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The Italian healthcare system: the difficult balance between budget sustainability and the quality of services in Regions subject to Financial Recovery Plan

Author

Listed:
  • Luciana Aimone Gigio

    (Bank of Italy)

  • Demetrio Alampi

    (Bank of Italy)

  • Silvia Camussi

    (Bank of Italy)

  • Giuseppe Ciaccio

    (Bank of Italy)

  • Paolo Guaitini

    (Bank of Italy)

  • Maurizio Lozzi

    (Bank of Italy)

  • Anna Laura Mancini

    (Bank of Italy)

  • Eugenia Panicara

    (Bank of Italy)

  • Massimiliano Paolicelli

    (Bank of Italy)

Abstract

In this work we analyse the developments that necessitated the adoption of Financial Recovery Plans (Piani di Rientro) for the healthcare systems of some Italian regions and how these plans evolved over time. We look at the measures adopted by the eight Italian regions that were obliged to adopt a Financial Recovery Plan as well as their implications for healthcare infrastructures. We examine service quality and waiting times as well as patient mobility in the eight regions, including by comparison with Italy�s other regions. Our results show that the plans achieved mixed economic results: they were effective in nudging Piedmont, Sicily and Campania towards a balanced budget, but Lazio, Molise and Calabria still suffer from deficits, even substantial ones. The improvement in service quality was even more mixed. While quality did improve in all the regions that adopted a plan, only Piedmont was able to guarantee the national minimum standard of service quality over time, while Calabria and Campania were never able to meet this standard.

Suggested Citation

  • Luciana Aimone Gigio & Demetrio Alampi & Silvia Camussi & Giuseppe Ciaccio & Paolo Guaitini & Maurizio Lozzi & Anna Laura Mancini & Eugenia Panicara & Massimiliano Paolicelli, 2018. "The Italian healthcare system: the difficult balance between budget sustainability and the quality of services in Regions subject to Financial Recovery Plan," Questioni di Economia e Finanza (Occasional Papers) 427, Bank of Italy, Economic Research and International Relations Area.
    • Handle: RePEc:bdi:opques:qef_427_18
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    File URL: https://www.bancaditalia.it/pubblicazioni/qef/2018-0427/QEF_427_18.pdf
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    References listed on IDEAS

    as
    1. Di Novi, C. & Piacenza, M. & Robone, S. & Turati, G., 2015. "How does fiscal decentralization affect within-regional disparities in well-being? Evidence from health inequalities in Italy," Health, Econometrics and Data Group (HEDG) Working Papers 15/23, HEDG, c/o Department of Economics, University of York.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    public health care system; Piani di Rientro; financial costs; patient mobility; quality of servicies;
    All these keywords.

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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