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La spesa farmaceutica territoriale convenzionata: il modello FarmaRegio per l'analisi della variabilità regionale

Author

Listed:
  • Chiara Bonassi

    (Autorità Garante della Concorrenza e del Mercato)

  • Laura Magazzini

    (Department of Economics, University of Verona)

  • Fabio Pammolli

    (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

  • Massimo Riccaboni

    (IMT Lucca Institute for Advanced Studies and Department of Managerial Economics, Strategy and Innovation, K.U. Leuven)

  • Nicola Carmine Salerno

    (Ufficio parlamentare di bilancio)

Abstract

Si presenta la prima versione di FarmaRegio, modello econometrico per l'analisi della variabilità regionale della spesa farmaceutica territoriale convenzionata (un panel ad effetti casuali). Si suggeriscono due prospettive di lettura: da un lato, la valutazione della significatività delle variabili esplicative; dall'altro, l'interpretazione della relazione funzionale stimata come possibile benchmark con cui chiedere alle Regioni di confrontarsi. Nel primo caso, emergono chiare indicazioni di policy: la rilevanza del reddito e quindi dei flussi di perequazione a sostegno dei LEA, ma anche l'importanza degli strumenti di regolazione lato offerta/domanda, e delle riforme pro concorrenziali della distribuzione al dettaglio. Poco significativo appare l'impatto dell'invecchiamento, la qual cosa dovrebbe far riflettere sul peso da assegnare a questa variabile nell'allocazione interregionale delle risorse oppure, nel caso in cui il risultato derivasse da razionamenti dell'offerta, sull'utilità di ripristinare vincoli di destinazione mirati su una selezione di prestazioni. Nel secondo caso, la relazione funzionale media può concorrere a dare concretezza a quel riferimento ai costi standard dei LEA presente anche nel recente disegno di legge applicativo dell'articolo 119 della Costituzione.

Suggested Citation

  • Chiara Bonassi & Laura Magazzini & Fabio Pammolli & Massimo Riccaboni & Nicola Carmine Salerno, 2007. "La spesa farmaceutica territoriale convenzionata: il modello FarmaRegio per l'analisi della variabilità regionale," Working Papers CERM 03-2007, Competitività, Regole, Mercati (CERM).
    • Handle: RePEc:ern:wpaper:03-2007
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    References listed on IDEAS

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    Cited by:

    1. Pammolli, Fabio & Salerno, Nicola, 2011. "Le differenze regionali nella governance della spesa sanitaria. La sanità alla sfide del federalismo: il modello SaniRegio di CeRM [Regional differences in the governance of health care expenditure," MPRA Paper 36934, University Library of Munich, Germany.
    2. Fabio Pammolli & Gianluca Papa & Nicola Carmine Salerno, 2009. "La spesa sanitaria pubblica in Italia: dentro la "scatola nera" delle differenze regionali - Il modello SaniRegio," Working Papers CERM 02-2009, Competitività, Regole, Mercati (CERM).
    3. Fabio Pammolli & Nicola Carmine Salerno, 2011. "Le differenze regionali nella governance della spesa sanitaria - SaniRegio-2011," Working Papers CERM 02-2011, Competitività, Regole, Mercati (CERM).
    4. Fiorio, Carlo V. & Siciliani, Luigi, 2010. "Co-payments and the demand for pharmaceuticals: Evidence from Italy," Economic Modelling, Elsevier, vol. 27(4), pages 835-841, July.

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    More about this item

    Keywords

    spesa farmaceutica territoriale convenzionata; LEA; costi standard;
    All these keywords.

    JEL classification:

    • D60 - Microeconomics - - Welfare Economics - - - General
    • D61 - Microeconomics - - Welfare Economics - - - Allocative Efficiency; Cost-Benefit Analysis
    • H00 - Public Economics - - General - - - General
    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H53 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Welfare Programs
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • L40 - Industrial Organization - - Antitrust Issues and Policies - - - General
    • L42 - Industrial Organization - - Antitrust Issues and Policies - - - Vertical Restraints; Resale Price Maintenance; Quantity Discounts

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