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Presentation We are pleased to present CEIS-Sanità’s fourth Report, for 2006, which is now a regular yearly event and a venue to discuss health care policies in Italy and worldwide. The Report summarises the research work that CEIS carries out in the health sector, in relation to the economics, the cost-effectiveness of the projects and the management of public and private sector undertakings, also developing large-scale postgraduate training and technical and scientific assistance activities targeting public and private institutions and organizations. The Report has a quantitative outlook, which is useful for providing a concrete basis for health policy decisions. This year, the Report focuses on controlling expenditure, enhancing effectiveness, ensu- ring fairness, developing governance in the public and private sector, and, last but not least, improving the efficiency of care and of the services provided. A number of foreign experts belonging to the principal international health economics institutions, such as the International Health Economics Association and the European Conference Committee on Health Economics, have again contributed to the Report. CEIS-Sanità has been designated to organize the 2008 edition of the European Conference on Health Economics (ECHE), testifying to its close-knit international rela- tionships. Luigi Paganetto President CEIS Tor Vergata Univ. of Rome [17] Giovanni Tria Director, CEIS Tor Vergata Univ. of Rome CEIS Health Report 2006
Warning The figures in the volume follow the italian standard, i.e. “.” separating thousands and “,” separating decimals.
Page 1 and 2: CEIS Health Report 2006 Management
Page 3 and 4: CEIS Health Report 2006 Management
Page 6 and 7: Index Report Presentation by Pagane
Page 8 and 9: 1.6 - The Regional Primary Care Agr
Page 10 and 11: Chapter 3 - Efficiency 3.1 - The Ef
Page 12 and 13: 3.8 - Private Health Insurance and
Page 14: Ceis - Sanità Report presentation
Page 19 and 20: CEIS Health Report 2006 stantial, i
Page 21 and 22: CEIS Health Report 2006 If, therefo
Page 23 and 24: CEIS Health Report 2006 Cross-check
Page 25 and 26: CEIS Health Report 2006 over € 6.
Page 27 and 28: CEIS Health Report 2006 made; final
Page 29 and 30: CEIS Health Report 2006 Although th
Page 31 and 32: CEIS Health Report 2006 Aside from
Page 33 and 34: CEIS Health Report 2006 Regulations
Page 35 and 36: CEIS Health Report 2006 especially
Page 38: Chapter 1 Health expenditure and fu
Page 41 and 42: CEIS Health Report 2006 The questio
Page 43 and 44: CEIS Health Report 2006 Table 1 - T
Page 45 and 46: CEIS Health Report 2006 Figure 3 -
Page 53 and 54: CEIS Health Report 2006 ciated with
Page 55 and 56: CEIS Health Report 2006 ● OECD (2
Page 59 and 60: CEIS Health Report 2006 the phenome
Page 61 and 62: CEIS Health Report 2006 Table 3 - R
Page 63 and 64: CEIS Health Report 2006 The indicat
Page 65 and 66:
CEIS Health Report 2006 References
Page 67 and 68:
CEIS Health Report 2006 All the var
Page 69 and 70:
CEIS Health Report 2006 Diagram 1 -
Page 71 and 72:
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
Page 81 and 82:
CEIS Health Report 2006 The variati
Page 83 and 84:
CEIS Health Report 2006 1.5 - The r
Page 85 and 86:
CEIS Health Report 2006 Figure 2 -
Page 87 and 88:
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
Page 99 and 100:
CEIS Health Report 2006 Table 1 - T
Page 101 and 102:
CEIS Health Report 2006 • “phys
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CEIS Health Report 2006 1.7 - Evolu
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CEIS Health Report 2006 As can be o
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CEIS Health Report 2006 Another int
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CEIS Health Report 2006 Some signif
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CEIS Health Report 2006 1.7.5 Concl
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CEIS Health Report 2006 [114]
Page 116:
Introduction Public deficit in the
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CEIS Health Report 2006 The cumulat
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CEIS Health Report 2006 tegies of i
Page 123 and 124:
CEIS Health Report 2006 gest that t
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CEIS Health Report 2006 increase of
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CEIS Health Report 2006 increase in
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CEIS Health Report 2006 [130]
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CEIS Health Report 2006 It is also
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CEIS Health Report 2006 shifting be
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CEIS Health Report 2006 year (AIHW
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CEIS Health Report 2006 cost of the
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CEIS Health Report 2006 The Second
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CEIS Health Report 2006 2.5 - Imple
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CEIS Health Report 2006 2.5.3 Shift
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CEIS Health Report 2006 Table 1 - P
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CEIS Health Report 2006 and, conseq
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CEIS Health Report 2006 Grant whose
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CEIS Health Report 2006 Generally s
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CEIS Health Report 2006 Scheme for
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3.1 - The efficiency of Regional He
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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
Page 190 and 191:
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
Page 198 and 199:
Figure 2 - AVS Strategy map • con
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cialties, but what sets them apart,
Page 202 and 203:
nistically or quantitatively. Hence
Page 204 and 205:
portant for healthcare industry, as
Page 206 and 207:
tor is that General Managers usuall
Page 208 and 209:
cation of the ABC and, in general,
Page 210 and 211:
● Kaplan R, Norton D (1992), “T
Page 212 and 213:
3.7 - The management of healthcare
Page 214 and 215:
Table 1 - Pathway for st elevated a
Page 216 and 217:
[217] CEIS Health Report 2006 Table
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Vaginal childbirth Some synthesis i
Page 220 and 221:
Politiche sanitarie, marzo-aprile.
Page 222 and 223:
dental work, the purchase or rental
Page 224 and 225:
2. We might suppose that the state
Page 226:
● OECD (2004), “Towards High -
Page 230 and 231:
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
Page 238 and 239:
strophic payments; moreover, the se
Page 240:
● 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
Page 258 and 259:
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
Page 290 and 291:
esting data are certainly provided
Page 292 and 293:
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
Page 300:
✔ SCHWEIGER ARTURO Health Economi
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