The healthcare service in Italy: regional variability.
نویسندگان
چکیده
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.
منابع مشابه
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...
متن کاملRegional Incentives and Patient Cross-Border Mobility: Evidence from the Italian Experience
Background In recent years, accreditation of private hospitals followed by decentralisation of the Italian National Health Service (NHS) into 21 regional health systems has provided a good empirical ground for investigating the Tiebout principle of “voting with their feet”. We examine the infra-regional trade-off between greater patient choice (due to an increase in hospital services supply) an...
متن کاملThe Health Mobility Is All True Mobility?; Comment on “Regional Incentives and Patient Cross-border Mobility: Evidence From the Italian Experience”
In their study, Brenna and Spandonaro analyzed the mobility into Italian regions. In particular, it analyzes the situation of 5 regions, with very different backgrounds. With this paper, we try to better define the meaning of health mobility and to find its underlying causes. Furthermore, we propose a strategy that could help in controlling mobility flows that currently are the source of health...
متن کاملThe Economic Impact of Clinical Research in an Italian Public Hospital: The Malignant Pleural Mesothelioma Case Study
Background The current economic constraints cause hospital management to use the available public resources as rationally as possible. At the same time, there is the necessity to improve current scientific knowledge. This is even more relevant in the case of patients with malignant pleural mesothelioma (MPM), given the severity of the disease, its dismal prognosis, and the cost of chemotherapy ...
متن کاملDefining Robust Recovery Solutions for Preserving Service Quality during Rail/Metro Systems Failure
In this paper, we propose a sensitivity analysis for evaluating the effectiveness of recovery solutions in the case of disturbed rail operations. Indeed, when failures or breakdowns occur during daily service, new strategies have to be implemented so as to react appropriately and re-establish ordinary conditions as rapidly as possible. In this context, the use of rail simulation is vital: for e...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- European review for medical and pharmacological sciences
دوره 20 1 Suppl شماره
صفحات -
تاریخ انتشار 2016