Chapter 2

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Diagram 1 – Evolution of Social Welfare and Public Sector Expenditure expressed as % of the GDP Percentage of the GDP 6.0 5.0 4.0 3.0 2.0 1.0 0.0 1980 goes directly to the OSN, while between 10% and 20% (depending on whether salaries are more or less than $ 1.000 and based on whether it is a Management of Trade Union OS) is paid to the FSR (Redistribution Solidarity Fund). This FSR distributes resources for funding Administrative activities of Special Programmes and the Automatic Nominative 11 The authors suggest that it is very difficult to estimate private expenditure especially considering the monetary devaluation in 2002, when the value of the dollar was tripled thus creating a great impact on costs. 12 Other studies state that for the year 2003 private expenditure amounted to 43%, although the methods used for this calculation are not clear. 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 Social Services Source: Consolidated Social Expense Administration, Ministry of the Economy of Argentina 1994 [149] 1995 1996 1997 1998 Public Health Table 3 – Health Expenditure, monthly per capita for the principal types of coverage (Year 2004) Population* Expenses* Per capita expenses OSN 11,3 $ 5.695,00 $ 42,00 OSP 5,2 $ 2.889,00 $ 46,00 PAMI 3,2 $ 2.482,00 $ 65,00 SP 37 $ 8.442,00 $ 19,00 Source: Expenditure: National Ministry of the Economy Population: 2001 Census, COSPRA, PAMI, SSSALUD * in Mil.s 1999 2000 2001 2002 2003 CEIS Health Report 2006 2004
CEIS Health Report 2006 Grant whose function is to complete the share of family groups up to a value of $ 22 13 or 20, the former for the head of the family and the latter for family members being supported. OSP income principally stems from deductions from workers in the public sector, voluntary affiliation dues and treasury income from every province; representing 15% of the Public Expenditure (Social Welfare). PAMI income stems from active and passive workers and from the General Treasury of State. The expenditure is estimated at $ 2.482 million. In the case of the public sector, health expenditure ($ 8.442 million, 43% of Public Expenditure) is for the most part funded by the provincial governments (66%), and is mainly targeted as hospitals (more than 60% of the country’s hospital facilities are provincial) and human resources are the variable that represents in proportion the greatest share of expenses. The relative development of each province obviously determines the entity of the expense volume. The State government funds decentralized organizations (namely the direct suppliers of healthcare services) and programmes 14 ; it then particularly tries to compensate the differences in resources and results in terms of health, from one province to another, through first-rate interventions. It is therefore estimated that 19% of public healthcare expenditure addresses first-rate interventions with conveyance to the provinces equal to approximately 30% of this share and in the form of goods and services. Municipal governments finally employ the remaining 15% of public expenditure principally for the Health Emergency Centres. It is obvious that PAMI has the greatest expenses per capita. This is only reasonable since the majority of its population (70%) is over 65 years of age. It the case of the public sector, it is very difficult to assign it with a reference population and therefore determining the per capita expenditure calculation may give rise to some objections. Steps were taken in this case to distribute the expenditure over the entire population although, as we have mentioned in the beginning, the basic and natural demand of this sector envisages to citizens without insurance coverage. Should we then use that population of reference as numerator, the monthly per capita expenditure would reach $ 40. Should we break down this figure by province, we then come up with greater differences (from $ 93 per inhabitant, to $ 637) that leads to an average per capita expenditure of $ 154. In the case of Provincial and National Obras Sociales, these average figures also conceal a strong difference between the resources available for each body. 2.6.6 The Deficit 15 As we have seen, the PMOE (Compulsory Emergency Medical Programme) is in force in Argentina for a group of well-defined bodies (OSN, PAMI and EMPP). But guaranteed 13 Approximately € 5.60. € 1 = 3.89 Argentina Pesos. This exchange rate should hypothetically be enough to cover the PMO, but we will subsequently discover that it is not. 14 Like RIMEDIARE, Programme of Community, Maternity, Infantile, Immunization, etc. 15 Deficits are calculated by comparing the coverage cost of the basket of services with effective expenditure for each of the sub- sections. [150]
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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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CEIS Health Report 2006 the phenome
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CEIS Health Report 2006 Table 3 - R
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CEIS Health Report 2006 The indicat
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CEIS Health Report 2006 References
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CEIS Health Report 2006 All the var
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CEIS Health Report 2006 Diagram 1 -
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CEIS Health Report 2006 1.4 - Pharm
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CEIS Health Report 2006 % Pharmaceu
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CEIS Health Report 2006 The second
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CEIS Health Report 2006 tion of res
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CEIS Health Report 2006 Table 4 - R
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CEIS Health Report 2006 The variati
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CEIS Health Report 2006 1.5 - The r
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CEIS Health Report 2006 southern Re
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CEIS Health Report 2006 1.5.5 Absor
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CEIS Health Report 2006 For day hos
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CEIS Health Report 2006 There is co
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CEIS Health Report 2006 1.6 - The r
Page 97 and 98: CEIS Health Report 2006 the Primary
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Page 101 and 102: CEIS Health Report 2006 • “phys
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Page 109 and 110: CEIS Health Report 2006 Some signif
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Page 116: Introduction Public deficit in the
Page 119 and 120: CEIS Health Report 2006 The cumulat
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Page 123 and 124: CEIS Health Report 2006 gest that t
Page 125 and 126: CEIS Health Report 2006 increase of
Page 127 and 128: CEIS Health Report 2006 increase in
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Page 131 and 132: CEIS Health Report 2006 It is also
Page 133 and 134: CEIS Health Report 2006 shifting be
Page 135 and 136: CEIS Health Report 2006 year (AIHW
Page 137 and 138: CEIS Health Report 2006 cost of the
Page 139 and 140: CEIS Health Report 2006 The Second
Page 141 and 142: CEIS Health Report 2006 2.5 - Imple
Page 143 and 144: CEIS Health Report 2006 2.5.3 Shift
Page 145 and 146: CEIS Health Report 2006 Table 1 - P
Page 147: CEIS Health Report 2006 and, conseq
Page 151 and 152: CEIS Health Report 2006 Generally s
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Page 156 and 157: 3.1 - The efficiency of Regional He
Page 158 and 159: Table 2 - LEA Financing REGIONS HOS
Page 160 and 161: • Campania, with strong financial
Page 162 and 163: [163] CEIS Health Report 2006
Page 164 and 165: hospital stays has reduced the aver
Page 166 and 167: treated varies greatly. The highest
Page 168 and 169: CMS = f(COST, CMP, PL, RC, DM , PME
Page 170 and 171: formance, implying an increase in a
Page 172 and 173: 3.3 - The National Health System Ev
Page 174 and 175: 3.3.3 Cooperation with the Regional
Page 176 and 177: the contract conditions are previou
Page 178 and 179: Consequentially, in order to avoid
Page 180 and 181: order through the MEPA) numbered 14
Page 182 and 183: 3.4 - Strengthening the capacity fo
Page 184 and 185: for designing and governing organiz
Page 186 and 187: the hierarchical and management rol
Page 188 and 189: tions may appear and disappear, the
Page 190 and 191: lop, rather than a variable to be c
Page 192 and 193: units along business lines were unq
Page 194 and 195: cooperation to achieve the developm
Page 196 and 197: 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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