Phasing Out Market Mechanisms in the Italian National Health Service
نویسندگان
چکیده
© CIPFA, 2004 The Italian National Health Service (INHS) offers some important lessons for regionalizing and introducing quasi-markets into a health care system. The INHS was established in 1978 and was modelled after the British National Health Service. In the 1990s, jurisdiction over health care was devolved from central government to Italy’s 21 regions. Since then the regions have been experimenting with different organizational and funding models. This article follows up on a nationwide study carried out in 1998–99 with respect to 1997 (Jommi et al., 2001), and describes the funding arrangements of five representative regions in terms of objectives, features and effects.
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