Administrative Burden in Healthcare

Policy implementation eventually received wealth of attention both from policymakers, media, and researchers, especially considering new standpoints and perspectives. For this reason, Administrative burden definition as “policy implementations perceived as onerous” (Burden et al., 2012) subverts the usual paradigms putting the personal perception at the center. Later on, the framework has been further elaborated as the learning, compliance and psychological costs perceived by citizens dealing with policy implementations (Herd, Moynihan and Harvey, 2015). Given this perspective I analyze the literature of the last 10 years of research on administrative burden in healthcare domain, including "red tape" and "sludge" as far as they encompass the subjective perception of citizens or public servants of a policy implementation. Afterward, there is an attempt to construct items capable to measure learning, compliance and psychological costs perceived by public servants --specifically in healthcare domain using the Sant'anna School organizational Survey inspired by the NHS one. A qualitative experiment based on an action research intervention and a quantitative one based on a discrete choice experiment assess two different aspects of administrative burden in two different kind of samples. The first sample is a group of adolescents living in marginalized areas involved in an action research project to prevent hospitalization, the second is a sample of hospital managers asked to choose among several criteria involved in innovation adoption