TY - CHAP AB - Purpose – This paper focuses on efficiency as a central theme of the Italian health care reforms, combining macrolevel policies with microlevel (i.e., operating room) perceptions of the concept.Design/Methodology/Approach – According to the phenomenographic approach, this analysis investigates how the components of a surgical team (22 semistructured interviews) experience efficiency in their daily workflows.Findings – The main findings show that the concept of efficiency is multidimensional. According to participants’ perspective, several categories of efficiency collected in an outcome space emphasize an holistic view of efficiency driving health policies and strategies.Social implications – The suggestion of further relationships between perspectives and other constructs (i.e., quality, safety, patient focus, process) at micro and macro level could enhance the impact of health reforms.Originality/Value – A qualitative approach conducted at microlevel help to recognize the phenomenon (of efficiency), engaging the individual conception that practitioners have of the health efficiency. VL - 13 SN - 978-1-78190-191-5, 978-1-78190-190-8/1474-8231 DO - 10.1108/S1474-8231(2012)0000013012 UR - https://doi.org/10.1108/S1474-8231(2012)0000013012 AU - Cattaneo Cristiana AU - Galizzi Giovanna AU - Bassani Gaia ED - Leonard H. Friedman ED - Grant T. Savage ED - Jim Goes PY - 2012 Y1 - 2012/01/01 TI - Efficiency as a Domain of Health Care Systems: A Phenomenographic Approach T2 - Annual Review of Health Care Management: Strategy and Policy Perspectives on Reforming Health Systems T3 - Advances in Health Care Management PB - Emerald Group Publishing Limited SP - 161 EP - 188 Y2 - 2024/04/19 ER -