Have a Delivery Have a Choice

HAVE A DELIVERY, HAVE A CHOICE. Analysis inside the system of Private and Public healthcare in Italy.

POLITECNICO DI MILANO

PROJECT BY

SCUOLA DEL DESIGN TIZIANA ALOCCI LABORATORIO DI SINTESI FINALE FEDERICO BIRAGHI A.A. 2012|13 – C3 ELENA FIORENTINI

DIMITRI NUBE DANIELA SONIA PESSOT SARA PORCO

HAVE A DELIVERY, HAVE A CHOICE. Analysis inside the system of Private and Public healthcare in Italy.

POLITECNICO DI MILANO

PROJECT BY

SCUOLA DEL DESIGN TIZIANA ALOCCI LABORATORIO DI SINTESI FINALE FEDERICO BIRAGHI A.A. 2012|13 – C3 ELENA FIORENTINI

DIMITRI NUBE DANIELA SONIA PESSOT SARA PORCO

PROTOCOL DIAGRAM

00 — 7

INDEX OF CONTENTS

INDEX OF CONTENTS

02 RESEARCH QUESTION

03 ACTORS

03

03

03 PRIVATE STRUCTURE

PUBLIC STRUCTURE

WITH AN OBSTRETIC WARD

WITH AN OBSTRETIC WARD

04

05

04

03 GOVERNANCE

05

05

OUTLINK ANALYSIS

INLINK ANALYSIS

OUTLINK ANALYSIS

INLINK ANALYSIS

INLINK ANALYSIS

OUTLINK POLISH

KEYWORD ANALYSIS

OUTLINK POLISH

KEYWORD ANALYSIS

KEYWORD ANALYSIS

VISUALIZATION

KEYWORD POLISH

VISUALIZATION

KEYWORD POLISH

KEYWORD POLISH

HIGHLIGHT STRUCTURE

RELEVANCE SELECTION

HIGHLIGHT STRUCTURE

RELEVANCE SELECTION

RELEVANCE SELECTION

GEOLOCATION

MANUAL POLISH

GEOLOCATION

MANUAL POLISH

MANUAL POLISH

THEMATIC SELECTION

THEMATIC SELECTION

THEMATIC SELECTION

CHECK AND COUNT

CHECK AND COUNT

CHECK AND COUNT

05

05 VISUALIZATION

06

05 P.H. IMAGINARY

LISTMUS TEST

P.H. CLASSIFICATION

STRAINER

SPECIAL KEYWORDS

OUTLINK ANALYSIS

VISUALIZATION

OUTLINK POLISH

VISUALIZATION

HIGHLIGHT STRUCTURE

00 — 8

VISUALIZATION

03 ONG

01

02

RESEARCH BRIEFING INTRODUCTION

RESEARCH QUESTION WHERE TO BEGIN

BLOG&FORUM

THE REPORT IS DIVIDED INTO SIX SECTIONS TO FOLLOW The report isPROTOCOL divided into six RESEARCH sections to follow research ORDER. THIS PROCESS IS protocol order.

This ALSO SYNTHESIZEDprocess IN THE is also synthesized in theON UNFOLDABLE DIAGRAM unfoldable diagram (00) CAN on the THE LEFT, SO THAT YOU left, so that you can identify and IDENTIFY AND RELATE EACH relate each step at any point STEP AT ANY POINT OF THE of the reading.

READING.

INDEX OF CONTENTS

00 — 9

03

04

05a

06

RESEARCH SCENARIO RESEARCH SCENARIO: FIELD OF ACTION.

NETWORK STRUCTURE NETWORK STRUCTURE: ONDA OSSERVATORIO AND BOLLINI ROSA. A GEOGRAPHICAL APPROACH.

KEYWWORDS ANALYSIS GENERIC 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 CONCLUSION LITMUS TEST: TAKING A LOOK AT THE BACKWARDS. CONCLUSION.

05b SCENARIO IN PRIVATE SECTOR: A PARTICULARY IMAGINARY. SPECIAL KEYWORDS.

RESEARCH BRIEFING

01 — 11

RESEARCH BRIEFING 01

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.

Introduction

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: Mother Governance NGO Public Health care structure Private Health care structure

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.

RESEARCH QUESTION

02 — 15

RESEARCH QUESTION 02

RESEARCH QUESTION

02 — 17

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

Where to begin?

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.

RESEARCH SCENARIO

03 — 19

RESEARCH SCENARIO 03

RESEARCH SCENARIO

03 — 20

PRIVATE STRUCTURE FROM AIOP.IT

PRIVATE STRUCTURE WITH AN OBSTRETIC WARD

PUBLIC STRUCTURE FROM SALUTE.GOV.IT

PUBLIC STRUCTURE WITH AN OBSTRETIC WARD

490

87

637

326

GOVERNANCE — MINISTERO DELLA SALUTE

ORGANIZZAZIONI NON GOVERNATIVE

BLOG AND FORUMS

1

3

5

RESEARCH SCENARIO

03 — 21

Actors define a relations network, our scenario.

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.

Research scenario: field of action

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: Aistmar Avulssc Safety 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

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.com www.bravibimbi.it/forum www.forum.gravidanzaonline.it/ www.nostrofiglio.it/forum www.mammole.it/forumgravidanza/forum.php

NETWORK STRUCTURE

04 — 25

NETWORK STRUCTURE 04

NETWORK STRUCTURE

04 — 26

FILTERS

SOCIAL NETWORK DOCUMENTS MAILTO LINKS LOG INS MAPS WEB AGENCY ALBO PRETORIO

PUBLIC STRUCTURE WITH AN OBSTETRIC WARD

PUBLIC STRUCTURE WITH RUNNING LINKS

OUTLINK ANALYSIS

OUTLINK POLISH NODES

326

197

1,374

514

NETWORK STRUCTURE

04 — 27

Public VS Private.

Understanding the network.

PRIVATE STRUCTURE WITH AN OBSTETRIC WARD

PRIVATE STRUCTURE WITH RUNNING LINKS

OUTLINK ANALYSIS

OUTLINK POLISH NODES

87

45

196

109

NETWORK STRUCTURE

04 — 29

As we can see the Public and Private Healthcare have in common two websites, both related topics about women health.

Network structure: O.N.Da Osservatorio and Bollini Rosa

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.

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.

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 The first step was to understand Gynecology and maternal and what the two sites be treated and child health, for Bollini Rosa the which entities were referring. section Hospitals winners.

It is important to stress that these Regarding the partners, the sites are closely related.

Given the different structures visualization shows 22 results of the sites we tried to find a for Bollini Rosa and 55 for Onda Onda Osservatorio is the National research setting that could be Osservatorio. Only three partners Observatory on Women's Health consistent despite the diversity. are in common. and according to its statutes the The site Onda Osservatorio The analysis of outlinks on aim is to study, protect, inform, contains a lot of material healthcare structures instead educate and stimulate. on events, exhibitions and produced more results; 162 links Bollini Rosa is the reporter's documentation on the topics. for Bollini Rosa and 140 for Onda hospitals realized by Onda Rather than external links in fact Osservatorio, of which 128 are in Osservatorio, based on their level the site is characterized by a great common. of women friendship. deal of internal links to files .pdf.

The visualization of the The program aims to identify the The Observatory focuses on data shows that there are no realities clinical and / or scientific women's health and it contains significant relationships between strongly progressive in an Italian many topics unrelated to our the partners, while there are

HOW TO READ IT? LEFT – PARTNER RIGHT – RECOMMENDED STRUCTURES

NETWORK STRUCTURE

04 — 30

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

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.

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.

O.N.DA OSSERVATORIO

BOLLINI ROSA

The visualizations show the links PARTNER + RECOMMENDED STRUCTURES

DONNE DERMATOLOGHE

EPITECH

DOCGENERICI

SHIREITALIA HRA-PHARMA

GSK EFFIKITALIA

ROCHE

SERVIER

COVIDIEN YAKULT CANCERWORLD TEVAITALIA

CARDIF

SISMER HTTP://WWW.TUTTOPARLADITE.IT

SOCIETÀ ITALIANA DI ENDOCRINOLOGIA DANONE

SIPREC

RICHTERITALY

MANAGERITALIA SIP BOSCH

SIOG

LEGA TUMORI SINPF WHO BOLLINI ROSA BIOGENIDEC

UNIVERSITÀ BOCCONI BIOTECHSOL

SIGO

BENEDETTA DINTINO SIDITALIA

GREY

HTTP://WWW.REUMATOLOGIA.IT BASF AON

ANIA

HTTP://WWW.PSICHIATRIA.IT AMMI-ITALIA IL SOLE 24ORE PFIZER MUNDIPHARMA

FONDAZIONE FIERAMILANO FARMINDUSTRIA

ABOCA

HTTP://EASYBABY.IT THERAMEX

ADDTHIS

MUSEO SCIENZA ONDAOSSERVATORIO AMGENDOMPE

MARIECLAIRE

JANSSEN-CILAG

MUSTELA FONDAZIONE PFIZER

RADIO24 NOVARTIS

PROGETTO ITACA PIRELLI

HTTP://WWW.NEURO.IT LOWEPIRELLAFRONZONI

ADI ITALIA HTTP://WWW.NEONATOLOGIA.IT COSMETICI MAGISTRALI

AON

NETWORK STRUCTURE

04 — 31

Onda Osservatorio website returns many link related to pharmaceutical industries and no significant relations among partner.

POLICLINICO ABANO

ULSS 9 TREVISO POLICLINICO UMBERTO I SAN GIOVANNI E RUGGI

USL 8 TOSCANA

AZIENDA OSPEDALIERA UNIVERSITARIA CAGLIARI SANTA MARIA DEGLI ANGELI

POLICLINICO UNIVERSITARIO CATANIA AZIENDA OSPEDALIERA PISA ULSS 13 MIRANO ULSS 7 VENETO AZIENDA OSPEDALIERA LODI ULSS FELTRE VENETO POLICLINICO DI SAN PIETRO POLICLINICO SAN MATTEOISTITUTI CLINICI ZUCCHI POLICLINICO CASILINO

ULSS 12

AZIENDA OSPEDALIERA CHIARI AZIENDA OSPEDALIERA GARBAGNATE

USL 2 TOSCANA POLICLINICO SAN MARCO

ULSS 5

AZIENDA OSPEDALIERA BOLOGNA

AZIENDA OSPEDALIERA BUSTO ARSIZIO

ULSS ASOLO AZIENDA OSPEDALIERA SAN PAOLO AZIENDA SANITARIA FIRENZE

AZIENDA OSPEDALIERA MELEGNANO AO DESENZANO DEL GARDA OSPEDALE SAN CARLO ASL ASTI AO GARIBALDI CATANIA

ULSS 4 VENETO POLICLINICO DI MODENA

ASL BARI AO VALTELLINA E VALCHIAVENNA

AO SIENA TOSCANA

SPEDALI CIVILI DI BRESCIA AZIENDA SANITARIA BRESSANONE ASL 2 LIGURIA ULSS VICENZA AO BROTZU ASL ROMA ARCISPEDALE SANT’ANNA ULSS 17 ASL CARBONIA USL 4 TOSCANA ASL 1 LIGURIA OSPEDALE UNIVERSITARIO DI VERONA AS MERANO OSPEDALE DI GALLARATE ASL OLBIA OSPEDALE MAGGIORE DI MILANO ASL PIEMONTE ASL 4 LIGURIA ULSS 15 PADOVA

USL 12 TOSCANA

GRUPPO POLIAMBULANZA OSPEDALI PAVIA

ULSS 10 VENETO ULSS 20 VERONA

OSPEDALI VARESE ASL BASSANO

ASL 5 TOSCANA ASL NUORO ULSS 17 OSPEDALE CARDARELLI VILLA BETANIA ASL 1 UMBRIA ASL ROMA OSPEDALE SASSUOLO ASL 3 UMBRIA ASL 3 NAPOLI SUD ASL PIEMONTE AZIENDA OSPEDALIERA SIENA ULSS 10 VENETO OSPEDALE SAN PIETRO OSPEDALE NIGUARDA ASL ROMA ASL 2 TORINO ASL VALLE CAMONICA SEBINO USL 8 TOSCANA OSPEDALI RIUNITI MARCHE OSPEDALI RIUNITI BERGAMO ASS 3 OSPEDALE CRISTO RE OSPEDALI DI MANTOVA OSPEDALE SANT ANDREA OSPEDALE UNIVERSITARIO VERONA ASUR ZONA 9 MARCHE ASUR ZONA 4 MARCHE OSPEDALE TREVIGLIO ASL 1 NAPOLI AO OSPEDALI RIUNITI MARCHE NORD OSPEDALE SAN RAFFAELE OSPEDALE SACCO AZIENDA SANITARIA FIRENZE OSPEDALE REGINA MARGHERITA SANT’ANNA ASUR ZONA 12 MARCHE OSPEDALE SAN CARLO AUSL FERRARA ASURZONA MARCHE ISTITUTO HUMANITAS ARCISPEDALE SANTA MARIA NUOVA FATE BENE FRATELLI MILANO OSPEDALI DI LECCO ASURZONA 5 MARCHE AUSL PIACENZA OSPEDALE DI CUNEO OSPEDALE PERUGIA CASA DI CURA CITTÀ DI ROMA CASA DI CURA CITTA DI ROMA AUSL VALLE D’AOSTA ASUR 2 MARCHE AUSL LATINA AUSL REGGIO EMILIA OSPEDALE MAGGIORE NOVARA OSPEDALE DI ALESSANDRIA AZIENDA USL PESCARA ISTITUTO CLINICO HUMANITAS ASUR 13 MARCHE OSPEDALE CREMONA AO ORDINE MAURIZIANO OSPEDALE MILANO AZIENDA USL PARMA ARCISPEDALE SANTA MARIA NUOVA AULSS LEGNAGO OSPEDALE SAN MARTINO AZIENDA OSPEDALIERA SAN ROVIGO ULSS 20 VERONA

CASA DI CURA FABIAMATER

ASL TARANTO CAREGGI TOSCANA

OSPEDALE GIANNINA GASLINI GRUPPO MARIO MALZONI ISTITUTI CLINICI DI PERFEZIONAMENTO AUSL MODENA ASL 4 TERNI

CLINICA SAN GIORGIO

USL 8 TOSCANA

AO COSENZA

OSPEDALE GALLIERA OSPEDALE BUCCHERI LAFERLA

CLINICA CANDELA CLINICA MEDITERRANEA ISTITUTO HUMANITAS GAVAZZENI IRCCS MATERNO INFANTILE BURLO GAROFOLO OSPEDALE FATEBENEFRATELLI ISOLATIBERINA IRCCS NUROMED ISTITUTO EUROPEO DI ONCOLOGIA ULSS BELLUNO CASA DI CURA MATERDOMINI ASL TARANTO POLICLINICO SANT ELENA OSPEDALE SACRA FAMIGLIA FATEBENEFRATELLI GRUPPO GIOMI FONDAZIONE MONDINO OSPEDALI RIUNITI TRIESTE ULSS 19 ADRIA VENETO AO BOLOGNINI ISTITUTO BESTA GRUPPO MULTIMEDICA ASUR ZONA 13 MARCHE

AO CITTÀ DELLA SALUTE E DELLA SCIENZA DI TORINO GRUPPO SAMED ISTITUTO AUXOLOGICO AO SALVATORE ISTITUTO TUMORI MILANO AZIENDA OSPEDALIERA SACCO CENTRO CATANESE DI ONCOLOGIA OSPEDALE BAMBINO GESU CENTRO REGIONALE ONCOLOGICO BASILICATA FONDAZIONE DI RICERCA E CURA GIOVANNI PAOLO II ASL ABRUZZO ASL 1 ABRUZZO FONDAZIONE SALVATORE MAUGERI ISTITUTO ONCOLOGICO VENETO ISTITUTO GAETANO PINI CLINICA SAN MICHELE

AO CAREGGI TOSCANA

NETWORK STRUCTURE

From the analysis of relationships between Public and Private Healthcare System emerges as main point the geographical position.

Network structure: a geographical approach.

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

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 Through the tool LinkRipper we public structures shows as an analyzed the corpus of public and important factor geographical private structures, in search of localization. Many public outlinks that could tell us more structures do not have their about the system of relations own website but take advantage between them. of the inside pages of sites of We decided to make the same regional ASL. Graphs, and the type of analysis for private and following visualization show public structures and then how the public and private investigate in detail each one. structures are positioned on the A first Gephi data visualization national territory. To specify that has allowed us to capture some in the visualization of relations, useful information. regional sites and Bollini Rosa The network visualization of may have a larger surface area, outlinks arising from the corpus but being used as part of the of the public structures has analysis outlinks remain the made it clear that there is some exception of links to internal links more important as the pages or references without Ministry of Health, the National the use of hypertext links to Institute of Health, the National the external. For the private Observatory on Women's Health, structures, the visualization of the site of Bollini Rosa. outlinks shows that there is no At the end of our research special relationship between question it would be interesting the structures, except for the to focus on the massive presence unifications of structures that of the following sites: Onda refer to the same group – example Osservatorio and Bollini Rosa, Groppo San Donato, Lombardia.

04 — 32

NETWORK STRUCTURE

04 — 33

12 7

PUBLIC AND PRIVATE HEALTHCARE STRUCTURES CORPUS.

61 37

THE VISUALIZATION SHOWS THE NUMBER OF ITALIAN HEALTHCARE STRUCTURES WITH

22

OBSTETRIC OR GYNECOLOGY WARD AND UFFICIAL WEBSITE THAT WE CONSIDERED IN OUR RESEARCH.

34 11

25 12 9

10 40

1

16 41 5 12

18

38

NETWORK STRUCTURE

04 — 34

HOW TO READ IT? OUTLINKS NETWORK PUBLIC AND PRIVATE HOSPITALS

A

stroke

WITH OUTLINKS

WITHOUT OUTLINKS

PUBLIC

PRIVATE

50 NORTH

CENTER

40

30

20

10

MARCHE

TOSCANA

EMILIA-ROMAGNA

LIGURIA

PIEMONTE

VENETO

LOMBARDIA

VALLE D'AOSTA

FRIULI-VENEZIA GIULIA

TRENTINO-ALTO ADIGE

0

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.

NETWORK STRUCTURE

04 — 36

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.

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.

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

SOUTH

HOW TO READ IT?

1.

OUTLINKS NETWORK PUBLIC AND PRIVATE HOSPITALS

ZOOM 4X

A OUTDEGREE stroke LINKS

2.

OUTLINKS

PUBLIC

SICILIA

CALABRIA

SARDEGNA

BASILICATA

CAMPANIA

PUGLIA

MOLISE

LAZIO

ABRUZZO

UMBRIA

PRIVATE

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.

A

B

C

A

B

D

C

NETWORK STRUCTURE

04 — 38

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

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.

Finally, there are some important There is no special relationship presence like the Ministry of between the structures and Health, the National Institute of emergent clusters turn out to be Health, the National Observatory not so much regional networks

HOW TO READ IT?

E

OUTLINKS NETWORK

4.

PUBLIC HOSPITALS

ZOOM 2X

1. CENTER OF THE NETWORK

A

2. EMILIA ROMAGNA

THE BIGGEST CIRCLES REPRESENTS NON

B. WWW.RETEHPHITALIA.IT

REGIONAL WEBSITES THAT ARE THE LINKS

C. WWW.ONDAOSSERVATORIO.IT

BETWEEN REGIONAL CLUSTERS.

D. WWW.SALUTE.GOV.IT

LAZIO AND LOMBARDIA CLUSTERS STAND OUT.

E. WWW.BOLLINIROSA.IT

A. WWW.LINEAAMICA.IT

THIS VISUALIZATION REPRESENTS EMILIA

GLOBAL VISUALIZATION.

INDEGREE

ROMAGNA, IT'S IMPORTANT TO UNDERLINE THAT

W.PROGETTO-SOLE.IT

stroke

THE BIGGEST CIRCLES ARE OUTLINKS TO REGION

B. WWW.SALUTER.IT

LINKS

AND HEALTH MINISTRY.

C. WWW.REGIONE.EMILIA-ROMAGNA.IT

THIS IS ONE OF THE MOST EVIDENT CLUSTER IN THE

EXTRA ITALY

NORTH OF ITALY EMILIA ROMAGNA

1.

LOMBARDIA VENETO PIEMONTE LIGURIA C

FRIULI VENEZIA GIULIA TRENTINO ALTO ADIGE

A B

D CENTER OF ITALY

2.

MARCHE TOSCANA LAZIO UMBRIA ABRUZZO

SOUTH OF ITALY SARDEGNA

3. – 4. MARCHE AND SARDEGNA

SICILIA

THIS VISUALIZATION REPRESENTS REPRESENTS

WEBSITES. THESE ARE SOME OF THE MOST

A. WWW.SALUTE.MARCHE.IT

CAMPANIA

MARCHE, GREEN, AND SARDEGNA, YELLOW.

EVIDENT CLUSTER IN THE GLOBAL VISUALIZATION,

B. WWW.REGIONE.MARCHE.IT

PUGLIA

IT'S IMPORTANT TO UNDERLINE THAT THE BIGGEST

BUT IT'S NOT LINKED TO THE MAIN NETWORK.

C. WWW.SARDEGNASALUTE.IT

CALABRIA

D. WWW.REGIONE.SARDEGNA.IT

BASILICATA

CIRCLES ARE OUTLINKS TO HEALTH REGION

3.

NETWORK STRUCTURE

04 — 39

Generally the network of Public Structures

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.

result more dense and linked compared with the Private ones, where we can find relations just between structures belonging to the same hospital group.

HOW TO READ IT? OUTLINKS NETWORK PRIVATE HOSPITALS

ZOOM 2X

A

1. GRUPPO SAN DONATO

2. WWW.BOLLINIROSA.IT – 3. – 4.

INDEGREE

THE MOST EVIDENT RELATIONSHIP IS BETWEEN

THE SIGNIFICANT SITES IN THE NATIONAL AND

stroke

HOSPITALS THAT REFER TO THE SAME GROUP,

INTERNATIONAL NETWORK OF PUBLIC HOSPITALS

LINKS

GRUPPO SAN DONATO, LOMBARDIA.

APPEAR TO BE SECONDARY.

3. WWW.SALUTE.GOV.IT

4. WWW.ONDAOSSERVATORIO.IT

2.

EXTRA ITALY

NORTH OF ITALY

1.

4.

EMILIA ROMAGNA LOMBARDIA VENETO PIEMONTE FRIULI VENEZIA GIULIA TRENTINO ALTO ADIGE VALLE D'AOSTA

CENTER OF ITALY MARCHE TOSCANA LAZIO ABRUZZO

3.

SOUTH OF ITALY SICILIA CAMPANIA PUGLIA

NETWORK STRUCTURE

04 — 41

A

A

1. ASUR – MARCHE

2. SAN RAFFAELE HOSPITAL – SICILIA

THIS VISUALIZATION SHOWS THE CLUSTER MARCHE

PICENO (ORANGE CIRCLES) WHICH HAVE THE

THIS IS AN INTEREST CASE. IT REPRESENTS

PRIVATE HOSPITAL IN OUR EARLY CORPUS THAT IS

THAT IS TOTALLY INDEPENDENT AND NOT LINKED

HIGHEST NUMBER OF OUTLINKS.

SAN RAFFAELE HOSPITAL, PRIVATE, WHICH IS

ALSO AN OUTLINK OF A PUBLIC HOSPITAL.

TO THE MAIN NETWORK. IN THIS VISUALIZATION

A. WWW.ASURZONA4.MARCHE.IT

UNEXPECTEDLY LINKED TO THE MAIN NETWORK.

A. WWW.HSRGIGLIO.IT/

WE CAN SEE ASUR SENIGALLIA AND ASUR ASCOLI

IT IS ALSO IMPORTANT BECAUSE IT IS THE ONLY

PRIVATE AND PUBLIC THIS VISUALIZATION SHOWS THE SMALL CLUSTERS AND HOSPITALS NOT CONNECTED TO THE CENTRAL NETWORK. MOST OF THESE ARE PRIVATE HOSPITALS.

SEMANTIC ANALYSIS

05a — 43

SEMANTIC ANALYSIS 05a

SEMANTIC ANALYSIS

05a — 44

FILTERS

RIVERS CITIES REGIONS COUNTRIES PERSONAL NAMES OTHER WARDS PAIN THERAPY MAIL LINKS JAVASCRIPT LINKS ADRESSES

PUBLIC STRUCTURE WITH AN OBSTETRIC WARD

PUBLIC STRUCTURE WITH RUNNING LINKS

INLINK ANALYSIS

KEYWORDS ANALYSIS

326

143

5721

92,163

RELEVANCE SELECTION

KEYWORDS POLISH

THEMATIC SELECTION

37,779 31,344 208

SEMANTIC ANALYSIS

05a — 45

How do public and private hospital talk about delivery?

PRIVATE STRUCTURE WITH AN OBSTETRIC WARD

PRIVATE STRUCTURE WITH RUNNING LINKS

INLINK ANALYSIS

87

81

1,976 64,681

RELEVANCE SELECTION

KEYWORDS POLISH

THEMATIC SELECTION

26,978 26,129 898

KEYWORDS ANALYSIS

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.

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 — 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

HOW TO READ IT?

SELECTED CATEGORY

STRUTTURA OSPEDALIERA

OSTETRICIA

CONSIGLI

ASSICURAZIONI

BENESSERE FETALE

SOFFERENZA FETALE

BENESSERE MATERNO

PARTO

TRAVAGLIO

PARTO NATURALE

SERVIZIO SANITARIO

GOVERNANCE

ONG

MOTHER

PERCORSO NASCITE PUBLIC

PRIVATE

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.

RICERCA

INFORMAZIONI

FORMAZIONE MEDICA

CORSO PRE-PARTO

CAUSE LEGALI

CODICE ETICO

TROPPI CESAREI

MORTE FETALE/MATERNA

SOFFERENZA MATERNA

ANSIA/STRESS

DOLORE

GRAVIDANZA

PARTO CESAREO

PARTO INDOLORE

ANESTESIA

SEMANTIC ANALYSIS

Each keyword contains a series of lemmas associated by morpheme, that is different words with same sense are joined under one keyword.

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.

05a — 50

SEMANTIC ANALYSIS

05a — 51

TRAVAGLIO

2

6

02. SALA TRAVAGLIO

3

6

1

2

PARTO INDOLORE 01. PARTO INDOLORE

HOW TO READ IT?

1

02. INDOLORE

7 TRAVAGLIO

PARTO CESAREO

2

01. PARTO CESAREO 4

5

02. TAGLIO CESAREO

FETALE

KEYWORD

PARTO NATURALE

1

KEYWORD + NOUN/ADJECTIVE SIMILAR MORPHEME

PARTO

DIFFERENT MORPHEME

01. PARTO 02. PARTO RELATIVO PARTO INDOLORE

4

03. PARTO ANONIMO 1

04. PARTO DOLCE

2

05. PARTO PREMATURO 06. PARTO CON ASSISTENZA MEDICA

2

07. L’ULTIMO PARTO

1

08. SALA PARTO 7

MATERNA

5

09. BLOCCO PARTO 10. REPARTO PARTO 11. COMPARTO3 PARTO

PARTO CESAREO

2

12. PARTO PUNTO NASCITE 13. PARTORIENTI

13

14. PAZIENTE PARTORIENTE 2

6

12

15. PROPRIE PARTORIENTI SULL'EVENTO

3

GRAVIDANZA 11

4

1 10

DOLORE

5

01. DOLORE 9

6

15

14

2

7

02. DOLORE POST OPERATORIO 03. DOLORE INUTILE

5

3

8

04. INEVITABILE DOLORE 2

05. DOLORE STESSO

PARTO

06. OSPEDALE SENZA DOLORE

ATERNA

CO

2

01. TRAVAGLIO

7

07. COMPONENTE DOLOROSA 1

2

6 6

3 6

7

1 7

4

5

4

3

BENESSERE MATERNO 8

DOLORE 9

SEMANTIC ANALYSIS

05a — 52

2

2

24 7 8

25

22 9

24

4

20

6

5

20

10

6

18

8

12

16

26

10 15

13 5

18

9

17

1

20

5

1

11

6

19 7

19

3

21

3

23

21

23

22

21

2

14

13

25

11

12

17

4

16

19

14 18

INFORMAZIONI

15 17

12

16

7

SERVIZIO SANITARIO

1 6

21

8

6

2

5

3

11

8

7

20

2

19

9

18

6

10

3

14

1

24 17

13

4 10

22

9

11

5

16

4

15

FORMAZIONE

12

13

14

23 STRUTTURA OSPEDALIERA

13 7 20

32

53 52 31 51

33

18

34

11

12

30

35

13

17

2 29

50

14

10

27 48

37

4

26

38

17

24 46

23

6

22

21

39

19 40

20

13

7 8 10

19

41

45 44

43 ASSICURAZIONI

42

6

1

11

18 7

14

12

5

25

47

5

16

1

8

6

4

15

15 9

3

36

3

28 49

2

16

RICERCA

9

12

SEMANTIC ANALYSIS

05a — 53

INFORMAZIONI

SERVIZIO SANITARIO

STRUTTURA OSPEDALIERA

ASSICURAZIONI

01. INFORMAZIONI

01. SERVIZIO SANITARIO

01. STRUTTURA OSPEDALIERA

01. ASSICURAZIONI

02. INFORMAZIONI UTILI

02. SERVIZIO SANITARIO NAZIONALE

02. STRUTTURA OSPEDALIERA BOLOGNESE

02. ASSICURAZIONI CONVENZIONATE

03. INFORMAZIONI INERENTI

03. SERVIZIO SANITARIO REGIONALE

03. STRUTTURA OSPEDALIERA PRIVATA

03. CONVENZIONE CON LE SEGUENTI ASS.

04. INFORMAZIONI NECESSARIE

04. SERVIZIO SANITARIO REGIONALE E NAZIONALE

04. STRUTTURA OSPEDALIERA PUBBLICA

04. DIVERSE ASSICURAZIONI SANITARIE

05. MAGGIORI INFORMAZIONI

05. SERVIZIO SANITARIO TOSCANO

05. STRUTTURA OSPEDALIERA VERA

05. SERVIZIO ASSICURAZIONI

06. CURA INFORMAZIONI COMPLETE

06. SSN

06. STRUTTURE OSPEDALIERE PERIFERICHE

06. ASSICURAZIONE SANITARIA INTEGRATIVA

07. STRUTTURA SANITARIA INFORMAZIONI

07. SISTEMA SANITARIO NAZIONALE

07. STRUTTURE SANITARIE OSPEDALIERE

07. ASSICURAZIONE MALATTIA

08. ULTERIORI INFORMAZIONI

08. SISTEMA SANITARIO REGIONALE

08. STRUTTURA SANITARIA

08. ASSICURAZIONE SANITARIA

09. UFFICIO INFORMAZIONI

09. SANITARI

09. NUMEROSE STRUTTURE SANITARIE

09. CONTRATTO D'ASSICURAZIONE

10. COMPRENSIBILI INFORMAZIONI

10. SANITARIO NAZIONALE

10. STRUTTURE SANITARIE PUBBLICHE

10. PROPRIA ASSICURAZIONE

11. FORNIRVI INFORMAZIONI RELATIVE

11. SANITARIE

11. STRUTTURA SANITARIA PRIVATA

11. COMPAGNIE ASSICURATIVE

12. INFORMAZIONI ESAUSTIVE

12. SANITARIO

12. STRUTTURE SANITARIE INTERESSATE

12. MAGGIORI COMPAGNIE ASSICURATIVE

13. INFORMAZIONI GENERALI

13. SANITARIO NAZIONALE PUBBLICO

13. STRUTTURE SANITARIE REGIONALI

13. COMPAGNIE ASSICURATIVE ITALIANE

14. INFORMAZIONI I PAZIENTI

14. SANITARIO REGIONALE

14. STRUTTURE SANITARIE CAMPANE

14. IMPORTANTI COMPAGNIE ASSICURATIVE

15. INFORMAZIONI INTEGRATIVE

15. SETTORE SANITARIO SICILIANO

15. STRUTTURE SANITARIE INTERNE

15. MAGGIORI COMPAGNIE

16. INFORMAZIONI MEDICO-SCIENTIFICHE

16. AZIENDA SANITARIA

16. STRUTTURE SANITARIE DELL'AZIENDA

16. COMPAGNIE ASSICURATIVE CONVENZIONATE

17. INFORMAZIONI RELATIVE

17. AZIENDA REGIONALE SERVIZI SANITARI

17. STRUTTURE SANITARIE ADERENTI

17. COMPAGNIE ASSICURATIVE NAZIONALI

18. PRECISE INFORMAZIONI

18. AZIENDE SANITARIE LOCALI

18. STRUTTURE SANITARIE TERRITORIALI

18. COMPAGNIA ASSICURATRICE

19. RICHIESTA INFORMAZIONI

19. AZIENDE SANITARIE PRESENTI

19. STRUTTURE SANITARIE ASSISTENZIALI

19. FONDO ASSICURATIVO

20. STESSE INFORMAZIONI

20. AZIENDE SANITARIE PUBBLICHE

20. STRUTTURA PRIVATA

20. ENTI ASSICURATIVI

21. SUDDETTE INFORMAZIONI

21. AZIENDA SANITARIA FIRENZE

21. ITALIANA OSPEDALITÀ PRIVATA

21. ISTITUTI ASSICURATIVI

22. COSTANTE INFORMAZIONE

22. ASSISTENZA SANITARIA

22. NELL'OSPEDALE PRIVATO

22. ATTIVITÀ ASSICURATIVA

23. ADEGUATA INFORMAZIONE

23. ASSISTENZA SANITARIA INTEGRATIVA

23. EROGAZIONE DELL'ASSISTENZA OSPEDALIERA

23. POLIZZA ASSICURATIVA

24. INFO UTILI

24. SANITÀ NAZIONALE

24. AZIENDA OSPEDALIERA UNIVERSITARIA

24. PRATICA ASSICURATIVA

25. SCHEDE INFORMATIVE

25. SANITÀ PRIVATA

25. PRINCIPALI NETWORK ASSICURATIVI

26. MATERIALE INFORMATIVO

26. QUALSIASI FONDO ASSICURATIVO RICERCA

27. RELATIVE COPERTURE ASSICURATIVE

FORMAZIONE

01. RICERCA

28. TESSERINO ASSICURATIVO

01. SETTORE FORMAZIONE

02. RICERCA SCIENTIFICA

29. UFFICI ASSICURATIVI

02. FORMAZIONE ECM

03. RICERCA CLINICA

30. COPERTURA ASSICURATIVA

03. FORMAZIONE SANITARIA

04. RICERCA SANITARIA

31. MASSIMALE ASSICURATO

04. FORMAZIONE ATTIVITÀ FORMATIVE

05. IMPORTANTE INNOVAZIONE RICERCA

32. FONDI ASSISTENZIALI INTEGRATIVI

05. FORMAZIONE SPECIALISTICA

06. AREA SCIENTIFICA RICERCA

33. BLUE ASSISTANCE

06. TIROCINIO DI FORMAZIONE

07. RICERCA APPLICATA

34. SARA ASSICURAZIONI

07. ATTIVITÀ FORMATIVE

08. RICERCA CLINICA NAZIONALI

35. ASSICURAZIONI GENERALI

08. EVENTI FORMATIVI

09. RICERCA CLINICO ASSISTENZIALE

36. ASSISTANCE

09. CREDITI FORMATIVI

10. RICERCA CORRENTE

37. AURORA

10. EVENTI FORMATIVI PROGRAMMATI

11. RICERCA INNOVATIVA

38. CASAGIT SIA DIRETTA

11. INCONTRI FORMATIVI

12. RICERCA LIBERA

39. CASPIE DIRETTA

12. AGGIORNAMENTO CONTINUO

13. RICERCA MEDICO-SCIENTIFICA

40. CATTOLICA ASSICURAZIONE DIRETTA

13. AGGIORNAMENTO PROFESSIONALE

14. RICERCA PRECOCE

41. CONSORZIO MUSA DIRETTA

14. MIGLIORAMENTO CONTINUO

15. RICERCA PRESSO PRESTIGIOSI

42. FASCHIM DIRETTA

16. RICERCA SCIENTIFICA CLINICA

43. FASI DIRETTA

17. RICERCA SPERIMENTALE

44. FASI OPEN DIRETTA

18. RICERCATORI DELL'EURAC

45. GGL EUROPE ASSISTANCE

19. RICERCATRICE TELETHON

46. GRUPPO ASSI.RE.CRE

20. ADEGUATA PREPARAZIONE SCIENTIFICA

47. GRUPPO GENERALI DIRETTA 48. GRUPPO UNIPOL 49. MONDIAL ASSISTANCE 50. NEWMED DIRETTA 51. PREVIMEDICAL DIRETTA 52. SISTEMI SANITARI DIRETTA 53. UNISALUTE DIRETTA

SEMANTIC ANALYSIS

5

6

22

7

21

1

8

2

20

9

10

5 6

19

5

7 8

05a — 54

10

3

1

6

4

18

9

2

11

0

25

17

12

4 13 16

15

9

14

7

OSTETRICIA

3

8 SOFFERENZA FETALE 3

1

1

6 2

4

8

3

2

MORTE FETALE/MATERNA

3 2 13

1

5

9

CORSO PRE-PARTO

8

2

13

9 3

7

3

2

1

6 5

SOFFERENZA MATERNA

4

12

10 5

6

7

5

13

6

2

11 BENESSERE FETALE 12

7 1

4

3

11

8

1

PERCORSO NASCITE

10

9 CODICE ETICO

SEMANTIC ANALYSIS

05a — 55

OSTETRICIA

SOFFERENZA FETALE

01. OSTETRICIA

01. MALATTIA FETALE

02. CAMPO DELL'OSTETRICIA

02. IDROPE FETALE

2

2

6

1

03. COMPARTO DELL'OSTETRICIA

03. MALFORMAZIONI FETALI

04. OPERATIVA DI OSTETRICIA

04. PATOLOGIE SISTEMA FETO

05. REPARTO OSTETRICIA

05. PATOLOGIA NEONATALE

06. ECOGRAFIA OSTETRICA

23 NEONATALE 06. TERAPIA INTENSIVA

07. CLINICA OSTETRICA

07. ITTERNO NEONATALE

3

5

1

2

4

08. RIANIMAZIONE NEONATALE

1 09. ASSISTENZA OSTETRICA

09. NEONATO22 PATOLOGICO

10. SCIENZA OSTETRICA

10. NASCITE PREMATURE 12

13

5 18

1 6 7

11 10

9

21

13. PATOLOGIE OSTETRICHE

MORTE FETALE/MATERNA

14. PRINCIPALI PROCEDURE OSTETRICHE

01. MORTALITÀ MATERNO-INFANTILE 20

15. VISITE OSTETRICHE

02. MORTE CEREBRALE

16. PARTO SOCCORSO GINECOLOGICO OSTETRICO NATURALE

03. MORTI ENCEFALICHE

4

8

ANESTESIA

17. PRONTO SOCCORSO OSTETRICO 18. ECOGRAFIA OSTETRICO GINECOLOGICA 19. AMBULATORIO OSTETRICO

SOFFERENZA MATERNA

4

PARTO INDOLORE

01. PATOLOGIA UTERINA

21. INTENSA ATTIVITÀ OSTETRICO-GINECOLOGICA

02. PATOLOGIE ENDOCAVITARIE UTERINE

22. INTERVENTI OSTETRICI

03. MALFORMAZIONI UTERINE

1

CORSO PRE-PARTO

1 7

CODICE ETICO 5

01. INDAGINI PRENATALI PRE-PARTO 02. PRENATALI PRE-PARTO

PARTO CESAREO

04. DIAGNOSTICA PRENATALE

01. CODICE ETICO 02. CODICE ETICO COMPORTAMENTALE

03. MEDICINA PRENATALE 3

2

20. INTERESSE OSTETRICO-NEONATALE 1

2

03. CODICE ETICO DEONTOLOGICO 2

04. CODICE ETICO EUROSANITÀ

05. DIAGNOSI PRENATALE

05. ATTO ETICO

06. ASSISTENZA PERINATALE

06. CARATTERE ETICO

13

2

07. COMITATO ETICO

6

12

3

08. RISCHI ETICO COMPORTAMENTALI CAUSE LEGALI

GRAVIDANZA 11

4

1 10

5

9

6

15

14 7

BENESSERE FETALE

09. ETICA CLINICA

01. BENESSERE FETALE

10. SOCIETÀ ETICA

02. FETAL MEDICINE FOUNDATION

11. RISPETTO ASSOLUTO DELL'ETICA

03. FREQUENZA CARDIACA FETALE 5

12. ETICA

04. CARDIACA FETALE

13. RIFERIMENTO ALL'ETICA UMANA

3

3

2

05. ATTIVITÀ CARDIACA FETALE

8

06. ECOCARDIOGRAFIE FETALI 2

PARTO

07. ECOCARDIOGRAMMA FETALE 08. NEONATO SANO

7

1

09. NEONATO NORMALE 1

2

10. ASSISTENZA NEONATALE 11. ECOGRAFIE NEONATALI

6

12. FASE NEONATALE

3 7

1

13. REPARTO NEONATALE

6

4

5

4

PERCORSO NASCITE BENESSERE MATERNO

01. PERCORSO NASCITE

DOLORE

17

3

14

08. DIAGNOSTICA OSTETRICA

12. OSTETRICHE DELL'UNITÀ OPERATIVA 2

16

15

11. OSTETRICHE

TRAVAGLIO

24

ANSIA/STRESS

19

SEMANTIC ANALYSIS

2

05a — 56

24

2

16 2

23 3

6

1

17

3

15 14

4

13

1

5

22

18

1 12

TRAVAGLIO

6 7

11 10 21

2

20

4

5

PARTO NATURALE

1

9

8

ANESTESIA

4

2

PARTO INDOLORE 1

1

2

1 7

5

3

2

PARTO CESAREO

13

2

6

12

3

CAUSE LEGALI

GRAVIDANZA 4

1 5

9

3

5

6 14

2

7

3 8

2

PARTO

7 1 1

2

3 6

7

1

4

5

4

ANSIA/STRESS BENESSERE MATERNO

DOLORE

19

SEMANTIC ANALYSIS

05a — 57

PARTO NATURALE

ANESTESIA

01. PARTO NATURALE

01. ANESTESIA

02. PARTO SPONTANEO

02. ACCETTAZIONE ANESTESIA

03. PARTO FISIOLOGICO

03. ANESTESIA GENERALE

04. PARTO VAGINALE

04. ANESTESIA SPINALE

05. PARTO TRADIZIONALE

05. ANESTESIA SPINALE SELETTIVA

06. SALA PARTO TRADIZIONALE

06. ANESTESIA COMBINATA 07. ANESTESIA ENDOVENOSA 08. ANESTESIA PERIDURALE

GRAVIDANZA

09. ANESTESIA LOCO-REGIONALE

01. GRAVIDANZA

10. MIGLIORE ANESTESIA

02. BELLISSIMA GRAVIDANZA

11. ANESTESIA EPIDURALE

03. DONNE GRAVIDE

12. ANESTESIA REGIONALE

04. ORMONI GRAVIDICI

13. ANESTESIA RIANIMAZIONE

05. 20ESIMA SETTIMANA

14. ANESTESIA ADDIZIONALE

06. TERZO TRIMESTRE

15. MEDICO RESPONSABILE DELL'ANESTESIA

07. FUTURA MAMMA

16. ANESTETICO GENERALE 17. ANESTETICI GENERALI GASSOSI 18. ASSISTENZA ANESTESIOLOGICA

BENESSERE MATERNO

19. TECNICA ANESTESIOLOGICA

01. BENESSERE DONNA

20. ANALGESIA

02. BENESSERE FISICO

21. ANALGESIA EPIDURALE

03. MIGLIOR BENESSERE POSSIBILE

22. PARTO ANALGESIA

04. DIAGNOSTICA ECOGRAFICA GINECOLOGICA

23. PARTO ANALGESIA PERIDURALE

05. REPARTO MATERNITÀ

24. EPIDURALE L'INIEZIONE

06. ASSISTENZA DONNA 07. PRECOCE RELAZIONE MADRE-BAMBINO

CAUSE LEGALI 01. LEGALI 02. AUTORITÀ GIUDIZIARIA

ANSIA/STRESS 01. ANSIE 02. STRESS POSTNATALE 03. PSICOSI PUERPERALI

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.

Semantic research: who talks more then others.

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.

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.

The visualization shows the We decided to use keywords and results of semantic analysis that entities because they return a we made analyzing quantitatively result most faithful and reliable the keywords extracted from the for our research. tool Alchemy API. After that, the 92,163 keywords For example, as regards the were cleaned and refined public sector were selected 143 through Google Refine, links from the corpus of 325 removing duplicates and initial links. We considered misspellings, making the only public hospitals with an files more manageable and institutional site, removing all understandable. the links refer to local health Subsequently, given the high authorities, USSL, Health number of tags obtained, we Provincial and Territorial had to make a manual cleaning, AsurZona and other links related eliminating all the tags with a to sub-pages and not to the relevance lower than 0.5 in order actual site of the hospital . This to have an optimal number corpus of 143 links was analyzed 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.

SERVIZIO SANITARIO

STRUTTURA OSPEDALIERA

RICERCA

CODICE ETICO

PARTO

OSTETRICIA

FORMAZIONE

ASSICURAZIONI

DOLORE

INFORMAZIONI

GRAVIDANZA

ANESTESIA

BENESSERE FETALE

PERCORSO NASCITE

SOFFERENZA FETALE

CAUSE LEGALI

BENESSERE MATERNO

CORSO PRE PARTO

PARTO CESAREO

TRAVAGLIO

ANSIA/STRESS

SOFFERENZA MATERNA

MORTE

HOW TO READ IT?

stroke WORD COUNT MIN. 1 WORD MAX. 466 WORDS

RICERCA

SOFFERENZA FETALE

STRUTTURA OSPEDALIERA

CAUSE LEGALI

SERVIZIO SANITARIO

MORTE

DOLORE

PARTO CESAREO

CODICE ETICO

TRAVAGLIO

GRAVIDANZA

ANSIA/STRESS

PARTO

BENESSERE MATERNO

ANESTESIA

CORSO PRE PARTO

INFORMAZIONI

SOFFERENZA MATERNA

ASSICURAZIONI

OSTETRICIA

FORMAZIONE

PERCORSO NASCITE

BENESSERE FETALE

PRIVATE

PUBLIC

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 ISTITUTO CLINICO SAN ROCCO

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.

OSPEDALE EVANGELICO INTERNAZIONALE

AZIENDA OSPEDALIERA DI PERUGIA

AZIENDA OSPEDALIERA DELLA PROVINCIA DI PAVIA

AZIENDA OSPEDALIERA CARLO POMA

AZIENDA OSPEDALIERA SAN GIUSEPPE MOSCATI

AZIENDA OSPEDALIERA TREVIGLIO

PRESIDIO SANITARIO SAN CAMILLO

SPEDALI CIVILI BRESCIA

AZIENDA OSPEDALIERA LODI

AZIENDA OSPEDALIERA NAZIONALE SS. ANTONIO E BIAGIO E CESARE ARRIGO

AZIENDA SANITARIA DI ROVIGO

AZIENDA OSPEDALIERA UNIVERSITARIA OO.RR. S.GIOVANNI DI DIO E RUGGI D’ARAGONA

POLICLINICO DI BARI OSPEDALE GIOVANNI XXIII

AZIENDA OSPEDALIERA S.ANTONIO GALLARATE

OSPEDALE VILLA SALUS

AZIENDA OSPEDALIERA DI CIRCOLO DI MELEGNANOMELEGNANO

OSPEDALE SACRO CUORE DON CALABRIA

AZIENDA OSPEDALIERO-UNIVERSITARIA POLICLINICO VITTORIO EMANUELE

AZIENDA OSPEDALIERA BOLOGNINI SERIATE

AZIENDA OSPEDALIERA DI CREMONA

CASA DI CURA SALUS SRL

CASA DI CURA SAN MICHELE SRL

CASA DI CURA FABIA MATER SPA

OSPEDALE INTERNAZIONALE SRL

CLINICA SANATRIX SPA

CASA DI CURA SANTA RITA SPA

CASA DI CURA ORESTANO SRL

CASA DI CURA TORTORELLA SPA

LA VIALARDA SPA

CASA DI CURA TRUSSO SRL

VILLA DEI FIORI SRL

ISTITUTO CLINICO BEATO MATTEO

CASA DI CURA VILLA PIA SRL

ISTITUTO CLINICO CITTÀ DI BRESCIA SPA

SAN PIER DAMIANO HOSPITAL SPA

ISTITUTO CLINICO ZUCCHI PRESIDIO MONZA

ISTITUTO CLINICO ZUCCHI PRESIDIO CARATE BRIANZA

MARIA ROSARIA SPA

VILLA MARGHERITA SPA

CASA DI CURA CASCINI SRL

ISTITUTI CLINICI DI PAVIA E VIGEVANO SRL

SEDES SAPIENTAE

SALUS HOSPITAL SPA

VILLA LUCIA HOSPITAL SRL

CASA DI CURA VILLA CANDELA SPA

CASA DI CURA GRETTER GEST.C.M.C SRL

CASA DI CURA VILLA ERBOSA SPA

CASA DI CURA CIELLINI SPA

D’AMORE SRL

SANTA MARIA MADDALENA

VILLA MAFALDA SPA

VILLA DONATELLO SPA

CLINICA PRIVATA VILLALBA SRL

CASA DI CURA VILLA IGEA SRL

OSPEDALE PRIVATO VILLA SERENA SPA

OSPEDALE PRIVATO VILLA IGEA SPA

OSPEDALE PRIVATO DOMUS NOVA SPA

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

CASA DI CURA NOSTRA SIGNORA LOURDES

CASA DI CURA CITTÀ DI APRILIA SRL

VILLA TORRI HOSPITAL SRL

OSPEDALE PRIVATO ACCREDITATO VILLA REGINA

PINETA GRANDE SPA

CASA DI CURA SAN CAMILLO SRL

G.B. MANGIONI HOSPITAL SPA

CASA DI CURA VILLA ELISA SPA

CASA DI CURA VILLA ELENA SRL

IFCA SPA CASA DI CURA ULIVELLA E GLICINI

ISTITUTO CLINICO S.AMBROGIO SPA

ISTITUTO CLINICO SAN SIRO SPA

NUOVA CLINICA ANNUNZIATELLA SRL

POLICLINICO SAN MARCO ISTITUTO OSP BERGAMO

CASA DI CURA VILLA MAIONE SRL

CASA DI CURA SAN FRANCESCO SRL

CASA DI CURA PRIVATA S.GIORGIO SPA

CASA DI CURA TRIOLO ZANCA SPA

POLICLINICO CASALINO EUROSANITÀ SPA

CASA DI CURA SERENA SPA

QUISISANA

CASA DI CURA ANDREA GRIMALDI SRL

CASA DI CURA VILLA IGEA SPA

VILLA SANTA MARIA DI LEUCA

CASA DI SALUTE SANTA LUCIA SRL

ISTITUTO CLINICO SANT’ANNA

ABANO TERME SPA

ARS MEDICA SPA

CASA DI CURA VILLA FIORITA SPA

CASA DI CURA VILLA GEMMA SPA

PRIVATE PUBLIC

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.

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.

OSPEDALE GIANNINA GASLINI

AZIENDA OSPEDALIERA SIENA

GRUPPO MULTIMEDICA

POLICLINICO DI MODENA

FONDAZIONE POLIAMBULANZA ISTITUTO OSPEDALIERO

POLICLINICO SAN MATTEO DI PAVIA FONDAZIONE IRCCS

OSPEDALE GALLIERA

AZIENDA OSPEDALIERA DESIO E VIMERCATE

AZIENDA OSPEDALIERA CAREGGI

IRCCS MATERNO INFANTILE BURLO GAROFOLO

OSPEDALE DI CIRCOLO DI BUSTO ARSIZIO

AZIENDA OSPEDALIERA RUMMO

AZIENDA SANITARIA DELL’ALTO ADIGE

OSPEDALE OPERA PADRE PIO

AZIENDA OSPEDALIERA SASSARI

AZIENDA OSPEDALIERA DI REGGIO EMILIA

AZIENDA OSPEDALIERA DI BOLOGNA

AZIENDA OSPEDALIERA DI VALTELLINA E VALCHIAVENNA

AZIENDA OSPEDALIERA TERNI

AZIENDA OSPEDALIERO-UNIVERSITARIA DI FERRARA

AZIENDA OSPEDALIERA CITTÀ DELLA SALUTE E DELLA SCIENZA DI TORINO

OSPEDALE LUIGI SACCO

AZIENDA OSPEDALIERA SAN PAOLO

AZIENDA OSPEDALIERA PROVINCIA DI LECCO

AZIENDA OSPEDALIERA SAN SALVATORE

OSPEDALE S.CROCE E CARLE DI CUNEO

AZIENDA OSPEDALIERA SANTA MARIA DEGLI ANGELI

OSPEDALI RIUNITI BERGAMO

AZIENDA SANITARIA TOSCANA

AZIENDA OSPEDALIERO-UNIVERSITARIA DI PARMA

AZIENDA OSPEDALIERA ORDINE MAURIZIANO DI TORINO

AZIENDA PROVINCIALE PER I SERVIZI SANITARI

OSPEDALE DI CIRCOLO E FONDAZIONE MACCHI VARESE

AZIENDA OSPEDALIERA DI RILIEVO NAZIONALE E ALTA SPECIALIZZAZIONE GARIBALDI

SEMANTIC ANALYSIS 05a — 65

HOW TO READ IT?

stroke WORD COUNT

MIN. 1 WORD

MAX. 466 WORDS

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.

Relevance visualization: a quality parameter.

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.

HOW TO READ IT?

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

A RELEVANCE MIN. 0,5 MAX. 1

SERVIZIO SANITARIO

STRUTTURA OSPEDALIERA

RICERCA

CODICE ETICO

PARTO

OSTETRICIA

FORMAZIONE

ASSICURAZIONI

DOLORE

INFORMAZIONI

GRAVIDANZA

ANESTESIA

BENESSERE FETALE

PERCORSO NASCITE

SOFFERENZA FETALE

CAUSE LEGALI

BENESSERE MATERNO

CORSO PRE PARTO

PARTO CESAREO

TRAVAGLIO

ANSIA/STRESS

SOFFERENZA MATERNA

MORTE AZIENDA OSPEDALIERA DI CREMONA

AZIENDA OSPEDALIERA BOLOGNINI SERIATE

AZIENDA OSP.-UNIV. POLICLINICO VITTORIO EMANUELE

OSPEDALE SACRO CUORE DON CALABRIA

AZIENDA OSPEDALIERA DI CIRCOLO DI MELEGNANOMELEGNANO

OSPEDALE VILLA SALUS

AZIENDA OSPEDALIERA S.ANTONIO GALLARATE

POLICLINICO DI BARI OSPEDALE GIOVANNI XXIII

AZIENDA OSP. UNIV. OO.RR. S.GIOVANNI DI DIO E RUGGI D’ARAGONA

AZIENDA SANITARIA DI ROVIGO

AZIENDA OSP. NAZ. SS. ANTONIO E BIAGIO E CESARE ARRIGO

AZIENDA OSPEDALIERA LODI

SPEDALI CIVILI BRESCIA

PRESIDIO SANITARIO SAN CAMILLO

AZIENDA OSPEDALIERA TREVIGLIO

AZIENDA OSPEDALIERA SAN GIUSEPPE MOSCATI

AZIENDA OSPEDALIERA CARLO POMA

AZIENDA OSPEDALIERA DELLA PROVINCIA DI PAVIA

AZIENDA OSPEDALIERA DI PERUGIA

OSPEDALE EVANGELICO INTERNAZIONALE

AZIENDA OSP. DI RILIEVO NAZ. E ALTA SPECIALIZZAZIONE GARIBALDI

OSPEDALE DI CIRCOLO E FONDAZIONE MACCHI VARESE

AZIENDA PROVINCIALE PER I SERVIZI SANITARI

AZIENDA OSPEDALIERA ORDINE MAURIZIANO DI TORINO

AZIENDA OSPEDALIERO-UNIVERSITARIA DI PARMA

AZIENDA SANITARIA TOSCANA

OSPEDALI RIUNITI BERGAMO

AZIENDA OSPEDALIERA SANTA MARIA DEGLI ANGELI

OSPEDALE S.CROCE E CARLE DI CUNEO

AZIENDA OSPEDALIERA SAN SALVATORE

AZIENDA OSPEDALIERA PROVINCIA DI LECCO

AZIENDA OSPEDALIERA SAN PAOLO

OSPEDALE LUIGI SACCO

AZIENDA OSP. CITTÀ DELLA SALUTE E DELLA SCIENZA DI TORINO

AZIENDA OSPEDALIERO-UNIVERSITARIA DI FERRARA

AZIENDA OSPEDALIERA TERNI

AZIENDA OSPEDALIERA DI VALTELLINA E VALCHIAVENNA

AZIENDA OSPEDALIERA DI BOLOGNA

AZIENDA OSPEDALIERA DI REGGIO EMILIA

AZIENDA OSPEDALIERA SASSARI

OSPEDALE OPERA PADRE PIO

AZIENDA SANITARIA DELL’ALTO ADIGE

AZIENDA OSPEDALIERA RUMMO

OSPEDALE DI CIRCOLO DI BUSTO ARSIZIO

IRCCS MATERNO INFANTILE BURLO GAROFOLO

AZIENDA OSPEDALIERA CAREGGI

AZIENDA OSPEDALIERA DESIO E VIMERCATE

OSPEDALE GALLIERA

POLICLINICO SAN MATTEO DI PAVIA FONDAZIONE IRCCS

FONDAZIONE POLIAMBULANZA ISTITUTO OSPEDALIERO

POLICLINICO DI MODENA

GRUPPO MULTIMEDICA

AZIENDA OSPEDALIERA SIENA

OSPEDALE GIANNINA GASLINI

SERVIZIO SANITARIO

STRUTTURA OSPEDALIERA

RICERCA

CODICE ETICO

PARTO

OSTETRICIA

FORMAZIONE

ASSICURAZIONI

DOLORE

INFORMAZIONI

GRAVIDANZA

ANESTESIA

BENESSERE FETALE

PERCORSO NASCITE

SOFFERENZA FETALE

CAUSE LEGALI

BENESSERE MATERNO

CORSO PRE PARTO

PARTO CESAREO

TRAVAGLIO

ANSIA/STRESS

SOFFERENZA MATERNA

MORTE ISTITUTO CLINICO SAN ROCCO

CASA DI CURA VILLA GEMMA SPA

CASA DI CURA VILLA FIORITA SPA

ARS MEDICA SPA

ABANO TERME SPA

ISTITUTO CLINICO SANT’ANNA

CASA DI SALUTE SANTA LUCIA SRL

VILLA SANTA MARIA DI LEUCA

CASA DI CURA VILLA IGEA SPA

CASA DI CURA ANDREA GRIMALDI SRL

QUISISANA

CASA DI CURA SERENA SPA

POLICLINICO CASALINO EUROSANITÀ SPA

CASA DI CURA TRIOLO ZANCA SPA

CASA DI CURA PRIVATA S.GIORGIO SPA

CASA DI CURA SAN FRANCESCO SRL

CASA DI CURA VILLA MAIONE SRL

POLICLINICO SAN MARCO ISTITUTO OSP BERGAMO

NUOVA CLINICA ANNUNZIATELLA SRL

ISTITUTO CLINICO SAN SIRO SPA

ISTITUTO CLINICO S.AMBROGIO SPA

IFCA SPA CASA DI CURA ULIVELLA E GLICINI

CASA DI CURA VILLA ELENA SRL

CASA DI CURA VILLA ELISA SPA

G.B. MANGIONI HOSPITAL SPA

CASA DI CURA SAN CAMILLO SRL

PINETA GRANDE SPA

OSPEDALE PRIVATO ACCREDITATO VILLA REGINA

VILLA TORRI HOSPITAL SRL

CASA DI CURA CITTÀ DI APRILIA SRL

CASA DI CURA NOSTRA SIGNORA LOURDES

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

OSPEDALE PRIVATO DOMUS NOVA SPA

OSPEDALE PRIVATO VILLA IGEA SPA

OSPEDALE PRIVATO VILLA SERENA SPA

CASA DI CURA VILLA IGEA SRL

CLINICA PRIVATA VILLALBA SRL

VILLA DONATELLO SPA

VILLA MAFALDA SPA

SANTA MARIA MADDALENA

D’AMORE SRL

CASA DI CURA CIELLINI SPA

CASA DI CURA VILLA ERBOSA SPA

CASA DI CURA GRETTER GEST.C.M.C SRL

CASA DI CURA VILLA CANDELA SPA

VILLA LUCIA HOSPITAL SRL

SALUS HOSPITAL SPA

SEDES SAPIENTAE

ISTITUTI CLINICI DI PAVIA E VIGEVANO SRL

CASA DI CURA CASCINI SRL

VILLA MARGHERITA SPA

MARIA ROSARIA SPA

ISTITUTO CLINICO ZUCCHI PRESIDIO CARATE BRIANZA

ISTITUTO CLINICO ZUCCHI PRESIDIO MONZA

SAN PIER DAMIANO HOSPITAL SPA

ISTITUTO CLINICO CITTÀ DI BRESCIA SPA

CASA DI CURA VILLA PIA SRL

ISTITUTO CLINICO BEATO MATTEO

VILLA DEI FIORI SRL

CASA DI CURA TRUSSO SRL

LA VIALARDA SPA

CASA DI CURA TORTORELLA SPA

CASA DI CURA ORESTANO SRL

CASA DI CURA SANTA RITA SPA

CLINICA SANATRIX SPA

OSPEDALE INTERNAZIONALE SRL

CASA DI CURA FABIA MATER SPA

CASA DI CURA SAN MICHELE SRL

CASA DI CURA SALUS SRL

SEMANTIC ANALYSIS

05b — 73

FILTERS

RELIGIOUS WORDS SERVICES USER FEELINGS HEALTH CARE MATERIAL STATUS

05b

PRIVATE STRUCTURE WITH SPECIAL KEYWORDS

PRIVATE STRUCTURE WITH ONLY RESORT KEYWORDS

PRIVATE STRUCTURE WITH ONLY RELIGIOUS KEYWORDS

PRIVATE STRUCTURE WITH BOTH KEYWORDS

50

24

5

21

TOTAL KEYWORDS

RESORT KEYWORDS

RELIGIOUS KEYWORDS

325

242

83

SEMANTIC ANALYSIS

05b — 75

Understand what characterizes the imaginary of Private Healthcare and which are the most common keywords and which have more linguistic variations and which are more constant.

Scenario in private sector: a particulary imaginary.

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 are present in their pure nature or associated with adjectives and modified at the level of morpheme, which keywords are subject to linguistic and semantic variations and which, instead, are constants.

SEMANTIC ANALYSIS

1

1

4

4

1

32

2 3

8

13

BENESSERE

BENESSERE

14

14

2

2 3 19

15

13 15

124 1

7

187

8

3

10

10 6

5 6

9

8

17

17

CONFORT

CONFORT

6

6

2

2

1

1

7

16

8

8

8

CLIMA SANO

CLIMA SANO

CLIMA SANO

4

4

4

2

2

2

1

1

1

3

5

5

1

3

11

5

1

3

5

5

5

2

2

2

1

1

1

4

7

6

7

6

9

7 8

RISERVATEZZA

RISERVATEZZA

2

2

1

1

3 6

STRUTTURA MODERNA

1

4

3 6

3

3

4 5 SERENITÀ

3 6

STRUTTURA MODERNA STRUTTURA MODERNA

4

54

4 7

1

7

8

3

1

32

2 3

ECCELLENZA

ECCELLENZA

1

1

4 SERENITÀ

2

4

3

TRADIZIONE FAMILIARETRADIZIONE FAMILIARE

2

2

3 TRADIZIONE FAMILIARE

32

PROFESSIONALITÀ

2

7

A

3 6

1 2

4 5

E

LUOGO ACCOGLIENTE

5

4

1

10 6

9

3

PERSONALIZZAZIONE 4

3

8 54

ASSISTENZA EFFICIENTE ASSISTENZA EFFICIENTE ASSIST

4

4

3

1

9

3

IONE PERSONALIZZAZIONE

6

3 LUOGO ACCOGLIENTE LUOGO ACCOGLIENTE

4

3

1

6

3

3 3

6

6

15

1

16

7 2

5

6 10 16 9

1

7 2

6

4

115

106

1

9

4 12 5

11

4

2 10

3

05b — 76

2 3

PROFESSIONALITÀ

PRO

SEMANTIC ANALYSIS

05b — 77

BENESSERE

CLIMA SANO

ASSISTENZA EFFICIENTE

01. COMPLETO BENESSERE FISICO

01. CLIMA FAMILIARE

01. ASSISTENZA EFFICIENTE

02. BENESSERE FISICO

02. CLIMA GIUSTO

02. MIGLIORE ASSISTENZA

03. BENESSERE PSICOLOGICO

03. AMBIENTE SANO

03. SPLENDIDA ASSISTENZA

04. AMBIENTI LUMINOSI

04. ASSISTENZA PERSONALIZZATA

05. AMBIENTE SOBRIO

05. ASSISTENZA EFFICACE

COMFORT

06. MIGLIORI CONDIZIONI AMBIENTALI

06. QUALITÀ ASSISTENZA

01. COMFORT

07. ATMOSFERA ADATTA

07. ORGANIZZAZIONE EFFICIENTE

02. COMFORT AGGIUNTIVO

08. EFFICIENTE ORG. INTERSTRUTTURALE

03. COMFORT OSPEDALIERO

09. INFRASTRUTTURA EFFICACE

04. MAGGIORE COMFORT

LUOGO ACCOGLIENTE

05. ASSOLUTO COMFORT

01. LUOGO ACCOGLIENTE

06. MIGLIORE COMFORT

02. AMBIENTI ACCOGLIENTI

ECCELLENZA

07. COMFORT ALBERGHIERO

03. AMBIENTE ACCOGLIENTE ADATTO

01. POLO DI ECCELLENZA

08. MIGLIORE COMFORT ALBERGHIERO

04. FELICE COLLOCAZIONE

02. ECCELLENZA ALL'INTERNO

09. ULTERIORE COMFORT ALBERGHIERO

03. ASSOLUTA ECCELLENZA

10. COMFORT ALBERGHIERO VARIABILI 11. ELEVATO COMFORT ALBERGHIERO

STRUTTURA MODERNA

12. BUON COMFORT ALBERGHIERO

01. STRUTTURA MODERNA

PROFESSIONALITÀ

13. MAGGIOR COMFORT ALBERGHIERO

02. ATTREZZATURE MODERNA

01. PROFESSIONALITÀ INDUBBIA

14. AMBIENTE CONFORTEVOLE

03. COSTRUZIONE MODERNA

02. CORDIALITÀ, PREMURA, PROFESSIONALITÀ

15. SOGGIORNO CONFORTEVOLE

04. OSPEDALE MODERNO

03. ELEVATA PROFESSIONALITÀ

16. CONFORTEVOLE PUNTO

05. PRESTIGIOSO EDIFICIO

17. CONFORTEVOLE DAY HOSPITAL

06. PRESTIGIOSO CENTRO

18. CONFORTEVOLI CAMERE

07. FIORE ALL'OCCHIELLO

19. CONFORTEVOLI SALOTTINI

TRADIZIONE FAMILIARE PERSONALIZZAZIONE

01. LUNGA TRADIZIONE

01. PERSONALIZZAZIONI INTERNE

02. CONDUZIONE FAMILIARE

02. ASSISTENZA PERSONALIZZATA

03. ACCOGLIENZA FAMILIARE

03. PASTI PERSONALIZZATI

04. CLIMA FAMILIARE

04. VASSOI PERSONALIZZATI 05. POSSIBILI MENU PERSONALIZZATI 06. LIBERA SCELTA DELL'UTENTE

RISERVATEZZA 01. MASSIMA RISERVATEZZA 02. PIENA RISERVATEZZA 03. STANZE RISERVATE 04. NECESSARIA TRANQUILLITÀ 05. TRANQUILLITÀ 06. AMBIENTI TRANQUILLI 07. CAMERE PRIVATE 08. BAGNO PRIVATO 09. PROPRIA STANZA 10. PROPRI SERVIZI IGIENICI 11. NECESSARIO GRADO INTIMITÀ

SERENITÀ 01. RAFFINATA SERENITÀ 02. SERENA POSSIBILE 03. SERENO SVOLGIMENTO 04. SERENO PERIODO 05. ATMOSFERA SERENA

SEMANTIC ANALYSIS

3

3

13 4

1

13 4

4

2 12

1

2

5

12

5

1

1

SERVIZIO RELIGIOSO SERVIZIO RELIGIOSO

7

72

SERVIZIO RELIGIOSO

6

6

11

6

3

7

10

9

8

7

7 9

8

1

1

1

RITO CATTOLICO

RITO CATTOLICO

RITO CATTOLICO

BERGHIERO SERVIZIO ALBERGHIEROSERVIZIO ALBERGHIERO

4

5

2

CAPPELLA

13

13

1

5

5

5

3

3

3

2

2

2

1

1

1

12

CAP

3

3

3

OMPLETOSERVIZIO COMPLETO

SERVIZIO COMPLETO 4

3

3

2

2

84

4

ASSISTENZA SPIRITUALE ASSISTENZA SPIRITUALE ASSISTENZA SPIRITUALE

4

1

4

4

2

2

2

1

1

1

3

3

3

1

75

5

6

5

6

SERVIZIO DI RISTORAZIONE STORAZIONE SERVIZIO DI RISTORAZIONE

5

5

1

1

FUNZIONE RELIGIOSAFUNZIONE RELIGIOSA FUNZIONE RELIGIOSA

4 6

2

6

3

3

7

7

2

6 4

4

4

8

8

8

SERVIZIO PER ACCOMPAGNATORI COMPAGNATORI SERVIZIO PER ACCOMPAGNATORI

1

1

ASSISTENTI RELIGIOSI ASSISTENTI RELIGIOSI ASSISTENTI RELIGIOSI

3

TERMALE SERVIZIO TERMALE

2

SERVIZIO TERMALE

2

1

12

4

12 4

1

11

11

5

11

5

10

10

6

10

6

9

2

5

2

1

3

4

CAPPELLA

3

8 2

6 3

6 5

8

27

1

6

10

1

5

1

1

05b — 78

2

9 7

2

8

8

UMANITÀ

UMANITÀ

79

UM

SEMANTIC ANALYSIS

05b — 79

SERVIZIO ALBERGHIERO

SERVIZIO RELIGIOSO

CAPPELLA

01. SERVIZIO ALBERGHIERO

01. SERVIZIO RELIGIOSO

01. CAPPELLA INTERNA

02. SERVIZI ALBERGHIERI ACCESSORI

02. PROPRIA CAPPELLA INTERNA

03. STRUTTURA ALBERGHIERA

03. ACCOGLIENTE CAPPELLA

04. DIFFERENZA ALBERGHIERA

RITO CATTOLICO

04. PICCOLA CAPPELLA

05. ASSISTENZA ALBERGHIERA

01. RITO CATTOLICO

05. ANTICA CAPPELLA

06. OSPITALITÀ ALBERGHIERA

06. GRAZIOSA CAPPELLA

07. VISTA ALBERGHIERO

07. CAPPELLA SITA

08. COMFORT ALBERGHIERO

ASSISTENZA SPIRITUALE

09. MIGLIOR COMFORT ALBERGHIERO

01. ASSISTENZA SPIRITUALE

10. BUON COMFORT ALBERGHIERO

02. ADEGUATA ASSISTENZA SPIRITUALE

UMANITÀ

11. ELEVATO COMFORT ALBERGHIERO

03. ASSISTENZA RELIGIOSA

01. UMANITÀ NELL'ACCOGLIENZA

12. MAGGIOR ALBERGHIERI VARIABILI

04. ASSISTENZA RELIGIOSA PERSONALE

02. UMANITÀ MERAVIGLIOSA

13. COMFORT ALBERGHIERI VARIABILI

05. CONFESSIONE RELIGIOSA

03. RAPPORTO UMANO 04. ASPETTO UMANO 05. PROPRIA DIGNITÀ UMANA

SERVIZIO COMPLETO

FUNZIONE RELIGIOSA

06. INTERAZIONI UMANE

01. SERVIZIO COMPLETO

01. FUNZIONE RELIGIOSA

07. CARATTERE UMANO DEGLI OPERATORI

02. LODEVOLE SERVIZIO

02. SS MESSE

08. NONCHÈ UMANO

03. MIGLIOR SERVIZIO

03. FESTIVITÀ RELIGIOSE

09. ALTISSIMO VALORE UMANO 10. UMANIZZAZIONE DELL'ASSISTENZA 11. ATTENZIONE ALL'UMANIZZAZIONE

SERVIZIO DI RISTORAZIONE

ASSISTENTI RELIGIOSI

12. SPICCATA UMANIZZAZIONE

01. SERVIZIO DI RISTORAZIONE

01. ASSISTENTI RELIGIOSI

13. TANTA EMPATIA

02. RAFFINATO RISTORANTE

02. PADRE JOHN SCALABRINI

03. DISPONIBILI MENU

03. SUOR ORSOLA BENINCASA

04. MENU PREDISPOSTI 05. MENU GIORNALIERO 06. POSSIBILI MENU PERSONALIZZATI 07. PASTI PERSONALIZZATI 08. VASSOI PERSONALIZZATI

SERVIZIO PER ACCOMPAGNATORI 01. EVENTUALI ACCOMPAGNATORI 02. DISPOSIZIONE DELL'ACCOMPAGNATORE 03. LETTO PER L'ACCOMPAGNATORE 04. PASTI DELL'ACCOMPAGNATORE 05. RELAZIONI FAMILIARI 06. FAMILIARI RIGUARDO 07. PROPRI CARI 08. SOGGIORNO OSPITI

SERVIZIO TERMALE 01. BENESSERE TERMALE 02. ANTICHE ACQUE TERMALI 03. IMPORTANTI RISORSE TERMALI

Special keywords

The semantic research for the definition of private structures imaginary, has led to the classification of keywords in two categories.

The first one has been called resort-soggiorno and it contains all the keywords associated with the physical characteristics of the structure, the type of assistance, services offered to patients and the feelings and emotions experienced during hospitalization.

The second category has been called religione includes all the

SEMANTIC ANALYSIS

05b — 80

types of structures, assistance and services of a religious nature offers to the believer in the hospital.

We completed our semantic research with the analysis of grouping classes of private hospitals. We identified the following classes: casa di cura, villa, clinica, istituto clinico, ospedale, hospital.

the semantic category resortsoggiorno, while the remaining four classes belong to the classic Health imaginary.

The visualization shows for each of the 50 health structures: the class and the special keywords recurring, divided into the two categories mentioned above and pondered in terms of relevance and frequency.

These definitions are very different in terms of gender.

There are, in fact, two classes – casa di cura and villa – thematically related to

HOW TO READ IT?

MINIMUM RELEVANCE (0,5)

MAXIMUM RELEVANCE (1) KEYWORDS CONNECTOR

SINGLE CATEGORY

MINIMUM COUNT 1

DUBLE CATEGORY

RESORT KEYWORDS COUNT

STATED KEYWORD

SINGLE CATEGORY

COMPOSED/DEDUCED KEYWORD

AND RELIGIUS NATURE

RELIGIUS KEYWORDS COUNT

SENSAZIONI

STRUTTURA SANITARIA

SERVIZI

ASSISTENZA

BENESSERE

CLIMA SANO

SERVIZIO ALBERGHIERO

ASSISTENZA EFFICIENTE

COMFORT

LUOGO ACCOGLIENTE

SERVIZIO COMPLETO

ECCELLENZA

PERSONALIZZAZIONE

MODERNA / PRESTIGIOSA

SERVIZIO DI RISTORAZIONE

PROFESSIONALITÀ

RISERVATEZZA

TRADIZIONE FAMIGLIARE

SERVIZI PER ACCOMPAGNATORI

SERENITÀ

SERVIZIO TERMALE

RELIGIONE

CLASSIFICAZIONE OSPEDALI

SERVIZIO RELIGIOSO

ND – NON DETERMINATO

RITO CATTOLICO

V – VILLA

ASSISTENZA SPIRITUALE

CdC – CASA DI CURA

FUNZIONE RELIGIOSA

C – CLINICA

ASSISTENTI RELIGIOSI

H – HOSPITAL

CAPPELLA

IC – ISTITUTO CLINICO

UMANITÀ

O – OSPEDALE

BENESSERE

COMFORT

PERSONALIZZAZIONE

RISERVATEZZA

CLIMA SANO SERENITÀ

ASSISTENZA EFFICIENTE

ECCELLENZA

LUOGO ACCOGLIENTE

PROFESSIONALITÀ

STRUTTURA MODERNA/PRESTIGIOSA

SERVIZIO ALBERGHIERO TRADIZIONE FAMILIARE

SERVIZIO DI RISTORAZIONE SERVIZIO COMPLETO

SERVIZI PER ACCOMPAGNATORE

SERVIZIO TERMALE

SERVIZIO RELIGIOSO

ASSISTENZA SPIRITUALE RITO CATTOLICO

ASSISTENTI RELIGIOSI FUNZIONE RELIGIOSA

CAPPELLA

UMANITÀ VILLA TORRI HOSPITAL S.R.L

VILLA MAFALDA S.P.A.

VILLA LUCIA HOSPITAL S.R.L.

VILLA DONATELLO S.P.A.

VILLA DEI FIORI S.R.L.

SEDES SAPIENTIAE

SANTA MARIA S.P.A.

SAN PIER DAMIANO HOSPITAL S.P.A.

SALUS HOSPITAL S.P.A.

QUISISANA

PINETA GRANDE S.P.A.

OSPEDALE SAN RAFFAELE I.R.C.C.S.

OSPEDALE PRIVATO VILLA SERENA S.P.A.

OSPEDALE PRIVATO VILLA IGEA S.P.A.

IC

OSPEDALE PRIVATO DOMUS NOVA S.P.A.

OSPEDALE INTERNAZIONALE S.R.L.

V+H

NUOVA CLINICA ANNUNZIATELLA S.R.L.

MARIA ROSARIA S.P.A.

H

LA VIALARDA S.P.A.

ISTITUTO CLINICO S. ANNA

ISTITUTO CLINICO BEATO MATTEO

C

IST. CLINICO CITTÀ DI BRESCIA S.P.A.

G.B. MANGIONI HOSPITAL S.P.A.

V+CdC

D'AMORE S.R.L.

CdC

CLINICA SANATRIX S.P.A.

CLINICA SAN MICHELE S.R.L.

CLINICA PRIVATA VILLALBA S.R.L.

CASA DI SALUTE SANTA LUCIA S.R.L.

V

CASA DI CURE TRIOLO ZANCLA S.P.A.

CASA DI CURE ORESTANO S.R.L.

CASA DI CURA VILLA PIA S.R.L.

CASA DI CURA VILLA MAIONE S.R.L.

CASA DI CURA VILLA IGEA S.R.L.

CASA DI CURA VILLA ERBOSA S.P.A.

CASA DI CURA VILLA ELENA S.R.L.

CASA DI CURA TRUSSO S.R.L.

CASA DI CURA TORTORELLA S.P.A.

CASA DI CURA SERENA S.P.A.

CASA DI CURA SANTA RITA S.P.A.

CASA DI CURA SANTA MARIA MADDALENA

CASA DI CURA SANT'ANNA S.R.L

CASA DI CURA SAN CAMILLO S.R.L.

CASA DI CURA NOSTRA SIGNORA DI LOURDES S.P.A.

CASA DI CURA GRETTER GEST.C.M.C. S.R.L.

CASA DI CURA FABIA MATER S.P.A.

CASA DI CURA CELLINI S.P.A.

CASA DI CURA CANDELA S.P.A.

CASA DI CURA VILLA ELISA S.P.A.

CASA DI CURA SALUS S.R.L.

ARS MEDICA S.P.A.

ND O

V+O

CONCLUSION

06 — 87

LITMUS TEST AND CONCLUSION 06

CONCLUSION

06 — 88

FILTERS

COOKING WEBSITES FACEBOOK PAGES JAVASCRIPT LINKS MAILTO LINKS WIKIPEDIA PAGES ONLINE SHOPS BEAUTY WEBSITES HOROSCOPE PDFS

LINKS POLISH

INITIAL KEYWORDS

GOOGLE RESULTS FOR EACH KEYWORD

TOTAL LINKS

25

64

1,600 1,288

SECOND LINKS POLISH (FIRST 10)

FOR EACH KEYWORD

KEYWORDS POLISH (2 REMOVED)

OUTLINKS ANALYSIS

10

250

2

1,740

OUTLINKS POLISH

1,538

CONCLUSION

06 — 89

What happens if we move backwards?

CONCLUSION

06 — 91

Doing a test to verify the accurancy of the process of analysis, allowed us to confirm the results obtained and the efficient of the research protocol that we have used.

Litmus test: taking a look at backward.

The final step of our analysis is a litmus test. We wanted to see what happens doing the reverse path analysis.

how actually appear sites that were identified in the first phase of research as Bollini Rosa and Onda Osservatorio, and many others that show a more social We used as queries in Google.com than medical nature. the same keywords defined earlier. To optimize this research Comparing the visualization it was necessary to program a obtained from the outlinks of the small script in php and javascript corpus of the structures with this based on Google API that can new visualization it was possible extract the first 64 results of a to find some common nodes that search query. reveal how some structures are Starting from 1,600 links more on the web than others. obtained from the first 64 results Interestingly, the important of 25 keywords entered, we after result obtained by the – legal made a first manual screening causes birth – keywords refer to that led to 1,288 links. the blog www.epidurale.blogspot.it It was then decided to keep that promote the right to free only the first 10 results for each epidural anaesthesia in Italy. keyword, so we restricted the results to 250 elements.

Two keywords were removed because they were not relevant – anesthesia delivery and maternal suffering. After obtaining the set of sites, were generated through LinkRipper 1,740 outlinks then filtered to 1,538 links, which are those used in the visualization. From the view obtained by Gephi you can see

CONCLUSION

HOW TO READ IT? OUTLINKS NETWORK

A OUTDEGREE stroke LINKS

SOFFERENZA MATERNA

STRUTTURA OSPEDALIERA

TRAVAGLIO

ANSIA E STRESS

INFORMAZIONI

CORSO PRE PARTO

PERCORSO NASCITE

ASSICURAZIONI

GRAVIDANZA

ANESTESIA

OSTETRICIA

DOLORE

CODICE ETICO

CAUSE LEGALI

SERVIZIO SANITARIO

PARTO CESAREO

MORTE

BENESSERE MATERNO

SOFFERENZA FETALE

FORMAZIONE

PARTO

RICERCA

06 — 92

EPIDURALE BLOGSPOT. BLOG PROMOTING THE RIGHT OF FREE EPIDURAL ANAESTHESIA IN ITALY. HTTP://EPIDURALE.BLOGSPOT.COM/2010/11/ LA-PIAGA-DEGLI-STUDI-LEGALI-RIFLESSIONI.HTML

1. HEALTHCARE STRUCTURES,

LITMUS TEST ZOOM 2.4X

WITH THE LITMUS TEST WE HAVE FOUND SOME URLS THAT WE HAVE ALREADY FOUND IN OUR FIRST

1.

BOLLINI ROSA, ONDA OSSERVATORIO. CORRESPONDENCE TO HEALTHCARE STRUCTURES

ANALYSIS OF PRIVATE AND PUBLIC STRUCTURES

(URL) USED AS A STARTING POINT IN OUR

OUTLINK.

RESEARCH.

PUBLIC

ISTITUZIONI BLOG COMMUNITY

PRIVATE

REGIONE LOMBARDIA

PUBLIC AND PRIVATE

ONDA OSSERVATORIO AND BOLLINI ROSA

AZIENDE OSPEDALIERE AOU PISANA OSP. SAN RAFFAELE AO VALTELLINA E VALCHIAVENNA

CONCLUSION

06 — 96

Understand a dynamic complex phenomenon through a linear storytelling of a analysis process is the best way to answer at the research question on our topic.

Conclusion

Concluding with the view of our litmus test, we can say that our research only in some cases has confirmed the basic ideas that had emerged a priori, and led to the discovery of themes and relationships otherwise unknown.

From the analysis of the websites of health care structure has emerged that many public hospitals do not have a website just able to communicate adequately the services offered to an increasingly web-addicted target. The study of the relationships between structures revealed the role of Onda Osservatorio and its program Bollini Rosa both in public than in private sectors.

Another interesting aspect is the geographical distribution of private structures that, unlike previously expected, are very common in the center-south of Italy.

Semantic analysis has allowed us to better understand which actors talk about certain topics

related to caesarean sections and the way in which. Understand if an actor most talked about insurance and risks, or physical pain, helped us to have a clearer view of its position and its role in the system. Not only the terms used within the sites of the structures, but the names themselves have provided an interesting semantic food for thought.

As for any controversial theme, has not been possible to reach a comprehensive and definitive answer, but now we know various interesting aspects that give us a better understanding of the topic.

CONCLUSION

06 — 97