Pediatric interregional healthcare mobility in Italy

Interregional Interactions and Population Mobility

The institutional level at which policies should be determined is an important issue that has been extensively treated in the economics literature. In particular, the literature has discussed to what extent decentralization of policy decisions give an inefficient outcome. With a homogeneous population and perfect population mobility, as it conventionally is modeled, the following result is deri...

Interregional Patient Mobility in the Italian NHS: A Case of Badly-Managed Decentralization; Comment on “Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience”

The article by Brenna and Spandonaro on interregional mobility for acute hospital care in Italy raises important issues concerning social and territorial equity in a healthcare system. Based on Regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (CBM), demonstrated by statistical analysis, may be further explored using qualitative m...

Cross-Border Mobility in Italy: Some Considerations in Response to the Recent Commentaries

Lean Healthcare. An Experience in Italy

In this paper we present the experience of a lean implementation in a Hospital. It all steamed out from a need to cut cost, and the focus on inventory reduction. The methodology adopted and the peculiarities of an implementation in a hospital are presented. A strong reduction in inventory has been achieved but, more important, broken processes which lead to excessive inventories have been ident...

The healthcare service in Italy: regional variability.

The Italian health system is highly decentralized, with most administrative and organizational powers governed by Regions and rather limited powers at national level. The state has full control over the definition of the core benefit package (LEA) but there is evidence that the actual provision of these services varies greatly across Regions.