Outsourcing in the Italian NHS: a Measure of Mismatch Between Private And Public Operators

Outsourcing is a useful tool for improving partnership between private and public companies. The budgetary constraints recently imposed by the Italian government on health industry are enhancing the urgency to outsource in order to cope the cost containment. Our study deals with the relationship between ASLs (Aziende Sanitarie Locali, the Italian local health authorities) and private operators outsourcing in Italy. In particular we hypothesize that the level of matching between public demand and private supply of outsourcing can affect the outsourcing development in Italian National Health Service. Under this hypothesis we present an analysis that aims at quantifying the level of mismatch between pharmaceutical companies offer and ASL needs in order to understand the future developments of outsourcing. We studied 44 pharmaceutical companies (with a yearly turnover of about 6 billion of euro) and 34 ASLs (with about 12 million users) to find out the areas in which they used outsourcing, their satisfaction and their future intentions. We analysed the answers in order to measure the level of convergence between public and private interests in outsourcing. To quantify the convergence for each area we used a mismatch index to measure the discrepancy between public and private operators outsourcing activities. The results suggest that public and private outsourcing have a low mismatch which seems increasing in the future.