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Chapter 2

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<strong>Chapter</strong> 3 - Efficiency<br />

3.1 - The Efficiency of Regional Health Systems.<br />

Allocation Policies of Financial Resources at Regional Level<br />

by Fioravanti L., Spandonaro F.<br />

3.1.1 Introduction 157<br />

3.1.2 Regional Choices 157<br />

3.1.3 Methods for Allocating Funds<br />

to Healthcare Services at the Regional Level 159<br />

3.1.4 Conclusions 160<br />

References 161<br />

Regional Sources 162<br />

3.2 - The Efficiency of Hospital Organizations<br />

by Fioravanti L., Polistena B., Spandonaro F.<br />

3.2.1 Introduction 164<br />

3.2.2 The Data and the Processing of the Mean Cost<br />

per Standardized Hospitalization 165<br />

3.2.3 Cost per Unit of Homogeneous Hospitalization<br />

in Italian Public Sector Health Organizations 166<br />

3.2.4 The Determinants of Hospital (in)efficiency 168<br />

3.2.5 The Econometric Model 168<br />

3.2.6 Conclusions 171<br />

References 172<br />

3.3 - The National Health System Evolution: Consip’s Support<br />

in Processes Innovation and Health Procurement Razionalization<br />

by Bettacchi R., Russo A.<br />

3.3.1 Foreword 173<br />

3.3.2 Remarks on Legislative Evolution 173<br />

3.3.3 Cooperation with the Regional Structures<br />

of the RHS (Regional Health System) 175<br />

3.3.4 Consip’s New Role in the Light of Legislative Changes 175<br />

3.3.5 2005 Activities and Results of the Program Pertaining<br />

to the National Health System (NHS) 177<br />

3.3.5.1 The Framework Contracts 177<br />

3.3.5.2 The PA Electronic Market Initiatives 180<br />

3.3.6 Project Activities through Cooperation with Local NHS 181<br />

3.3.6.1 Drugs Logistics and Health Goods Processes<br />

Reorganization in the Health Structures of Turin Municipality 181<br />

[11]<br />

CEIS Health Report 2006

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