURIA

    ASL 4 TERNI

    ASL 5 TOSCANA

    ASL PIEMONTE

    ASL PIEMONTE

    ASL CARBONIA

    ASL 1 NAPOLI

    ASL 3 NAPOLI SUD

    ASL NUORO

    ASL OLBIA

    ASL ROMA

    ASL ROMA

    ASL 2 TORINO ASL VALLE CAMONICA SEBINO

    ARCISPEDALE SANTA MARIA NUOVA

    ASS 3

    ASUR ZONA 12 MARCHE

    ASUR ZONA 13 MARCHE

    ASUR 2 MARCHE

    ASUR ZONA 4 MARCHE

    ASURZONA 5 MARCHEASURZONA MARCHE

    ASUR ZONA 9 MARCHE

    AULSS LEGNAGO

    AUSL FERRARA

    AUSL MODENA

    AUSL PIACENZA

    AZIENDA USL PESCARAAZIENDA USL PARMA

    AUSL REGGIO EMILIAAUSL VALLE DAOSTA

    AUSL LATINA

    ISTITUTO AUXOLOGICO

    AO COSENZA

    AZIENDA OSPEDALIERA SAN ROVIGO

    AO BOLOGNINI

    IRCCS MATERNO INFANTILE BURLO GAROFOLO

    CASA DI CURA CITT DI ROMA

    CLINICA CANDELACLINICA MEDITERRANEA

    CLINICA SAN GIORGIO

    CLINICA SAN MICHELE

    CENTRO REGIONALE ONCOLOGICO BASILICATA

    CASA DI CURA FABIAMATER

    OSPEDALE FATEBENEFRATELLI ISOLATIBERINA

    OSPEDALE SACRA FAMIGLIA FATEBENEFRATELLI

    FATE BENE FRATELLI MILANO

    FONDAZIONE SALVATORE MAUGERI

    OSPEDALE GALLIERA

    OSPEDALE GIANNINA GASLINI

    GRUPPO GIOMI

    ISTITUTO GAETANO PINI

    GRUPPO SAMED

    OSPEDALE MILANOOSPEDALE SAN MARTINO

    OSPEDALE SAN RAFFAELE

    ISTITUTO CLINICO HUMANITAS

    CENTRO CATANESE DI ONCOLOGIA

    ISTITUTO HUMANITAS GAVAZZENI

    ISTITUTI CLINICI DI PERFEZIONAMENTO

    ISTITUTO EUROPEO DI ONCOLOGIA

    USL 8 TOSCANA

    ISTITUTO ONCOLOGICO VENETO

    ISTITUTO BESTA

    ISTITUTO TUMORI MILANO

    OSPEDALE MAGGIORE NOVARA

    GRUPPO MARIO MALZONI

    CASA DI CURA MATERDOMINI

    AO ORDINE MAURIZIANO

    FONDAZIONE DI RICERCA E CURA GIOVANNI PAOLO II

    FONDAZIONE MONDINOGRUPPO MULTIMEDICA

    IRCCS NUROMED

    OSPEDALE REGINA MARGHERITA SANTANNA

    OSPEDALE DI ALESSANDRIAOSPEDALE CREMONA

    OSPEDALE DI CUNEOOSPEDALE PERUGIA

    OSPEDALE TREVIGLIO

    OSPEDALE BAMBINO GESU

    OSPEDALE BUCCHERI LAFERLA

    OSPEDALE CARDARELLI

    OSPEDALE NIGUARDA

    OSPEDALE SAN CARLO

    OSPEDALE SAN PIETRO

    OSPEDALE SANT ANDREA

    OSPEDALE SASSUOLO

    OSPEDALE UNIVERSITARIO VERONA

    OSPEDALI DI LECCO

    OSPEDALI PAVIA

    OSPEDALI DI MANTOVA OSPEDALI RIUNITI BERGAMOOSPEDALI RIUNITI MARCHE

    OSPEDALI VARESE

    ARCISPEDALE SANTANNA

    GRUPPO POLIAMBULANZA

    OSPEDALE MAGGIORE DI MILANO

    POLICLINICO DI MODENA

    POLICLINICO UNIVERSITARIO CATANIA

    POLICLINICO ABANO

    POLICLINICO CASILINO

    POLICLINICO SANT ELENA

    POLICLINICO UMBERTO I

    OSPEDALE SAN CARLO

    AO CITT DELLA SALUTE E DELLA SCIENZA DI TORINO

    SAN GIOVANNI E RUGGI

    POLICLINICO SAN MARCO

    POLICLINICO SAN MATTEOPOLICLINICO DI SAN PIETRO

    SPEDALI CIVILI DI BRESCIA

    ULSS BELLUNO

    ULSS 9 TREVISO

    ULSS 10 VENETO

    ULSS 12

    ULSS 13 MIRANO

    ULSS 15 PADOVA

    ULSS 17

    ULSS 19 ADRIA VENETO

    ULSS 20 VERONA

    ULSS 5

    ULSS 7 VENETO

    ULSS ASOLO

    ULSS FELTRE VENETO

    ULSS VICENZA

    USL 2 TOSCANA

    USL 4 TOSCANA

    USL 8 TOSCANA

    VILLA BETANIA

    ISTITUTI CLINICI ZUCCHI

    CAREGGI TOSCANA

    AO SIENA TOSCANA

    AZIENDA SANITARIA FIRENZE

    ASL BASSANO

    ASL TARANTO

    ARCISPEDALE SANTA MARIA NUOVA

    ASUR 13 MARCHE

    CASA DI CURA CITTA DI ROMA

    OSPEDALE SACCO

    ISTITUTO HUMANITAS

    USL 8 TOSCANA

    AO OSPEDALI RIUNITI MARCHE NORD

    OSPEDALE CRISTO RE

    OSPEDALE DI GALLARATEOSPEDALE UNIVERSITARIO DI VERONA

    ULSS 10 VENETO

    ULSS 17

    ULSS 20 VERONA

    ULSS 4 VENETO

    USL 12 TOSCANA

    ASL ABRUZZO

    AO GARIBALDI CATANIA

    AZIENDA OSPEDALIERA PISA

    AZIENDA OSPEDALIERA SAN PAOLO

  • Network structure:a geographical approach.

    The first research that we made, wanted to investigate the healthcare structures and their relationship.

    Through the tool LinkRipper we analyzed the corpus of public and private structures, in search of outlinks that could tell us more about the system of relations between them.We decided to make the same type of analysis for private and public structures and then investigate in detail each one.A first Gephi data visualization has allowed us to capture some useful information.The network visualization of outlinks arising from the corpus of the public structures has made it clear that there is some links more important as the Ministry of Health, the National Institute of Health, the National Observatory on Women's Health, the site of Bollini Rosa.At the end of our research question it would be interesting to focus on the massive presence of the following sites: Onda Osservatorio and Bollini Rosa,

    as they provide a range of data on health structures. For this reason, a part of our analysis focused on this aspect.The visualization of outlinks of public structures shows as an important factor geographical localization. Many public structures do not have their own website but take advantage of the inside pages of sites of regional ASL. Graphs, and the following visualization show how the public and private structures are positioned on the national territory. To specify that in the visualization of relations, regional sites and Bollini Rosa may have a larger surface area, but being used as part of the analysis outlinks remain the exception of links to internal pages or references without the use of hypertext links to the external. For the private structures, the visualization of outlinks shows that there is no special relationship between the structures, except for the unifications of structures that refer to the same group example Groppo San Donato, Lombardia.

    NETWORK STRUCTURE 04 32

    From the analysis of relationships

    between Public and Private Healthcare

    System emerges as main point the

    geographical position.

  • NETWORK STRUCTURE 04 33

    12

    61

    7

    9

    1

    5

    37

    34

    11

    25

    12

    10

    16

    40

    41

    12

    18

    38

    22

    PUBLIC AND PRIVATE HEALTHCARE

    STRUCTURES CORPUS.

    THE VISUALIZATION SHOWS THE NUMBER

    OF ITALIAN HEALTHCARE STRUCTURES WITH

    OBSTETRIC OR GYNECOLOGY WARD AND UFFICIAL

    WEBSITE THAT WE CONSIDERED IN OUR RESEARCH.

  • NETWORK STRUCTURE 04 34

    OUTLINKS NETWORK

    PUBLIC AND PRIVATE HOSPITALS

    PUBLIC PRIVATE

    HOW TO READ IT?

    A stroke

    WITH OUTLINKS WITHOUT OUTLINKS

    VALLE D'AOSTA

    SAR

    DEG

    NA

    TRENTINO-ALTO ADIGE

    FRIULI-VENEZIA GIULIA

    LOMBAR

    DIA

    PIEMONTE

    EMILIA-ROMAG

    NA

    LIGURIA

    TOSCA

    NA

    MAR

    CHE

    UMBRIA

    ABRUZZO

    MOLISE

    PUGLIA

    CAMPA

    NIA

    BAS

    ILICATA

    CALABRIA

    SICILIA

    LAZIO

    VENETO

    0

    10

    20

    30

    40

    50

    NORTH CENTER

  • NETWORK STRUCTURE 04 35

    Many structures, both private and public,

    have none specific website but they use

    pages inside of other website, therefore

    about 50% of the corpus did not produce

    any valid outlink.

    VALLE D'AOSTA

    SAR

    DEG

    NA

    TRENTINO-ALTO ADIGE

    FRIULI-VENEZIA GIULIA

    LOMBAR

    DIA

    PIEMONTE

    EMILIA-ROMAG

    NA

    LIGURIA

    TOSCA

    NA

    MAR

    CHE

    UMBRIA

    ABRUZZO

    MOLISE

    PUGLIA

    CAMPA

    NIA

    BAS

    ILICATA

    CALABRIA

    SICILIA

    LAZIO

    VENETO

    0

    10

    20

    30

    40

    50

    SOUTH

    NETWORK STRUCTURE 04 36

    OUTLINKS NETWORK

    PUBLIC AND PRIVATE HOSPITALS

    OUTLINKS

    PUBLIC

    PRIVATE

    HOW TO READ IT?

    A

    stroke

    OUTDEGREE

    LINKS

    ZOOM 4X

    In order to understand the relationships between hospitals, through the tool Gephi we have visualized the networks outlinks generated with LinkRipper from the corpus of sites of public and private healthcare structures.

    Starting from a first overall analysis, we tried to understand relationships and links between public and private.Private structures haven't a special relationship with the

    network of public hospitals, except for the Private Hospital San Raffaele in Milan, Lombardia.San Raffaele has common outlinks with other public hospitals and it is an outlink itself. The visualization stress the websites of hospitals with a greater number of external connections and shows that private structures are marginal and secondary to the public.

    1.

    2.

  • NETWORK STRUCTURE 04 38

    EXTRA ITALY

    NORTH OF ITALY

    EMILIA ROMAGNA

    LOMBARDIA

    VENETO

    PIEMONTE

    LIGURIA

    FRIULI VENEZIA GIULIA

    TRENTINO ALTO ADIGE

    CENTER OF ITALY

    MARCHE

    TOSCANA

    LAZIO

    UMBRIA

    ABRUZZO

    SOUTH OF ITALY

    SARDEGNA

    SICILIA

    CAMPANIA

    PUGLIA

    CALABRIA

    BASILICATA

    With a separate analysis of the individual scenarios in public/private we have found out more.The network of public structures consisting of 514 nodes, with 197 hospitals and 317 outlinks, has many meaningful relationships.First of all, from the network emerge different clusteres, some of which are completely external to the central network.

    OUTLINKS NETWORK

    PUBLIC HOSPITALS

    HOW TO READ IT?

    A

    stroke

    INDEGREE

    LINKS

    These clusters correspond to regional networks and are connected together by means of national and international sites without of which would completely separate.

    Finally, there are some important presence like the Ministry of Health, the National Institute of Health, the National Observatory

    on Women's Health and the project BolliniRosa .

    The network of private structures consisting of 109 nodes, of which 45 hospitals and 64 oulinks, is not very dense. There is no special relationship between the structures and emergent clusters turn out to be not so much regional networks

    1. CENTER OF THE NETWORK

    THE BIGGEST CIRCLES REPRESENTS NON

    REGIONAL WEBSITES THAT ARE THE LINKS

    BETWEEN REGIONAL CLUSTERS.

    LAZIO AND LOMBARDIA CLUSTERS STAND OUT.

    A. WWW.LINEAAMICA.IT

    B. WWW.RETEHPHITALIA.IT

    C. WWW.ONDAOSSERVATORIO.IT

    D. WWW.SALUTE.GOV.IT

    E. WWW.BOLLINIROSA.IT

    ZOOM 2X

    A

    BC

    D

    E

    1.

    2. EMILIA ROMAGNA

    THIS VISUALIZATION REPRESENTS EMILIA

    ROMAGNA, IT'S IMPORTANT TO UNDERLINE THAT

    THE BIGGEST CIRCLES ARE OUTLINKS TO REGION

    AND HEALTH MINISTRY.

    THIS IS ONE OF THE MOST EVIDENT CLUSTER IN THE

    GLOBAL VISUALIZATION.

    W.PROGETTO-SOLE.IT

    B. WWW.SALUTER.IT

    C. WWW.REGIONE.EMILIA-ROMAGNA.IT

    3. 4. MARCHE AND SARDEGNA

    THIS VISUALIZATION REPRESENTS REPRESENTS

    MARCHE, GREEN, AND SARDEGNA, YELLOW.

    IT'S IMPORTANT TO UNDERLINE THAT THE BIGGEST

    CIRCLES ARE OUTLINKS TO HEALTH REGION

    WEBSITES. THESE ARE SOME OF THE MOST

    EVIDENT CLUSTER IN THE GLOBAL VISUALIZATION,

    BUT IT'S NOT LINKED TO THE MAIN NETWORK.

    A. WWW.SALUTE.MARCHE.IT

    B. WWW.REGIONE.MARCHE.IT

    C. WWW.SARDEGNASALUTE.IT

    D. WWW.REGIONE.SARDEGNA.IT

    A B

    C

    2.

    3.

    4.

    A

    B

    C

    D

  • NETWORK STRUCTURE 04 39

    Generally the network of Public Structures

    result more dense and linked compared

    with the Private ones, where we can

    find relations just between structures

    belonging to the same hospital group.

    EXTRA ITALY

    NORTH OF ITALY

    EMILIA ROMAGNA

    LOMBARDIA

    VENETO

    PIEMONTE

    FRIULI VENEZIA GIULIA

    TRENTINO ALTO ADIGE

    VALLE D'AOSTA

    CENTER OF ITALY

    MARCHE

    TOSCANA

    LAZIO

    ABRUZZO

    SOUTH OF ITALY

    SICILIA

    CAMPANIA

    PUGLIA

    OUTLINKS NETWORK

    PRIVATE HOSPITALS

    HOW TO READ IT?

    A

    stroke

    INDEGREE

    LINKS

    as those of hospital groups, among which the most evident is the Group San Donato, in Lombardia. In addition, the significant sites in the national and international network of public hospitals appear to be secondary.

    1. GRUPPO SAN DONATO

    THE MOST EVIDENT RELATIONSHIP IS BETWEEN

    HOSPITALS THAT REFER TO THE SAME GROUP,

    GRUPPO SAN DONATO, LOMBARDIA.

    3. WWW.SALUTE.GOV.IT

    ZOOM 2X

    4. WWW.ONDAOSSERVATORIO.IT

    2. WWW.BOLLINIROSA.IT 3. 4.

    THE SIGNIFICANT SITES IN THE NATIONAL AND

    INTERNATIONAL NETWORK OF PUBLIC HOSPITALS

    APPEAR TO BE SECONDARY.

    1. 4.

    2.

    3.

  • NETWORK STRUCTURE 04 41

    1. ASUR MARCHE

    THIS VISUALIZATION SHOWS THE CLUSTER MARCHE

    THAT IS TOTALLY INDEPENDENT AND NOT LINKED

    TO THE MAIN NETWORK. IN THIS VISUALIZATION

    WE CAN SEE ASUR SENIGALLIA AND ASUR ASCOLI

    PICENO (ORANGE CIRCLES) WHICH HAVE THE

    HIGHEST NUMBER OF OUTLINKS.

    A. WWW.ASURZONA4.MARCHE.IT

    2. SAN RAFFAELE HOSPITAL SICILIA

    THIS IS AN INTEREST CASE. IT REPRESENTS

    SAN RAFFAELE HOSPITAL, PRIVATE, WHICH IS

    UNEXPECTEDLY LINKED TO THE MAIN NETWORK.

    IT IS ALSO IMPORTANT BECAUSE IT IS THE ONLY

    PRIVATE HOSPITAL IN OUR EARLY CORPUS THAT IS

    ALSO AN OUTLINK OF A PUBLIC HOSPITAL.

    A. WWW.HSRGIGLIO.IT/

    A

    PRIVATE AND PUBLIC

    THIS VISUALIZATION SHOWS THE SMALL CLUSTERS

    AND HOSPITALS NOT CONNECTED TO THE

    CENTRAL NETWORK. MOST OF THESE ARE PRIVATE

    HOSPITALS.

    A

  • SEMANTIC ANALYSIS 05a 43

    SEMANTICANALYSIS

    05a

  • 326 143 5721 92,163

    37,779 31,344 208

    PUBLIC STRUCTUREWITH AN OBSTETRIC WARD

    PUBLIC STRUCTUREWITH RUNNING LINKS

    INLINKANALYSIS

    KEYWORDSANALYSIS

    RELEVANCESELECTION

    KEYWORDSPOLISH

    THEMATICSELECTION

    RIVERSCITIESREGIONSCOUNTRIESPERSONAL NAMESOTHER WARDSPAIN THERAPYMAIL LINKSJAVASCRIPT LINKSADRESSES

    FILTERS

    SEMANTIC ANALYSIS 05a 44

  • 87 81 1,976 64,681

    26,978 26,129 898

    PRIVATE STRUCTUREWITH AN OBSTETRIC WARD

    PRIVATE STRUCTUREWITH RUNNING LINKS

    INLINKANALYSIS

    KEYWORDSANALYSIS

    RELEVANCESELECTION

    KEYWORDSPOLISH

    THEMATICSELECTION

    How do publicand privatehospital talkabout delivery?

    SEMANTIC ANALYSIS 05a 45

  • Generic Semantic research:go deeply into the heart to the phenomenon.

    The main aim was to better understand how different actors relate to the theme of birth.This part of the research wants to show the occurrences of topics and keywords.

    We investigated these aspects because we think that the web is a great resource of information, through which people can easily create a network of knowledge.

    Search for information on delivery within the web could mean to come across web pages of private structures that advertise their services, blogs and forums of ordinary people who exchange information and personal experiences, medical forum with technical scientific updates. Within this large amount of data, our semantic research wanted to investigate the different approaches that characterize each actor.Starting from the initial corpus of the websites of public and private structures, we made a research of the internal links in order to analyze with Alchemy

    API the keywords most frequent. After that, we joined the corpus of public and private structures.The same procedure has been made for 5 blogs referring to the actor mother, the website of the Ministry of Health and the 3 websites of NGO.At this point, we joined all results generated and filtered with the tool Google Refine, to eliminate any noise. After an initial automatic screening it has been necessary to choose with which criteria clean up the results, in order to obtain a manageable corpus. The basic criterion was associated with the relevance of individual keywords considered eligible only if higher than 0.5.At this point we made a new manual selection, considering the main themes that emerged and limiting the set of keywords to 37.

    SEMANTIC ANALYSIS 05a 47

    Understand how the actors are related

    to the main topic; know and realize who

    speaks about a topic, how much and

    in which way.

  • SEMANTIC ANALYSIS 05a 48

    The visualization shows which actor mother, NGO, governance, public healthcare structure and private healthcare structure quote every keyword, and then which actor talks about a particular topic. We can see that there are some arguments invoked by emotional keywords

    or keywords like tips that are mentioned mainly by the actor mother, while the keyword insurance is quoted only by private structure. The keyword too many cesareans section is mentioned only by NGO.The keyword caesarean section with neutral sense is quoted

    SELECTED CATEGORY

    GOVERNANCE

    ONG

    MOTHER

    PUBLIC

    PRIVATE

    HOW TO READ IT?

    GRAVIDANZA

    MORTE FETALE/MATERNA

    CORSO PRE-PARTO

    DOLORE

    TROPPI CESAREI

    FORMAZIONE MEDICA

    ANESTESIA

    ANSIA/STRESS

    CODICE ETICO

    INFORMAZIONI

    PARTO INDOLORE

    BENESSERE FETALE

    PERCORSO NASCITE

    SERVIZIO SANITARIO

    PARTO

    BENESSERE MATERNO

    ASSICURAZIONI

    OSTETRICIA

    PARTO NATURALE

    SOFFERENZA FETALE

    CONSIGLI

    STRUTTURA OSPEDALIERA

    TRAVAGLIO

    SOFFERENZA MATERNA

    CAUSE LEGALI

    RICERCA

    PARTO CESAREO

  • SEMANTIC ANALYSIS 05a 49

    by the actor mother, NGO and privately structure but not by the public structure.This could be a first difference between the two types of healthcare structure. This first general semantic analysis gives us the right approach and incentive to

    investigate in more detail the structure of public and private healthcare in order to understand in detail when and who speaks of certain topics.

    GRAVIDANZA

    MORTE FETALE/MATERNA

    CORSO PRE-PARTO

    DOLORE

    TROPPI CESAREI

    FORMAZIONE MEDICA

    ANESTESIA

    ANSIA/STRESS

    CODICE ETICO

    INFORMAZIONI

    PARTO INDOLORE

    BENESSERE FETALE

    PERCORSO NASCITE

    SERVIZIO SANITARIO

    PARTO

    BENESSERE MATERNO

    ASSICURAZIONI

    OSTETRICIA

    PARTO NATURALE

    SOFFERENZA FETALE

    CONSIGLI

    STRUTTURA OSPEDALIERA

    TRAVAGLIO

    SOFFERENZA MATERNA

    CAUSE LEGALI

    RICERCA

    PARTO CESAREO

  • SEMANTIC ANALYSIS 05a 50

    Semantic orbit,analysis of each keyword

    The keywords considered during this part of research are the result of a semantic synthesis of thematically related terms found within the file generated by Alchemy API. For each of the 25 keywords found within the websites of public and private structures we selected a corpus of terms, vary in size depending on the frequency associated with the keyword, similar to the keyword by morpheme, being able to share with it the smallest isolatable unit of grammatical meaning, or meaning, or with different morpheme but associated to the keywords. The various corpus of terms were, subsequently, ranked in order by placing the keywords in its pure nature, the keywords associated with adjectives and other nouns, and finally the lexical variations and synonyms, considered in the variations mentioned above. Each lemma is then quantified by calculating the recurrence within the websites analyzed, this factor determined the order of the terms.

    The use of an orbital visualization want to emphasize the process by which it is possible the collection of the words and their association to a specific keyword.Each visualization focuses on the keyword, sometimes actually present in the corpus of terms sometimes absent, around which they develop concentric rings, as well as collecting the terms related to the keyword, move away gradually from the central keywords going to highlight the semantic distance, both morphological and of meaning, which separates the terms. Each of these visualizations, therefore, offers a long series of information relating to the nature of keywords taken into consideration. It is possible to understand what keywords are most frequent at the sites of public and private hospitals, if they are present in their pure nature or associated with adjectives and modified at the level of morpheme, which keywords are more likely to linguistic and semantic changes and where it is constant.

    Each keyword contains a series of lemmas

    associated by morpheme, that is different

    words with same sense are joined under

    one keyword.

  • SEMANTIC ANALYSIS 05a 51

    TRAVAGLIO

    01. TRAVAGLIO

    02. SALA TRAVAGLIO

    PARTO INDOLORE

    01. PARTO INDOLORE

    02. INDOLORE

    PARTO CESAREO

    01. PARTO CESAREO

    02. TAGLIO CESAREO

    PARTO

    01. PARTO

    02. PARTO RELATIVO

    03. PARTO ANONIMO

    04. PARTO DOLCE

    05. PARTO PREMATURO

    06. PARTO CON ASSISTENZA MEDICA

    07. LULTIMO PARTO

    08. SALA PARTO

    09. BLOCCO PARTO

    10. REPARTO PARTO

    11. COMPARTO PARTO

    12. PARTO PUNTO NASCITE

    13. PARTORIENTI

    14. PAZIENTE PARTORIENTE

    15. PROPRIE PARTORIENTI SULL'EVENTO

    DOLORE

    01. DOLORE

    02. DOLORE POST OPERATORIO

    03. DOLORE INUTILE

    04. INEVITABILE DOLORE

    05. DOLORE STESSO

    06. OSPEDALE SENZA DOLORE

    07. COMPONENTE DOLOROSA

    211

    36

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    1718

    19

    20

    22

    23

    24

    25

    45

    2

    6

    1

    2

    3

    45

    6

    7

    8

    919

    20

    1018

    1117

    1216

    131514

    21

    23

    2224

    1

    2

    310

    49

    58

    67

    1112

    13

    1429

    1528

    1627

    1726

    1825

    1924

    20232122

    30

    31

    3233

    34

    35

    36

    37

    38

    39

    40

    41

    42

    53

    52

    51

    50

    49

    48

    47

    46

    45

    44 43

    1

    2

    323224

    521

    620

    719

    818

    917

    1016

    11151214 13

    24

    2526

    1

    4

    2

    3

    9

    1314

    10

    5

    6

    7

    811

    12

    1

    19

    23

    4

    5

    7

    8

    911

    12

    13

    614

    15

    16

    17

    10

    18

    20

    2

    46

    5

    1

    3

    1 35

    2

    4

    67

    8

    9

    10

    11

    12

    13

    141516

    17

    18

    19

    20

    21

    22

    1

    5

    11

    2

    3

    9

    1012

    13

    7

    46

    8

    1

    23

    23

    1

    1

    2

    1

    2

    1

    2

    2

    1

    3

    45

    6

    2

    312

    411

    510

    6

    7

    8

    9

    13

    1415

    1

    1

    4

    67

    2

    3

    5

    1

    2

    3

    45

    6

    7

    1

    2

    34

    5

    6

    7

    8

    910

    11

    12

    13

    1

    2

    3

    414

    15

    513

    612

    711

    8109

    16

    20

    1723

    1822

    1921

    24

    1

    23

    4

    6

    57

    1

    2

    2

    1

    3

    1

    3

    24

    5

    8

    6

    79

    10

    TRAVAGLIO

    PARTO INDOLORE

    PARTO CESAREO

    PARTO

    DOLORE

    INFORMAZIONI

    FORMAZIONE

    RICERCA

    SERVIZIO SANITARIO

    STRUTTURA OSPEDALIERA

    ASSICURAZIONI

    1

    OSTETRICIA

    CORSO PRE-PARTO

    BENESSERE FETALE

    PERCORSO NASCITE

    SOFFERENZA FETALE

    MORTE FETALE/MATERNA

    SOFFERENZA MATERNA

    CODICE ETICO

    PARTO NATURALE

    GRAVIDANZA

    BENESSERE MATERNO

    CAUSE LEGALI

    ANSIA/STRESS

    ANESTESIA

    HOW TO READ IT?

    KEYWORD

    KEYWORD + NOUN/ADJECTIVE

    SIMILAR MORPHEME

    DIFFERENT MORPHEME

  • SEMANTIC ANALYSIS 05a 52

    211

    36

    7

    8

    9

    10

    11

    12

    13

    14

    15

    16

    1718

    19

    20

    22

    23

    24

    25

    45

    2

    6

    1

    2

    3

    45

    6

    7

    8

    919

    20

    1018

    1117

    1216

    131514

    21

    23

    2224

    1

    2

    310

    49

    58

    67

    1112

    13

    1429

    1528

    1627

    1726

    1825

    1924

    20232122

    30

    31

    3233

    34

    35

    36

    37

    38

    39

    40

    41

    42

    53

    52

    51

    50

    49

    48

    47

    46

    45

    44 43

    1

    2

    323224

    521

    620

    719

    818

    917

    1016

    11151214 13

    24

    2526

    1

    4

    2

    3

    9

    1314

    10

    5

    6

    7

    811

    12

    1

    19

    23

    4

    5

    7

    8

    911

    12

    13

    614

    15

    16

    17

    10

    18

    20

    2

    46

    5

    1

    3

    1 35

    2

    4

    67

    8

    9

    10

    11

    12

    13

    141516

    17

    18

    19

    20

    21

    22

    1

    5

    11

    2

    3

    9

    1012

    13

    7

    46

    8

    1

    23

    23

    1

    1

    2

    1

    2

    1

    2

    2

    1

    3

    45

    6

    2

    312

    411

    510

    6

    7

    8

    9

    13

    1415

    1

    1

    4

    67

    2

    3

    5

    1

    2

    3

    45

    6

    7

    1

    2

    34

    5

    6

    7

    8

    910

    11

    12

    13

    1

    2

    3

    414

    15

    513

    612

    711

    8109

    16

    20

    1723

    1822

    1921

    24

    1

    23

    4

    6

    57

    1

    2

    2

    1

    3

    1

    3

    24

    5

    8

    6

    79

    10

    TRAVAGLIO

    PARTO INDOLORE

    PARTO CESAREO

    PARTO

    DOLORE

    INFORMAZIONI

    FORMAZIONE

    RICERCA

    SERVIZIO SANITARIO

    STRUTTURA OSPEDALIERA

    ASSICURAZIONI

    1

    OSTETRICIA

    CORSO PRE-PARTO

    BENESSERE FETALE

    PERCORSO NASCITE

    SOFFERENZA FETALE

    MORTE FETALE/MATERNA

    SOFFERENZA MATERNA

    CODICE ETICO

    PARTO NATURALE

    GRAVIDANZA

    BENESSERE MATERNO

    CAUSE LEGALI

    ANSIA/STRESS

    ANESTESIA

  • SEMANTIC ANALYSIS 05a 53

    ASSICURAZIONI

    01. ASSICURAZIONI

    02. ASSICURAZIONI CONVENZIONATE

    03. CONVENZIONE CON LE SEGUENTI ASS.

    04. DIVERSE ASSICURAZIONI SANITARIE

    05. SERVIZIO ASSICURAZIONI

    06. ASSICURAZIONE SANITARIA INTEGRATIVA

    07. ASSICURAZIONE MALATTIA

    08. ASSICURAZIONE SANITARIA

    09. CONTRATTO D'ASSICURAZIONE

    10. PROPRIA ASSICURAZIONE

    11. COMPAGNIE ASSICURATIVE

    12. MAGGIORI COMPAGNIE ASSICURATIVE

    13. COMPAGNIE ASSICURATIVE ITALIANE

    14. IMPORTANTI COMPAGNIE ASSICURATIVE

    15. MAGGIORI COMPAGNIE

    16. COMPAGNIE ASSICURATIVE CONVENZIONATE

    17. COMPAGNIE ASSICURATIVE NAZIONALI

    18. COMPAGNIA ASSICURATRICE

    19. FONDO ASSICURATIVO

    20. ENTI ASSICURATIVI

    21. ISTITUTI ASSICURATIVI

    22. ATTIVIT ASSICURATIVA

    23. POLIZZA ASSICURATIVA

    24. PRATICA ASSICURATIVA

    25. PRINCIPALI NETWORK ASSICURATIVI

    26. QUALSIASI FONDO ASSICURATIVO

    27. RELATIVE COPERTURE ASSICURATIVE

    28. TESSERINO ASSICURATIVO

    29. UFFICI ASSICURATIVI

    30. COPERTURA ASSICURATIVA

    31. MASSIMALE ASSICURATO

    32. FONDI ASSISTENZIALI INTEGRATIVI

    33. BLUE ASSISTANCE

    34. SARA ASSICURAZIONI

    35. ASSICURAZIONI GENERALI

    36. ASSISTANCE

    37. AURORA

    38. CASAGIT SIA DIRETTA

    39. CASPIE DIRETTA

    40. CATTOLICA ASSICURAZIONE DIRETTA

    41. CONSORZIO MUSA DIRETTA

    42. FASCHIM DIRETTA

    43. FASI DIRETTA

    44. FASI OPEN DIRETTA

    45. GGL EUROPE ASSISTANCE

    46. GRUPPO ASSI.RE.CRE

    47. GRUPPO GENERALI DIRETTA

    48. GRUPPO UNIPOL

    49. MONDIAL ASSISTANCE

    50. NEWMED DIRETTA

    51. PREVIMEDICAL DIRETTA

    52. SISTEMI SANITARI DIRETTA

    53. UNISALUTE DIRETTA

    SERVIZIO SANITARIO

    01. SERVIZIO SANITARIO

    02. SERVIZIO SANITARIO NAZIONALE

    03. SERVIZIO SANITARIO REGIONALE

    04. SERVIZIO SANITARIO REGIONALE E NAZIONALE

    05. SERVIZIO SANITARIO TOSCANO

    06. SSN

    07. SISTEMA SANITARIO NAZIONALE

    08. SISTEMA SANITARIO REGIONALE

    09. SANITARI

    10. SANITARIO NAZIONALE

    11. SANITARIE

    12. SANITARIO

    13. SANITARIO NAZIONALE PUBBLICO

    14. SANITARIO REGIONALE

    15. SETTORE SANITARIO SICILIANO

    16. AZIENDA SANITARIA

    17. AZIENDA REGIONALE SERVIZI SANITARI

    18. AZIENDE SANITARIE LOCALI

    19. AZIENDE SANITARIE PRESENTI

    20. AZIENDE SANITARIE PUBBLICHE

    21. AZIENDA SANITARIA FIRENZE

    22. ASSISTENZA SANITARIA

    23. ASSISTENZA SANITARIA INTEGRATIVA

    24. SANIT NAZIONALE

    25. SANIT PRIVATA

    STRUTTURA OSPEDALIERA

    01. STRUTTURA OSPEDALIERA

    02. STRUTTURA OSPEDALIERA BOLOGNESE

    03. STRUTTURA OSPEDALIERA PRIVATA

    04. STRUTTURA OSPEDALIERA PUBBLICA

    05. STRUTTURA OSPEDALIERA VERA

    06. STRUTTURE OSPEDALIERE PERIFERICHE

    07. STRUTTURE SANITARIE OSPEDALIERE

    08. STRUTTURA SANITARIA

    09. NUMEROSE STRUTTURE SANITARIE

    10. STRUTTURE SANITARIE PUBBLICHE

    11. STRUTTURA SANITARIA PRIVATA

    12. STRUTTURE SANITARIE INTERESSATE

    13. STRUTTURE SANITARIE REGIONALI

    14. STRUTTURE SANITARIE CAMPANE

    15. STRUTTURE SANITARIE INTERNE

    16. STRUTTURE SANITARIE DELL'AZIENDA

    17. STRUTTURE SANITARIE ADERENTI

    18. STRUTTURE SANITARIE TERRITORIALI

    19. STRUTTURE SANITARIE ASSISTENZIALI

    20. STRUTTURA PRIVATA

    21. ITALIANA OSPEDALIT PRIVATA

    22. NELL'OSPEDALE PRIVATO

    23. EROGAZIONE DELL'ASSISTENZA OSPEDALIERA

    24. AZIENDA OSPEDALIERA UNIVERSITARIA

    FORMAZIONE

    01. SETTORE FORMAZIONE

    02. FORMAZIONE ECM

    03. FORMAZIONE SANITARIA

    04. FORMAZIONE ATTIVIT FORMATIVE

    05. FORMAZIONE SPECIALISTICA

    06. TIROCINIO DI FORMAZIONE

    07. ATTIVIT FORMATIVE

    08. EVENTI FORMATIVI

    09. CREDITI FORMATIVI

    10. EVENTI FORMATIVI PROGRAMMATI

    11. INCONTRI FORMATIVI

    12. AGGIORNAMENTO CONTINUO

    13. AGGIORNAMENTO PROFESSIONALE

    14. MIGLIORAMENTO CONTINUO

    INFORMAZIONI

    01. INFORMAZIONI

    02. INFORMAZIONI UTILI

    03. INFORMAZIONI INERENTI

    04. INFORMAZIONI NECESSARIE

    05. MAGGIORI INFORMAZIONI

    06. CURA INFORMAZIONI COMPLETE

    07. STRUTTURA SANITARIA INFORMAZIONI

    08. ULTERIORI INFORMAZIONI

    09. UFFICIO INFORMAZIONI

    10. COMPRENSIBILI INFORMAZIONI

    11. FORNIRVI INFORMAZIONI RELATIVE

    12. INFORMAZIONI ESAUSTIVE

    13. INFORMAZIONI GENERALI

    14. INFORMAZIONI I PAZIENTI

    15. INFORMAZIONI INTEGRATIVE

    16. INFORMAZIONI MEDICO-SCIENTIFICHE

    17. INFORMAZIONI RELATIVE

    18. PRECISE INFORMAZIONI

    19. RICHIESTA INFORMAZIONI

    20. STESSE INFORMAZIONI

    21. SUDDETTE INFORMAZIONI

    22. COSTANTE INFORMAZIONE

    23. ADEGUATA INFORMAZIONE

    24. INFO UTILI

    25. SCHEDE INFORMATIVE

    26. MATERIALE INFORMATIVO

    RICERCA

    01. RICERCA

    02. RICERCA SCIENTIFICA

    03. RICERCA CLINICA

    04. RICERCA SANITARIA

    05. IMPORTANTE INNOVAZIONE RICERCA

    06. AREA SCIENTIFICA RICERCA

    07. RICERCA APPLICATA

    08. RICERCA CLINICA NAZIONALI

    09. RICERCA CLINICO ASSISTENZIALE

    10. RICERCA CORRENTE

    11. RICERCA INNOVATIVA

    12. RICERCA LIBERA

    13. RICERCA MEDICO-SCIENTIFICA

    14. RICERCA PRECOCE

    15. RICERCA PRESSO PRESTIGIOSI

    16. RICERCA SCIENTIFICA CLINICA

    17. RICERCA SPERIMENTALE

    18. RICERCATORI DELL'EURAC

    19. RICERCATRICE TELETHON

    20. ADEGUATA PREPARAZIONE SCIENTIFICA

  • SEMANTIC ANALYSIS 05a 54

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    36

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    1718

    19

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    22

    23

    24

    25

    45

    2

    6

    1

    2

    3

    45

    6

    7

    8

    919

    20

    1018

    1117

    1216

    131514

    21

    23

    2224

    1

    2

    310

    49

    58

    67

    1112

    13

    1429

    1528

    1627

    1726

    1825

    1924

    20232122

    30

    31

    3233

    34

    35

    36

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    42

    53

    52

    51

    50

    49

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    47

    46

    45

    44 43

    1

    2

    323224

    521

    620

    719

    818

    917

    1016

    11151214 13

    24

    2526

    1

    4

    2

    3

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    1314

    10

    5

    6

    7

    811

    12

    1

    19

    23

    4

    5

    7

    8

    911

    12

    13

    614

    15

    16

    17

    10

    18

    20

    2

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    5

    1

    3

    1 35

    2

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    8

    9

    10

    11

    12

    13

    141516

    17

    18

    19

    20

    21

    22

    1

    5

    11

    2

    3

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    13

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    411

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    1

    2

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    11

    12

    13

    1

    2

    3

    414

    15

    513

    612

    711

    8109

    16

    20

    1723

    1822

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    24

    1

    23

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    57

    1

    2

    2

    1

    3

    1

    3

    24

    5

    8

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    79

    10

    TRAVAGLIO

    PARTO INDOLORE

    PARTO CESAREO

    PARTO

    DOLORE

    INFORMAZIONI

    FORMAZIONE

    RICERCA

    SERVIZIO SANITARIO

    STRUTTURA OSPEDALIERA

    ASSICURAZIONI

    1

    OSTETRICIA

    CORSO PRE-PARTO

    BENESSERE FETALE

    PERCORSO NASCITE

    SOFFERENZA FETALE

    MORTE FETALE/MATERNA

    SOFFERENZA MATERNA

    CODICE ETICO

    PARTO NATURALE

    GRAVIDANZA

    BENESSERE MATERNO

    CAUSE LEGALI

    ANSIA/STRESS

    ANESTESIA

  • SEMANTIC ANALYSIS 05a 55

    OSTETRICIA

    01. OSTETRICIA

    02. CAMPO DELL'OSTETRICIA

    03. COMPARTO DELL'OSTETRICIA

    04. OPERATIVA DI OSTETRICIA

    05. REPARTO OSTETRICIA

    06. ECOGRAFIA OSTETRICA

    07. CLINICA OSTETRICA

    08. DIAGNOSTICA OSTETRICA

    09. ASSISTENZA OSTETRICA

    10. SCIENZA OSTETRICA

    11. OSTETRICHE

    12. OSTETRICHE DELL'UNIT OPERATIVA

    13. PATOLOGIE OSTETRICHE

    14. PRINCIPALI PROCEDURE OSTETRICHE

    15. VISITE OSTETRICHE

    16. SOCCORSO GINECOLOGICO OSTETRICO

    17. PRONTO SOCCORSO OSTETRICO

    18. ECOGRAFIA OSTETRICO GINECOLOGICA

    19. AMBULATORIO OSTETRICO

    20. INTERESSE OSTETRICO-NEONATALE

    21. INTENSA ATTIVIT OSTETRICO-GINECOLOGICA

    22. INTERVENTI OSTETRICI

    CORSO PRE-PARTO

    01. INDAGINI PRENATALI PRE-PARTO

    02. PRENATALI PRE-PARTO

    03. MEDICINA PRENATALE

    04. DIAGNOSTICA PRENATALE

    05. DIAGNOSI PRENATALE

    06. ASSISTENZA PERINATALE

    BENESSERE FETALE

    01. BENESSERE FETALE

    02. FETAL MEDICINE FOUNDATION

    03. FREQUENZA CARDIACA FETALE

    04. CARDIACA FETALE

    05. ATTIVIT CARDIACA FETALE

    06. ECOCARDIOGRAFIE FETALI

    07. ECOCARDIOGRAMMA FETALE

    08. NEONATO SANO

    09. NEONATO NORMALE

    10. ASSISTENZA NEONATALE

    11. ECOGRAFIE NEONATALI

    12. FASE NEONATALE

    13. REPARTO NEONATALE

    PERCORSO NASCITE

    01. PERCORSO NASCITE

    SOFFERENZA FETALE

    01. MALATTIA FETALE

    02. IDROPE FETALE

    03. MALFORMAZIONI FETALI

    04. PATOLOGIE SISTEMA FETO

    05. PATOLOGIA NEONATALE

    06. TERAPIA INTENSIVA NEONATALE

    07. ITTERNO NEONATALE

    08. RIANIMAZIONE NEONATALE

    09. NEONATO PATOLOGICO

    10. NASCITE PREMATURE

    MORTE FETALE/MATERNA

    01. MORTALIT MATERNO-INFANTILE

    02. MORTE CEREBRALE

    03. MORTI ENCEFALICHE

    SOFFERENZA MATERNA

    01. PATOLOGIA UTERINA

    02. PATOLOGIE ENDOCAVITARIE UTERINE

    03. MALFORMAZIONI UTERINE

    CODICE ETICO

    01. CODICE ETICO

    02. CODICE ETICO COMPORTAMENTALE

    03. CODICE ETICO DEONTOLOGICO

    04. CODICE ETICO EUROSANIT

    05. ATTO ETICO

    06. CARATTERE ETICO

    07. COMITATO ETICO

    08. RISCHI ETICO COMPORTAMENTALI

    09. ETICA CLINICA

    10. SOCIET ETICA

    11. RISPETTO ASSOLUTO DELL'ETICA

    12. ETICA

    13. RIFERIMENTO ALL'ETICA UMANA

    211

    36

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    8

    9

    10

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    1718

    19

    20

    22

    23

    24

    25

    45

    2

    6

    1

    2

    3

    45

    6

    7

    8

    919

    20

    1018

    1117

    1216

    131514

    21

    23

    2224

    1

    2

    310

    49

    58

    67

    1112

    13

    1429

    1528

    1627

    1726

    1825

    1924

    20232122

    30

    31

    3233

    34

    35

    36

    37

    38

    39

    40

    41

    42

    53

    52

    51

    50

    49

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    44 43

    1

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    323224

    521

    620

    719

    818

    917

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    11151214 13

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    2

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    9

    1314

    10

    5

    6

    7

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    12

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    12

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    15

    16

    17

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    2

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    9

    10

    11

    12

    13

    141516

    17

    18

    19

    20

    21

    22

    1

    5

    11

    2

    3

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    13

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    8

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    23

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    2

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    2

    1

    2

    2

    1

    3

    45

    6

    2

    312

    411

    510

    6

    7

    8

    9

    13

    1415

    1

    1

    4

    67

    2

    3

    5

    1

    2

    3

    45

    6

    7

    1

    2

    34

    5

    6

    7

    8

    910

    11

    12

    13

    1

    2

    3

    414

    15

    513

    612

    711

    8109

    16

    20

    1723

    1822

    1921

    24

    1

    23

    4

    6

    57

    1

    2

    2

    1

    3

    1

    3

    24

    5

    8

    6

    79

    10

    TRAVAGLIO

    PARTO INDOLORE

    PARTO CESAREO

    PARTO

    DOLORE

    INFORMAZIONI

    FORMAZIONE

    RICERCA

    SERVIZIO SANITARIO

    STRUTTURA OSPEDALIERA

    ASSICURAZIONI

    1

    OSTETRICIA

    CORSO PRE-PARTO

    BENESSERE FETALE

    PERCORSO NASCITE

    SOFFERENZA FETALE

    MORTE FETALE/MATERNA

    SOFFERENZA MATERNA

    CODICE ETICO

    PARTO NATURALE

    GRAVIDANZA

    BENESSERE MATERNO

    CAUSE LEGALI

    ANSIA/STRESS

    ANESTESIA

  • SEMANTIC ANALYSIS 05a 56

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    25

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    45

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    20

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    1216

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    21

    23

    2224

    1

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    310

    49

    58

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    1112

    13

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    1627

    1726

    1825

    1924

    20232122

    30

    31

    3233

    34

    35

    36

    37

    38

    39

    40

    41

    42

    53

    52

    51

    50

    49

    48

    47

    46

    45

    44 43

    1

    2

    323224

    521

    620

    719

    818

    917

    1016

    11151214 13

    24

    2526

    1

    4

    2

    3

    9

    1314

    10

    5

    6

    7

    811

    12

    1

    19

    23

    4

    5

    7

    8

    911

    12

    13

    614

    15

    16

    17

    10

    18

    20

    2

    46

    5

    1

    3

    1 35

    2

    4

    67

    8

    9

    10

    11

    12

    13

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    17

    18

    19

    20

    21

    22

    1

    5

    11

    2

    3

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    13

    7

    46

    8

    1

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    23

    1

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    2

    1

    2

    2

    1

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    6

    2

    312

    411

    510

    6

    7

    8

    9

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    1

    1

    4

    67

    2

    3

    5

    1

    2

    3

    45

    6

    7

    1

    2

    34

    5

    6

    7

    8

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    11

    12

    13

    1

    2

    3

    414

    15

    513

    612

    711

    8109

    16

    20

    1723

    1822

    1921

    24

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    1

    2

    2

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    3

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    5

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    6

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    TRAVAGLIO

    PARTO INDOLORE

    PARTO CESAREO

    PARTO

    DOLORE

    INFORMAZIONI

    FORMAZIONE

    RICERCA

    SERVIZIO SANITARIO

    STRUTTURA OSPEDALIERA

    ASSICURAZIONI

    1

    OSTETRICIA

    CORSO PRE-PARTO

    BENESSERE FETALE

    PERCORSO NASCITE

    SOFFERENZA FETALE

    MORTE FETALE/MATERNA

    SOFFERENZA MATERNA

    CODICE ETICO

    PARTO NATURALE

    GRAVIDANZA

    BENESSERE MATERNO

    CAUSE LEGALI

    ANSIA/STRESS

    ANESTESIA

  • SEMANTIC ANALYSIS 05a 57

    GRAVIDANZA

    01. GRAVIDANZA

    02. BELLISSIMA GRAVIDANZA

    03. DONNE GRAVIDE

    04. ORMONI GRAVIDICI

    05. 20ESIMA SETTIMANA

    06. TERZO TRIMESTRE

    07. FUTURA MAMMA

    PARTO NATURALE

    01. PARTO NATURALE

    02. PARTO SPONTANEO

    03. PARTO FISIOLOGICO

    04. PARTO VAGINALE

    05. PARTO TRADIZIONALE

    06. SALA PARTO TRADIZIONALE

    BENESSERE MATERNO

    01. BENESSERE DONNA

    02. BENESSERE FISICO

    03. MIGLIOR BENESSERE POSSIBILE

    04. DIAGNOSTICA ECOGRAFICA GINECOLOGICA

    05. REPARTO MATERNIT

    06. ASSISTENZA DONNA

    07. PRECOCE RELAZIONE MADRE-BAMBINO

    CAUSE LEGALI

    01. LEGALI

    02. AUTORIT GIUDIZIARIA

    ANSIA/STRESS

    01. ANSIE

    02. STRESS POSTNATALE

    03. PSICOSI PUERPERALI

    ANESTESIA

    01. ANESTESIA

    02. ACCETTAZIONE ANESTESIA

    03. ANESTESIA GENERALE

    04. ANESTESIA SPINALE

    05. ANESTESIA SPINALE SELETTIVA

    06. ANESTESIA COMBINATA

    07. ANESTESIA ENDOVENOSA

    08. ANESTESIA PERIDURALE

    09. ANESTESIA LOCO-REGIONALE

    10. MIGLIORE ANESTESIA

    11. ANESTESIA EPIDURALE

    12. ANESTESIA REGIONALE

    13. ANESTESIA RIANIMAZIONE

    14. ANESTESIA ADDIZIONALE

    15. MEDICO RESPONSABILE DELL'ANESTESIA

    16. ANESTETICO GENERALE

    17. ANESTETICI GENERALI GASSOSI

    18. ASSISTENZA ANESTESIOLOGICA

    19. TECNICA ANESTESIOLOGICA

    20. ANALGESIA

    21. ANALGESIA EPIDURALE

    22. PARTO ANALGESIA

    23. PARTO ANALGESIA PERIDURALE

    24. EPIDURALE L'INIEZIONE

  • The visualization made through the Sankey diagram focuses the attention on the occurrence of keywords in the sites of private and public structures.We have tried to give an initial overview comparing public and private, and then go into detail of the individual departments.We want to underline that in our analysis we have considered only public structure with a specific website.

    The visualization shows the results of semantic analysis that we made analyzing quantitatively the keywords extracted from the tool Alchemy API.For example, as regards the public sector were selected 143 links from the corpus of 325 initial links. We considered only public hospitals with an institutional site, removing all the links refer to local health authorities, USSL, Health Provincial and Territorial AsurZona and other links related to sub-pages and not to the actual site of the hospital . This corpus of 143 links was analyzed

    with the tool LinkRipper that generated 5,721 internal links. We decided to analyze the internal links link with the same domain in order to search for keywords within the structure of the site, and to have a result as close as possible to each hospital analyzed. For the extraction of keywords, the internal links corpus of 5,721 was analyzed with the tool Alchemy API, which generated CSV files containing 92,163 keywords and entities.We decided to use keywords and entities because they return a result most faithful and reliable for our research. After that, the 92,163 keywords were cleaned and refined through Google Refine, removing duplicates and misspellings, making the files more manageable and understandable. Subsequently, given the high number of tags obtained, we had to make a manual cleaning, eliminating all the tags with a relevance lower than 0.5 in order to have an optimal number of words on which to work,

    obtaining a corpus of 37,779 keywords. With an additional manual cleaning, we removed all the keywords irrilevant for our topic as personal names, names of rivers, cities, regions, countries, continents, words related to specific medical practices, links to e-mail addresses, links to javascript, streets, squares and addresses, social networks, references to documents or documents, pdf doc, disease and medical and surgical practices external to our topic and a number of words that do not fit into specific categories, but are not helpful to our analysis.This manual cleaning produced as result a list of 31,344 keywords; based on 27 selected keywords, as shown in the previous visualization, we searched, selected and displayed how many times a particular keyword is repeated and in which hospital or private structure.

    Semantic research:who talks more then others.

    SEMANTIC ANALYSIS 05a 58

    Public Structures talk more about

    Research, Pain, Litigations and Death

    compared with the Private ones that

    speak much more about general topic as

    Health System and other topics deeply

    related to delivery as Labour, Delivery,

    Suffering, Wellness and Anesthesia.

  • RICERCA

    STRUTTURA OSPEDALIERA

    SERVIZIO SAN

    ITAR

    IO

    DOLORE

    CODICE ETICO

    GRAVIDAN

    ZA

    PARTO

    PERCORSO NAS

    CITE

    ANES

    TESIA

    CAUSE LEG

    ALI

    INFO

    RMAZ

    IONI

    MORTE

    ASSICURAZ

    IONI

    PARTO CES

    AREO

    TRAVAG

    LIO

    OSTETR

    ICIA

    PUBLICPRIVATE

    BENES

    SERE FETALE

    ANSIA/STR

    ESS

    BENES

    SERE MATERNO

    FORMAZ

    IONE

    SOFFERENZA FE

    TALE

    CORSO PRE PAR

    TO

    SOFFERENZA MATERNA

    HOW TO READ IT?

    stroke

    WORD COUNT

    MIN. 1 WORD

    MAX. 466 WORDS

    RICERCA

    STRUTTURA OSPEDALIERA

    SERVIZIO SANITARIO

    DOLORE

    CODICE ETICO

    GRAVIDANZA

    PARTO

    ANESTESIA

    INFORMAZIONI

    ASSICURAZIONI

    OSTETRICIA

    FORMAZIONE

    PERCORSO NASCITE

    BENESSERE FETALE

    SOFFERENZA FETALE

    CAUSE LEGALI

    MORTE

    PARTO CESAREO

    TRAVAGLIO

    ANSIA/STRESS

    BENESSERE MATERNO

    CORSO PRE PARTO

    SOFFERENZA MATERNA

  • named almost exclusively by clinics and nursing homes in the private sector except for the keywords pain that it is appointed to a greater extent by the public.

    The keywords were visualized through the Sankey diagram by assigning a color to each keyword according to color groups assigned to the concept that expresses each word and a thickness ranging from 0.5 pt for a word that is repeated only once and 233 pt for a word that is repeated 466 times.At first glance it is clear that the private structures talks more than the public ones, and appoints the keywords with a frequency higher than public hospitals. The keyword that is mentioned more is health care service while death isthe nominated only once.

    The visualization shows that the private structures speak more than public hospitals, talking about more issues related to the keywords insurance, code of ethics, birth, anesthesia, health services and information.Public hospitals speak talk more research, pain, path birth, litigations and death. The keywords related to emotional states and / or sensations are

    PUBLICPRIVATE

    POLICLINICO SAN

    MATTEO DI PAV

    IA FONDAZ

    IONE IRCCS

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    IERA CA

    REG

    GI

    AZIENDA OSPEDAL

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    GRUPPO MULTIM

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    TERNAZ

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    IERA SAS

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    IERA DI VALTELLINA E VALCHIAVE

    NNA

    AZIENDA OSPEDAL

    IERA PROVINCIA DI LEC

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    AZIENDA OSPEDAL

    IERA CITT DELLA SALUTE E DELLA SCIENZA DI TORINO

    OSPEDAL

    E S.CROCE E CAR

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    AZIENDA OSPEDAL

    IERA DI PERUGIA

    AZIENDA OSPEDAL

    IERA NAZ

    IONAL

    E SS. ANTO

    NIO E BIAGIO E CES

    ARE ARRIGO

    AZIENDA OSPEDAL

    IERA DI BOLO

    GNA

    POLICLINICO DI BAR

    I OSPEDAL

    E GIOVANNI XXIII

    AZIENDA OSPEDAL

    IERA DI REG

    GIO EMILIA

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    E DI CIRCOLO

    DI BUSTO ARSIZIO

    AZIENDA OSPEDAL

    IERO-UNIVERSITAR

    IA DI FERRAR

    A

    AZIENDA SAN

    ITAR

    IA TOSCA

    NA

    AZIENDA OSPEDAL

    IERA S.AN

    TONIO GALLA

    RATE

    AZIENDA OSPEDAL

    IERA SIENA

    OSPEDAL

    E VILLA

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    AZIENDA OSPEDAL

    IERA DI CIRCOLO

    DI M

    ELE

    GNAN

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    IA POLICLINICO VITTO

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    IERA BOLO

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    IERA DELLA PROVINCIA DI PAV

    IA

    AZIENDA OSPEDAL

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    TA MAR

    IA DEG

    LI ANGELI

    AZIENDA OSPEDAL

    IERA CA

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    IERA ORDINE MAU

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    FANTILE

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    CASA DI CURA SALUS SRL

    CASA DI CURA SAN

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    E IN

    TERNAZ

    IONAL

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    E PRIVATO DOMUS NOVA SPA

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    IA ROSAR

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    CLINICA SAN

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    TO CLINICO BEATO MATTEO

    VILLA DEI FIORI SRL

    SALUS HOSPITAL SPA

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    CASA DI CURA VILLA IGEA SRL

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    E PRIVATO VILLA

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    CIA HOSPITAL SRL

    SAN

    TA MAR

    IA MAD

    DAL

    ENA

    VILLA MAF

    ALDA SPA

    SEDES

    SAP

    IENTAE

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    TO CLINICO ZUCCHI PRES

    IDIO MONZA

    CASA DI CURA GRETTER GES

    T.C.M.C SRL

    CASA DI CURA VILLA CA

    NDELA

    SPA

    I.R.C.C.S.POL. SAN

    DONATO

    CASA DI CURA ORES

    TANO SRL

    VILLA DONATELLO SPA

    ISTITU

    TO CLINICO CITT DI BRES

    CIA SPA

    CASA DI CURA TO

    RTO

    RELLA SPA

    VILLA MAR

    GHERITA SPA

    CASA DI CURA VILLA ERBOSA SPA

    CASA DI CURA CIELLINI SPA

    CASA DI CURA NOSTRA SIGNORA LO

    URDES

    VILLA TO

    RRI H

    OSPITAL SRL

    OSPEDAL

    E PRIVATO ACCREDITATO VILLA

    REG

    INA

    CASA DI CURA SAN

    MICHELE

    SRL

    PINETA GRAN

    DE SPA

    CASA DI CURA SAN

    CAM

    ILLO

    SRL

    CASA DI CURA FA

    BIA MATER SPA

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    ANGIONI H

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    CLINICA PRIVATA VILLAL

    BA SRL

    CASA DI CURA VILLA ELISA SPA

    CASA DI CURA CA

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    SPA

    CAS

    A DI CURA ULIVE

    LLA E GLICINI

    ISTITU

    TO CLINICO S.AMBROGIO SPA

    ISTITU

    TO CLINICO SAN

    SIRO SPA

    NUOVA CLINICA AN

    NUNZIATELLA SRL

    POLICLINICO SAN

    MAR

    CO ISTITUTO

    OSP BERGAM

    O

    CASA DI CURA VILLA MAIONE SRL

    CASA DI CURA SAN

    FRAN

    CES

    CO SRL

    CASA DI CURA CITT DI APRILIA SRL

    CASA DI CURA PRIVATA S.GIORGIO SPA

    CASA DI CURA TR

    IOLO

    ZAN

    CA SPA

    POLICLINICO CAS

    ALINO EUROSAN

    IT SPA

    CASA DI CURA SERENA SPA

    QUISISAN

    A

    CASA DI CURA AN

    DREA GRIM

    ALDI SRL

    CASA DI CURA VILLA IGEA SPA

    VILLA SAN

    TA MAR

    IA DI LEUCA

    CASA DI SALUTE SAN

    TA LUCIA SRL

    ISTITU

    TO CLINICO SAN

    TAN

    NA

    ABAN

    O TERME SPA

    ARS MEDICA SPA

    CASA DI CURA VILLA FIORITA SPA

    CASA DI CURA VILLA GEMMA SPA

    ISTITU

    TO CLINICO SAN

    ROCCO

    CASA DI CURA VILLA ELE

    NA SRL

    ISTITU

    TI CLINICI D

    I PAV

    IA E VIGEVANO SRL

    At the firts glange we can see that the

    Private Structures speak much more

    compared with the Public one, probably

    for communicate its services and benefits.

  • PUBLICPRIVATE

    POLICLINICO SAN

    MATTEO DI PAV

    IA FONDAZ

    IONE IRCCS

    OSPEDAL

    E GIANNINA GAS

    LINI

    AZIENDA OSPEDAL

    IERA CA

    REG

    GI

    AZIENDA OSPEDAL

    IERA TERNI

    AZIENDA OSPEDAL

    IERA SAN

    GIUSEPPE MOSCATI

    FONDAZ

    IONE POLIAM

    BULA

    NZA ISTITU

    TO OSPEDAL

    IERO

    AZIENDA SAN

    ITAR

    IA DI ROVIGO

    GRUPPO MULTIM

    EDICA

    OSPEDAL

    E OPERA PA

    DRE PIO

    OSPEDAL

    E GALLIERA

    AZIENDA SAN

    ITAR

    IA DELLALTO ADIGE

    OSPEDAL

    E LUIGI SAC

    CO

    AZIENDA OSPEDAL

    IERO-UNIVERSITAR

    IA DI PAR

    MA

    AZIENDA OSPEDAL

    IERA SAN

    PAO

    LO

    AZIENDA OSPEDAL

    IERA SAN

    SALVATO

    RE

    AZIENDA OSPEDAL

    IERA RUMMO

    AZIENDA PROVINCIALE

    PER I SERVIZI SAN

    ITAR

    I

    AZIENDA OSPEDAL

    IERA LO

    DI

    OSPEDAL

    E DI CIRCOLO

    E FONDAZ

    IONE MAC

    CHI VAR

    ESE

    AZIENDA OSPEDAL

    IERA TR

    EVIGLIO

    OSPEDAL

    I RIUNITI BERGAM

    O

    AZIENDA OSPEDAL

    IERA DES

    IO E VIM

    ERCATE

    OSPEDAL

    E EVANGELICO IN

    TERNAZ

    IONAL

    E

    AZIENDA OSPEDAL

    IERA DI RILIEVO

    NAZ

    IONAL

    E E ALTA SPEC

    IALIZZAZ

    IONE GAR

    IBAL

    DI

    AZIENDA OSPEDAL

    IERA UNIVERSITAR

    IA OO.RR. S.GIOVANNI D

    I DIO E RUGGI DARAG

    ONA

    AZIENDA OSPEDAL

    IERA SAS

    SAR

    I

    PRES

    IDIO SAN

    ITAR

    IO SAN

    CAM

    ILLO

    AZIENDA OSPEDAL

    IERA DI VALTELLINA E VALCHIAVE

    NNA

    AZIENDA OSPEDAL

    IERA PROVINCIA DI LEC

    CO

    AZIENDA OSPEDAL

    IERA CITT DELLA SALUTE E DELLA SCIENZA DI TORINO

    OSPEDAL

    E S.CROCE E CAR

    LE DI CUNEO

    AZIENDA OSPEDAL

    IERA DI PERUGIA

    AZIENDA OSPEDAL

    IERA NAZ

    IONAL

    E SS. ANTO

    NIO E BIAGIO E CES

    ARE ARRIGO

    AZIENDA OSPEDAL

    IERA DI BOLO

    GNA

    POLICLINICO DI BAR

    I OSPEDAL

    E GIOVANNI XXIII

    AZIENDA OSPEDAL

    IERA DI REG

    GIO EMILIA

    OSPEDAL

    E DI CIRCOLO

    DI BUSTO ARSIZIO

    AZIENDA OSPEDAL

    IERO-UNIVERSITAR

    IA DI FERRAR

    A

    AZIENDA SAN

    ITAR

    IA TOSCA

    NA

    AZIENDA OSPEDAL

    IERA S.AN

    TONIO GALLA

    RATE

    AZIENDA OSPEDAL

    IERA SIENA

    OSPEDAL

    E VILLA

    SALUS

    AZIENDA OSPEDAL

    IERA DI CIRCOLO

    DI M

    ELE

    GNAN

    OMELE

    GNAN

    O

    OSPEDAL

    E SAC

    RO CUORE DON CAL

    ABRIA

    POLICLINICO DI M

    ODENA

    AZIENDA OSPEDAL

    IERO-UNIVERSITAR

    IA POLICLINICO VITTO

    RIO EMAN

    UELE

    SPEDAL

    I CIVILI BRES

    CIA

    AZIENDA OSPEDAL

    IERA BOLO

    GNINI SERIATE

    AZIENDA OSPEDAL

    IERA DELLA PROVINCIA DI PAV

    IA

    AZIENDA OSPEDAL

    IERA SAN

    TA MAR

    IA DEG

    LI ANGELI

    AZIENDA OSPEDAL

    IERA CA

    RLO

    POMA

    AZIENDA OSPEDAL

    IERA DI CREMONA

    AZIENDA OSPEDAL

    IERA ORDINE MAU

    RIZIANO DI TORINO

    IRCCS MATERNO IN

    FANTILE

    BURLO

    GAR

    OFO

    LO

    CASA DI CURA SALUS SRL

    CASA DI CURA SAN

    TA RITA SPA

    LA VIALA

    RDA SPA

    DAMORE SRL

    OSPEDAL

    E IN

    TERNAZ

    IONAL

    E SRL

    OSPEDAL

    E PRIVATO DOMUS NOVA SPA

    ISTITU

    TO CLINICO ZUCCHI PRES

    IDIO CAR

    ATE BRIANZA

    MAR

    IA ROSAR

    IA SPA

    CLINICA SAN

    ATRIX SPA

    ISTITU

    TO CLINICO BEATO MATTEO

    VILLA DEI FIORI SRL

    SALUS HOSPITAL SPA

    CASA DI CURA TR

    USSO SRL

    CASA DI CURA VILLA PIA SRL

    SAN

    PIER DAM

    IANO HOSPITAL SPA

    CASA DI CURA VILLA IGEA SRL

    OSPEDAL

    E PRIVATO VILLA

    SERENA SPA

    OSPEDAL

    E PRIVATO VILLA

    IGEA SPA

    VILLA LU

    CIA HOSPITAL SRL

    SAN

    TA MAR

    IA MAD

    DAL

    ENA

    VILLA MAF

    ALDA SPA

    SEDES

    SAP

    IENTAE

    ISTITU

    TO CLINICO ZUCCHI PRES

    IDIO MONZA

    CASA DI CURA GRETTER GES

    T.C.M.C SRL

    CASA DI CURA VILLA CA

    NDELA

    SPA

    I.R.C.C.S.POL. SAN

    DONATO

    CASA DI CURA ORES

    TANO SRL

    VILLA DONATELLO SPA

    ISTITU

    TO CLINICO CITT DI BRES

    CIA SPA

    CASA DI CURA TO

    RTO

    RELLA SPA

    VILLA MAR

    GHERITA SPA

    CASA DI CURA VILLA ERBOSA SPA

    CASA DI CURA CIELLINI SPA

    CASA DI CURA NOSTRA SIGNORA LO

    URDES

    VILLA TO

    RRI H

    OSPITAL SRL

    OSPEDAL

    E PRIVATO ACCREDITATO VILLA

    REG

    INA

    CASA DI CURA SAN

    MICHELE

    SRL

    PINETA GRAN

    DE SPA

    CASA DI CURA SAN

    CAM

    ILLO

    SRL

    CASA DI CURA FA

    BIA MATER SPA

    G.B. M

    ANGIONI H

    OSPITAL SPA

    CLINICA PRIVATA VILLAL

    BA SRL

    CASA DI CURA VILLA ELISA SPA

    CASA DI CURA CA

    SCINI SRL

    IFCA

    SPA

    CAS

    A DI CURA ULIVE

    LLA E GLICINI

    ISTITU

    TO CLINICO S.AMBROGIO SPA

    ISTITU

    TO CLINICO SAN

    SIRO SPA

    NUOVA CLINICA AN

    NUNZIATELLA SRL

    POLICLINICO SAN

    MAR

    CO ISTITUTO

    OSP BERGAM

    O

    CASA DI CURA VILLA MAIONE SRL

    CASA DI CURA SAN

    FRAN

    CES

    CO SRL

    CASA DI CURA CITT DI APRILIA SRL

    CASA DI CURA PRIVATA S.GIORGIO SPA

    CASA DI CURA TR

    IOLO

    ZAN

    CA SPA

    POLICLINICO CAS

    ALINO EUROSAN

    IT SPA

    CASA DI CURA SERENA SPA

    QUISISAN

    A

    CASA DI CURA AN

    DREA GRIM

    ALDI SRL

    CASA DI CURA VILLA IGEA SPA

    VILLA SAN

    TA MAR

    IA DI LEUCA

    CASA DI SALUTE SAN

    TA LUCIA SRL

    ISTITU

    TO CLINICO SAN

    TAN

    NA

    ABAN

    O TERME SPA

    ARS MEDICA SPA

    CASA DI CURA VILLA FIORITA SPA

    CASA DI CURA VILLA GEMMA SPA

    ISTITU

    TO CLINICO SAN

    ROCCO

    CASA DI CURA VILLA ELE

    NA SRL

    ISTITU

    TI CLINICI D

    I PAV

    IA E VIGEVANO SRL

    SEMANTIC ANALYSIS 05a 65

    HOW TO READ IT?

    stroke

    WORD COUNT

    MIN. 1 WORD

    MAX. 466 WORDS

  • The tool Alchemy API extracts the tag keywords, entities and concept from a given link by assigning a value of relevance, of importance for each tag that varies from 0 to 1.

    As stated previously, we manually selected all tags with a value of more than 0.5 relevance. This visualization shows the relevance of each keywords divided according to each public and private hospital and it help us to understand the issues so the keywords treated with more importance by each structure.The visualization shows at the bottom, horizontally, the names of the structures and vertically the keywords; the relevance is displayed through the circles of different diameter which varies according to the value of the relevance.

    This semantic analysis not only shows what structure and how much it refers to certain topics but also with what relevance these words occur.

    Relevance visualization:a quality parameter.

    SEMANTIC ANALYSIS 05a 66

    Which theme is more important for Public

    and Private structures?

    For the Public structure it is Pain, for

    Private structure it is Delivery.

    If we consider Public and Private together

    the most important word is Ethical code.

    HOW TO READ IT?

    A

    RELEVANCE

    MIN. 0,5

    MAX. 1

  • RICERCA

    STRUTTURA OSPEDALIERA

    SERVIZIO SANITARIO

    DOLORE

    CODICE ETICO

    GRAVIDANZA

    PARTO

    PERCORSO NASCITE

    ANESTESIA

    CAUSE LEGALI

    INFORMAZIONI

    MORTE

    ASSICURAZIONI

    PARTO CESAREO

    TRAVAGLIO

    OSTETRICIA

    BENESSERE FETALE

    ANSIA/STRESS

    BENESSERE MATERNO

    FORMAZIONE

    SOFFERENZA FETALE

    CORSO PRE PARTO

    SOFFERENZA MATERNA

    POLICLINICO SAN

    MATTE

    O DI PAV

    IA FONDAZ

    IONE IR

    CCS

    OSPEDAL

    E GIANNINA GAS

    LINI

    AZIENDA OSPEDAL

    IERA CA

    REG

    GI

    AZIENDA OSPEDAL

    IERA TE

    RNI

    AZIENDA OSPEDAL

    IERA SAN

    GIUSEPPE MOSCA

    TI

    FONDAZ

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    NZA ISTITU

    TO OSPEDAL

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    AZIENDA SAN

    ITAR

    IA DI R

    OVIGO

    GRUPPO MULTIM

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    OSPEDAL

    E OPERA PA

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    OSPEDAL

    E GALLIERA

    AZIENDA SAN

    ITAR

    IA DELLALTO ADIGE

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    E LUIGI SAC

    CO

    AZIENDA OSPEDAL

    IERO-UNIVERSITAR

    IA DI PAR

    MA

    AZIENDA OSPEDAL

    IERA SAN

    PAO

    LO

    AZIENDA OSPEDAL

    IERA SAN

    SALVATO

    RE

    AZIENDA OSPEDAL

    IERA RUMMO

    AZIENDA PROVINCIALE

    PER I SERVIZI SAN

    ITAR

    I

    AZIENDA OSPEDAL

    IERA LO

    DI

    OSPEDAL

    E DI CIRCOLO

    E FONDAZ

    IONE MAC

    CHI VAR

    ESE

    AZIENDA OSPEDAL

    IERA TR

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    AZIENDA OSPEDAL

    IERA DES

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    E EVA

    NGELICO IN

    TERNAZ

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    E

    AZIENDA OSP. DI R

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    IONE GAR

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    DI

    AZIENDA OSP. UNIV. OO.RR. S.GIOVA

    NNI D

    I DIO E RUGGI DARAG

    ONA

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    IERA SAS

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    AZIENDA OSPEDAL

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    AZIENDA OSP. CITT DELLA SALUTE

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    AZIENDA OSPEDAL

    IERA DI B

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    AZIENDA SAN

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    IERA ORDINE MAU

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    FANTILE

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  • RICERCA

    STRUTTURA OSPEDALIERA

    SERVIZIO SANITARIO

    DOLORE

    CODICE ETICO

    GRAVIDANZA

    PARTO

    PERCORSO NASCITE

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    INFORMAZIONI

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    E PRIVATO DOMUS NOVA SPA

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    CASA DI CURA SAN

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    CASA DI CURA CITT DI APRILIA SRL

    CASA DI CURA PRIVATA S.GIORGIO SPA

    CASA DI CURA TR

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    ZAN

    CA SPA

    POLICLINICO CAS

    ALINO EUROSAN

    IT SPA

    CASA DI CURA SERENA SPA

    CASA DI CURA AN

    DREA GRIM

    ALDI SRL

    QUISISAN

    A

    CASA DI CURA VILLA IGEA SPA

    VILLA SAN

    TA MAR

    IA DI LEUCA

    CASA DI SALUTE

    SAN

    TA LUCIA SRL

    ISTITU

    TO CLINICO SAN

    TAN

    NA

    ABAN

    O TERME SPA

    ARS MEDICA SPA

    CASA DI CURA VILLA FIORITA SPA

    CASA DI CURA VILLA GEMMA SPA

    ISTITU

    TO CLINICO SAN

    ROCCO

    CASA DI CURA VILLA ELE

    NA SRL

    ISTITU

    TI CLINICI D

    I PAV

    IA E VIGEVANO SRL

  • 50 24 5 21

    325 242 83

    PRIVATE STRUCTUREWITH SPECIAL KEYWORDS

    PRIVATE STRUCTURE WITHONLY RESORT KEYWORDS

    PRIVATE STRUCTURE WITHONLY RELIGIOUS KEYWORDS

    PRIVATE STRUCTUREWITH BOTH KEYWORDS

    TOTALKEYWORDS

    RESORTKEYWORDS

    RELIGIOUSKEYWORDS

    05b

    SEMANTIC ANALYSIS 05b 73

    RELIGIOUS WORDSSERVICESUSER FEELINGSHEALTH CARE MATERIAL STATUS

    FILTERS

  • During the semantic analysis for the definition of the private hospitals imaginary it has been necessary to summarize the semantic terms encountered during a second reading of keywords associated with the private hospitals.During this phase of research we made a further selection of the corpus of private hospitals, that limited the 81 results, to 50 results. For the analysis we started from the files generated by Alchemy API, filtered both in terms of relevance, only considered for values higher than 0.5, both in terms thematic.In this case, we have proceeded with the identification of two categories, through which it was possible to group the special keywords: the resort category, which is further divided into four sub-categories: feeling, structure, assistance, services and religion category. The second semantic analysis showed as the private hospitals are usual present themselves to potential patients as holiday destinations which as accredited

    hospital. For each of the 24 keywords, we selected a corpus of terms, of variable size depending on the frequency associated with the keywords, similar to the keyword for morpheme or for meaning. Even in this case, the various corpus of terms have been organized in sequence by placing the keywords in its pure nature, the keywords associated with adjectives and other nouns, and finally the lexical variations and synonyms, in turn considered in the variations mentioned above.Each lemma is then quantified by calculating the recurrence within the websites analyzed, a factor that defined the order of the list of terms. We used again the orbital visualization for the special keywords based, once again on the construction of concentric rings which, besides collecting the terms related to the keywords, move away progressively from the central keywords going to highlight the semantic distance, both morphological and of meaning, that separates the terms.

    The visualization obtained allow us, again, to understand what keywords are most frequent, if they