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Modelli virtuosi di collaborazione pubblico-privato: la presa in carico della radioterapia di una AUSL da parte di un IRCCS oncologico privato

Author

Listed:
  • Davide Gallegati
  • Lucia Bertoni
  • Antonino Romeo
  • Nicola Gentili
  • Laura Solinas
  • Ilaria Massa
  • Mattia Altini

Abstract

I sistemi sanitari regionali sono finanziati in gran parte con criterio pro capite, corretto dai costi e ricavi derivanti dalla mobilit? dei residenti, spesso verso regioni o strutture pi? performanti. Laddove i servizi sono meno performanti, ovvero non vengono effettuati investimenti cruciali, si genera una duplicazione di costi per la Regione o per la AUSL di residenza: ai costi (in gran parte fissi) delle strutture pubbliche obsolete o poco performanti si aggiunge il costo dell?acquisto da terzi (mobilit? passiva verso altri territori o verso il privato), senza parlare del disagio e dei costi sopportati dai pazienti per il trasferimento. Pu? cos? innescarsi un circuito vizioso, per il quale le opportunit? di investimento vengono ulteriormente ridotte e - nonostante un finanziamento omogeneo pro capite - il gap tra territori rischia di allargarsi (vedi Nord-Sud Italia). L?articolo mostra una possibile soluzione al problema, descrivendo la presa in carico da parte di un IRCCS pubblico-privato di un servizio AUSL di radioterapia in stato di obsolescenza tecnologica. Tale intervento esita in un risultato win-win sia per l?AUSL sia per l?IRCCS, ma soprattutto per i cittadini, che vedono incrementare sensibilmente il livello di assistenza erogato alla popolazione a parit? o riduzione dei costi pro capite, ossia il "valore sanitario di popolazione" inteso come livello dei servizi per euro pro capite speso.

Suggested Citation

  • Davide Gallegati & Lucia Bertoni & Antonino Romeo & Nicola Gentili & Laura Solinas & Ilaria Massa & Mattia Altini, 2019. "Modelli virtuosi di collaborazione pubblico-privato: la presa in carico della radioterapia di una AUSL da parte di un IRCCS oncologico privato," MECOSAN, FrancoAngeli Editore, vol. 2019(111), pages 113-123.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2019-111006
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    References listed on IDEAS

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    1. Graeme Hodge & Carsten Greve & Mhamed Biygautane, 2018. "Do PPP’s work? What and how have we been learning so far?," Public Management Review, Taylor & Francis Journals, vol. 20(8), pages 1105-1121, August.
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