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In conclusion, although it cannot be demonstrated that resources aimed at SSN funding were effectively underestimated or not, it can be observed that structural deficits have been established since the onset of the SSN. The analysis also demonstrates how the funding trend did not always take into consideration the principal production factors (i.e. the cost of SSN dependent staff); and finally it must be observed that, on the whole, the difference between funding and expenditure has substantially maintained a rather stable and sustainable level over the years. 1.7.3 Regional data: sharing of resources and deficit One of the principal characteristics of the National Health Service in Italy is the adoption of a solidarity standard which has led to a level of different per capita funding for each Region. Table 3 demonstrates the per capita shares allocated to each Region, expressed in terms of index numbers. Table 3 – Per capita funding index numbers Regions 1992 1995 2000 2001 2002 2003 2004 2005 1992/2005 Italy 100 100 100 100 100 100 100 100 Piemonte Valle d'Aosta Lombardia Trentino A.A. Veneto Friuli V.G. Liguria Emilia Romagna Toscana Umbria Marche Lazio Abruzzo Molise Campania Puglia Basilicata Calabria Sicilia Sardegna Diff. between max. and min. values Source: our elaboration Ministry of Health and ISTAT data 97,7 101,3 104,5 105,0 104,1 104,0 105,1 107,8 10,1 99,5 107,1 123,3 105,1 122,7 120,0 120,0 121,4 21,9 100,2 103,0 101,5 99,1 99,3 98,2 98,0 99,3 -0,9 98,7 115,4 125,5 102,4 122,6 127,3 127,2 123,7 25,0 101,7 104,9 102,9 100,0 99,1 99,3 102,4 100,6 -1,1 105,4 106,5 106,2 104,5 106,1 104,8 108,4 107,2 1,8 111,8 108,6 115,4 114,2 112,6 111,8 112,3 109,2 -2,6 110,8 109,5 110,5 106,9 105,5 104,7 103,1 106,4 -4,4 103,0 103,0 105,7 106,3 104,9 104,5 103,8 104,9 1,9 103,7 108,2 108,8 105,2 103,6 103,1 102,7 102,8 -0,9 106,9 102,7 115,4 100,8 100,3 99,6 99,3 101,1 -5,8 102,9 98,2 100,4 98,5 99,9 102,4 102,9 99,6 -3,3 95,7 98,4 99,6 100,4 99,0 98,2 96,7 98,8 3,1 95,8 95,2 98,5 102,6 100,7 100,3 99,9 103,1 7,3 96,1 92,2 88,6 93,6 93,6 93,7 91,9 89,9 -6,2 95,1 94,9 91,2 94,2 95,3 95,7 95,6 93,5 -1,6 87,6 91,0 88,0 96,9 97,4 96,8 97,7 97,1 9,5 91,4 90,8 88,9 96,4 95,6 96,8 95,5 94,9 3,5 95,6 91,6 89,8 95,5 94,7 94,8 94,3 95,9 0,3 94,9 95,1 91,3 98,3 95,1 95,3 94,0 94,4 -0,5 24,1 24,6 37,5 20,6 29,1 33,6 35,3 33,8 9,7 [109] CEIS Health Report 2006 diff.
CEIS Health Report 2006 Some significant differences emerge at the territorial level: northern Regions in fact have obtained, on an average, higher funding compared to the national average and especially compared to southern Regions. This phenomenon can be easily explained considering that the age bracket for northern Regions is an older one compared to the rest of the country and that this is one of the criteria used for defining allotment ex Law. 662 of 1996. Reading the table one column at a time, the gap is evident between regional per capita funding, the national average and its variability. The latter has an irregular trend which has difficulty in being justified on the basis of need parameters which tend to be on the rise. On the other hand, when reading the table one line at a time, the regional trend can be observed. This stresses the great increase for Trentino Alto Adige, as for Valle d’Aosta Table 4 – Regional profits/deficits in absolute value (€ mil.) and per capita (€) 2001 2002 2003 2004 2005 Total a.v. € per a.v. € per a.v. € per a.v. € per a.v. € per Regions (mil €) capita (mil €) capita (mil €) capita (mil €) capita (mil €) capita Italy -4.675,68 -82,09 -3.215,68 -56,42 -2.387,38 -41,65 -5.005,50 -86,47 -3.529,11 -60,37 Piemonte -269,06 -63,77 -84,66 -20,09 -124,46 -29,41 -548,50 -128,45 6,95 1,60 Valle d'Aosta -21,93 -183,88 5,06 42,36 4,45 36,79 3,22 26,37 2,70 21,98 Lombardia -817,43 -90,78 -750,10 -83,03 -393,93 -43,25 -209,43 -22,65 -261,95 -27,89 Trentino A.A. -282,25 -301,74 -69,51 -73,90 -20,65 -21,73 10,35 10,76 29,85 30,63 Veneto -452,09 -100,27 -329,29 -72,69 -294,72 -64,39 -70,28 -15,14 -187,90 -39,98 Friuli V.G. -35,03 -29,65 6,02 5,08 -1,79 -1,50 -11,38 -9,50 -2,55 -2,12 Liguria -88,35 -55,95 -44,74 -28,50 -51,08 -32,49 -293,48 -186,05 -212,27 -133,31 Emilia Rom. -267,46 -67,43 -367,96 -92,35 -354,87 -88,05 -622,39 -152,53 -206,50 -49,74 Toscana -186,52 -53,37 -164,31 -46,98 -110,54 -31,44 -260,76 -73,12 -146,41 -40,69 Umbria -25,53 -30,97 -43,05 -52,11 -87,49 -104,88 -60,91 -71,83 -6,67 -7,77 Marche -89,93 -61,42 -71,06 -48,31 -17,65 -11,89 -105,78 -70,29 25,91 17,06 Lazio -1.096,99 -214,41 -750,85 -146,73 -741,28 -144,05 -1.288,82 -247,60 -1.386,41 -263,08 Abruzzo -115,02 -91,19 -147,23 -116,63 -149,28 -117,24 -151,34 -117,69 -160,08 -123,21 Molise -22,17 -68,97 -14,68 -45,82 -42,22 -131,51 -45,56 -141,61 -31,42 -97,58 Campania -556,22 -97,44 -340,15 -59,66 -290,80 -50,79 -867,79 -150,65 -927,84 -160,28 Puglia -66,97 -16,63 129,16 32,13 227,87 56,63 156,89 38,82 125,95 30,96 Basilicata 33,98 56,70 57,71 96,58 44,47 74,51 28,82 48,28 49,79 83,46 Calabria -51,98 -25,75 38,62 19,22 200,76 100,01 47,88 23,80 172,13 85,67 Sicilia -217,42 -43,68 -154,68 -31,15 -97,46 -19,60 -555,02 -110,93 -280,14 -55,88 Sardegna -47,31 -28,94 -119,96 -73,56 -86,71 -52,95 -161,23 -98,13 -132,24 -80,14 Source: our elaboration Ministry of Health and ISTAT data [110]
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CEIS Health Report 2006 Management
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CEIS Health Report 2006 Management
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Index Report Presentation by Pagane
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1.6 - The Regional Primary Care Agr
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Chapter 3 - Efficiency 3.1 - The Ef
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3.8 - Private Health Insurance and
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Ceis - Sanità Report presentation
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Warning The figures in the volume f
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CEIS Health Report 2006 stantial, i
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CEIS Health Report 2006 If, therefo
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CEIS Health Report 2006 Cross-check
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CEIS Health Report 2006 over € 6.
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CEIS Health Report 2006 made; final
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CEIS Health Report 2006 Although th
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CEIS Health Report 2006 Aside from
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CEIS Health Report 2006 Regulations
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CEIS Health Report 2006 especially
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Chapter 1 Health expenditure and fu
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CEIS Health Report 2006 The questio
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CEIS Health Report 2006 Table 1 - T
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CEIS Health Report 2006 Figure 3 -
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CEIS Health Report 2006 ciated with
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CEIS Health Report 2006 ● OECD (2
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Page 116: Introduction Public deficit in the
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Page 131 and 132: CEIS Health Report 2006 It is also
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Table 2 - LEA Financing REGIONS HOS
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• Campania, with strong financial
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[163] CEIS Health Report 2006
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hospital stays has reduced the aver
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treated varies greatly. The highest
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CMS = f(COST, CMP, PL, RC, DM , PME
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formance, implying an increase in a
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3.3 - The National Health System Ev
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3.3.3 Cooperation with the Regional
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the contract conditions are previou
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Consequentially, in order to avoid
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order through the MEPA) numbered 14
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3.4 - Strengthening the capacity fo
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for designing and governing organiz
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the hierarchical and management rol
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tions may appear and disappear, the
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lop, rather than a variable to be c
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units along business lines were unq
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cooperation to achieve the developm
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However, to manage a multi-site hos
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Figure 2 - AVS Strategy map • con
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cialties, but what sets them apart,
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nistically or quantitatively. Hence
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portant for healthcare industry, as
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tor is that General Managers usuall
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cation of the ABC and, in general,
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● Kaplan R, Norton D (1992), “T
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3.7 - The management of healthcare
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Table 1 - Pathway for st elevated a
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[217] CEIS Health Report 2006 Table
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Vaginal childbirth Some synthesis i
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Politiche sanitarie, marzo-aprile.
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dental work, the purchase or rental
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2. We might suppose that the state
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● OECD (2004), “Towards High -
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4.1 - Equity in the italian healthc
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Table 2 - Association indexes betwe
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4.1.5 Structure of health expenditu
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Table 9 - Regional distribution of
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strophic payments; moreover, the se
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● Doglia M, Spandonaro F, “Il p
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CEIS Health Report 2006 (i represen
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CEIS Health Report 2006 sence of di
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CEIS Health Report 2006 -0,0030, wh
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CEIS Health Report 2006 Although co
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5.1 - The median age at death for m
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causes and the median age at genera
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in the South and Islands, not only
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5.2 - Analysis of avoidable deaths
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population of Italian citizens acco
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We wish to underline the mortality
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Diagram 4 - % composition of years
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5.2.4 Comments The results of the a
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among whites and blacks,1979-1989
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Figure 1 - Division % of the quota
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Figure 3 - Pharmaceutics expenditur
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Table 3 - Gross fixed investments i
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Table 4 - Share of medical device w
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age dimension of enterprises (90 em
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BOX 2: National Medical Device Clas
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maceutiche in Italia (1997-2001)”
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5.4 - Mobility of italian patients
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Authority (ASL) will be charged for
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43.950.716,00. At this stage, if yo
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esting data are certainly provided
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have carried out economic and stati
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[295] CEIS Health Report 2006
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✔ DE POUVOURVILLE GÉRARD Researc
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✔ MENNINI FRANCESCO SAVERIO Degre
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✔ SCHWEIGER ARTURO Health Economi
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Chapter 2

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