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Approccio value-based e logiche di finanziamento: implicazioni per le politiche di rimborsabilit? in sanit?

Author

Listed:
  • Alessandro Furnari
  • Giuditta Callea
  • Marianna Cavazza
  • Lucia Ferrara
  • Francesca Lecci
  • Francesco Longo
  • Alberto Ricci
  • Valeria Tozzi
  • Rosanna Tarricone

Abstract

I cambiamenti demografici ed epidemiologici in atto pongono seri interrogativi sulla tenuta dei principi posti a fondamento del Servizio Sanitario Nazionale (SSN) italiano e il prossimo decennio rappresenta un momentum critico per la tenuta del suo formato istituzionale. Le politiche di rimborsabilita possono rappresentare un rilevante strumento di policy per orientare i comportamenti di erogatori e pazienti. Oggi questo aspetto non sembra essere adeguatamente presidiato e il sistema di remunerazione adottato appare non piu coerente al contesto, miope e per lo piu orientato al breve periodo. Il contributo discute le prospettive di sviluppo delle politiche di rimborsabilita per il SSN in un?ottica di Value-Based Health Care (VBHC) ed enfatizza l?esistenza di gap da colmare e di punti di attenzione da non sottovalutare in fase applicativa. Propone altresi uno sviluppo teorico al modello fondante la logica VBHC. Allo stesso tempo, mostra come il sistema abbia gia in dote informazioni e, in parte, know-how adeguati per una graduale diffusione e implementazione di tecniche di misurazione e modelli di finanziamento che possano stimolare logiche di rimborsabilita centrate sul valore.

Suggested Citation

  • Alessandro Furnari & Giuditta Callea & Marianna Cavazza & Lucia Ferrara & Francesca Lecci & Francesco Longo & Alberto Ricci & Valeria Tozzi & Rosanna Tarricone, 2019. "Approccio value-based e logiche di finanziamento: implicazioni per le politiche di rimborsabilit? in sanit?," MECOSAN, FrancoAngeli Editore, vol. 2019(112), pages 83-101.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2019-112005
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    References listed on IDEAS

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    1. Keel, George & Savage, Carl & Rafiq, Muhammad & Mazzocato, Pamela, 2017. "Time-driven activity-based costing in health care: A systematic review of the literature," Health Policy, Elsevier, vol. 121(7), pages 755-763.
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