IDEAS home Printed from https://ideas.repec.org/p/zbw/sfb597/150.html
   My bibliography  Save this paper

The changing role of the state in the Italian healthcare system

Author

Listed:
  • Frisina Doetter, Lorraine
  • Götze, Ralf

Abstract

The present study describes and explains the changing role of the state in the Italian healthcare system since the beginning of the 1970s, with a particular focus on developments following 1978 when the healthcare system was transformed from a social insurance system into a national health service. In order to address these changes in a systematic way, we track healthcare system development along three dimensions: regulation, financing, and service provision. With regard to regulation, we observe a relative retreat of the state due to decentralization processes and internal market mechanisms. Quantitative measures for the financing and service provision dimension also indicate a modest relative retreat of the state. Taking regional data into account, we identify a clear North-South-divide in the public/private mix of financing and service provision. Although the focus of the paper is to describe the changing role of the state in the Italian healthcare system, we also offer preliminary explanations. We seek to identify the role of exogenous shocks such as economic crises versus endogenous stressors specific to the healthcare system itself (i.e. inherent inefficiencies) on healthcare system change. Therefore, the paper aims to provide a tentative, yet dynamic account of healthcare system change that is both descriptive and explanatory.

Suggested Citation

  • Frisina Doetter, Lorraine & Götze, Ralf, 2011. "The changing role of the state in the Italian healthcare system," TranState Working Papers 150, University of Bremen, Collaborative Research Center 597: Transformations of the State.
    • Handle: RePEc:zbw:sfb597:150
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a search for a similarly titled item that would be available.

    References listed on IDEAS

    as
    1. Streeck, Wolfgang & Thelen, Kathleen (ed.), 2005. "Beyond Continuity: Institutional Change in Advanced Political Economies," OUP Catalogue, Oxford University Press, number 9780199280469.
    2. Castles, Francis G., 2000. "The dog that didn't bark: economic development and the postwar welfare state," European Review, Cambridge University Press, vol. 8(3), pages 313-332, July.
    3. Bonoli, Giuliano & Palier, Bruno, 2000. "How do welfare states change? Institutions and their impact on the politics of welfare state reform in Western Europe," European Review, Cambridge University Press, vol. 8(3), pages 333-352, July.
    4. Elias Mossialos, 1997. "Citizens' Views on Health Care Systems in the 15 Member States of The European Union," Health Economics, John Wiley & Sons, Ltd., vol. 6(2), pages 109-116, March.
    5. Hacker, Jacob S., 2004. "Review Article: Dismantling the Health Care State? Political Institutions, Public Policies and the Comparative Politics of Health Reform," British Journal of Political Science, Cambridge University Press, vol. 34(4), pages 693-724, October.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Böhm, Katharina & Schmid, Achim & Götze, Ralf & Landwehr, Claudia & Rothgang, Heinz, 2013. "Five types of OECD healthcare systems: Empirical results of a deductive classification," Health Policy, Elsevier, vol. 113(3), pages 258-269.
    2. Böhm, Katharina & Schmid, Achim & Götze, Ralf & Landwehr, Claudia & Rothgang, Heinz, 2012. "Classifying OECD healthcare systems: A deductive approach," TranState Working Papers 165, University of Bremen, Collaborative Research Center 597: Transformations of the State.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Van Vliet, Olaf & Kaeding, Michael, 2007. "Globalisation, European Integration and Social Protection – Patterns of Change or Continuity?," MPRA Paper 20808, University Library of Munich, Germany.
    2. Daniel Béland & Michael Howlett & Philip Rocco & Alex Waddan, 2020. "Designing policy resilience: lessons from the Affordable Care Act," Policy Sciences, Springer;Society of Policy Sciences, vol. 53(2), pages 269-289, June.
    3. Caroline Dewilde, 2008. "Individual and institutional determinants of multidimensional poverty: A European comparison," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 86(2), pages 233-256, April.
    4. Pablo Bandeira, 2009. "Instituciones y desarrollo económico. Un marco conceptual," Revista de Economía Institucional, Universidad Externado de Colombia - Facultad de Economía, vol. 11(20), pages 355-373, January-J.
    5. Adam Oliver, 2005. "The English National Health Service: 1979‐2005," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 75-99, September.
    6. Schokkaert, Erik & Van de Voorde, Carine, 2003. "Belgium: risk adjustment and financial responsibility in a centralised system," Health Policy, Elsevier, vol. 65(1), pages 5-19, July.
    7. C. Emdad Haque & Mahed-Ul-Islam Choudhury & Md. Sowayib Sikder, 2019. "“Events and failures are our only means for making policy changes”: learning in disaster and emergency management policies in Manitoba, Canada," Natural Hazards: Journal of the International Society for the Prevention and Mitigation of Natural Hazards, Springer;International Society for the Prevention and Mitigation of Natural Hazards, vol. 98(1), pages 137-162, August.
    8. Simone M Schneider, 2020. "Beyond endogeneity in analyses of public opinion: Evaluations of healthcare by the foreign born across 24 European countries," PLOS ONE, Public Library of Science, vol. 15(6), pages 1-20, June.
    9. Immergut, Ellen M. & Schneider, Simone M., 2020. "Is it unfair for the affluent to be able to purchase “better” healthcare? Existential standards and institutional norms in healthcare attitudes across 28 countries," Social Science & Medicine, Elsevier, vol. 267(C).
    10. Olivier Jacques & Alain Noel, 2022. "Austerity Reduces Public Health Investment," CIRANO Working Papers 2022s-02, CIRANO.
    11. Martinussen, Pål E. & Rydland, Håvard T., 2022. "(I can't get no) satisfaction: A comparative study of healthcare recommodification in Europe, 2010-18," Social Science & Medicine, Elsevier, vol. 305(C).
    12. Angelina Lazaro & Ramon Barberan & Encarnacion Rubio, 2001. "Private and social time preferences for health and money: an empirical estimation," Health Economics, John Wiley & Sons, Ltd., vol. 10(4), pages 351-356, June.
    13. repec:spo:wpmain:info:hdl:2441/5403 is not listed on IDEAS
    14. Leuze, Kathrin & Brand, Tilman & Jakobi, Anja P. & Martens, Kerstin & Nagel, Alexander-Kenneth, 2008. "Analysing the two-level game: international and national determinants of change in education policy making," TranState Working Papers 72, University of Bremen, Collaborative Research Center 597: Transformations of the State.
    15. Fattore, Giovanni & Jommi, Claudio, 1998. "The new pharmaceutical policy in Italy," Health Policy, Elsevier, vol. 46(1), pages 21-41, October.
    16. Jacob S. Hacker, 2009. "Yes We Can? The New Push for American Health Security," Politics & Society, , vol. 37(1), pages 3-31, March.
    17. Jacques, Olivier & Noël, Alain, 2022. "The politics of public health investments," Social Science & Medicine, Elsevier, vol. 309(C).
    18. Deeg, Richard, 2005. "Complementarity and institutional change: How useful a concept?," Discussion Papers, Research Unit: Institutions, States, Markets SP II 2005-21, WZB Berlin Social Science Center.
    19. Luke Nottage, 2006. "Nothing New in the (North) East? Interpreting the Rhetoric and Reality of Japanese Corporate Governance," Governance Working Papers 21819, East Asian Bureau of Economic Research.
    20. Kjeld Møller Pedersen & Terkel Christiansen & Mickael Bech, 2005. "The Danish health care system: evolution ‐ not revolution ‐ in a decentralized system," Health Economics, John Wiley & Sons, Ltd., vol. 14(S1), pages 41-57, September.
    21. Ali, Faleh Mohamed Hussain & Nikoloski, Zlatko & Reka, Husein, 2015. "Satisfaction and responsiveness with health-care services in Qatar—evidence from a survey," Health Policy, Elsevier, vol. 119(11), pages 1499-1505.

    More about this item

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:zbw:sfb597:150. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ZBW - Leibniz Information Centre for Economics (email available below). General contact details of provider: https://edirc.repec.org/data/zesbrde.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.