Chapter 2

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43.950.716,00. At this stage, if you analyse each item of the total expense, you see how the scenario changes according to the bill type. If you consider only the costs connected with health care supplied during a temporary visit (table 2), it is apparent that almost always the balance is positive. This is a sign of widely provided health care to EU citizens, temporarily present on our territory, by the sanitary structures that have stipulated conventions with our NHS. It is due to say that health care provided in the above case is limited to emergency treatment required by Table 2 – Bills from E111/EHIC form patient’s condition. If, instead, you analyse the balance of health care provided for highly-specialized treatment (table 3), that is health care obtained by Italian transfer patients to another EU country or by European patients in Italy, you observe that credits are almost totally absent, which is a sign of the lowest interest for Italian sanitary structures (Hospitals, specialized centres, institutes, etc. …), by European citizens. At the same time the heavy debts show that patients on our NHS increasingly look for [289] CEIS Health Report 2006 Year Num. of Bills Amount of bills in € Num. of Bills Amount of bills in € Balance in € 2000 69.263 28.900.203,74 70.531 26.858.745,87 2.041.457,87 2001 69.222 29.593.694,94 67.293 26.852.678,49 2.741.016,45 2002 63.582 29.611.951,48 58.568 26.388.006,82 3.223.944,66 2003 51.805 27.733.857,71 57.398 28.381.712,24 - 647.854,53 2004 26.672 17.290.460,55 25.874 15.947.442,79 1.343.017,76 2005 1.407 1.525.439,56 1.136 1.267.506,92 257.932,64 2000-2005 281.951 134.655.607,98 280.800 125.696.093,13 8.959.514,85 Source: Ministry of Health Table 3 – Bills from E112 form Credit Bills Debt Bills Year Num. of Bills Amount of bills in € Num. of Bills Amount of bills in € Balance in € 2000 998 1.003.366,31 15.798 51.711.192,21 - 50.707.825,90 2001 916 1.181.590,69 13.448 48.413.774,53 - 47.232.183,84 2002 774 1.168.157,18 12.580 41.978.783,65 - 40.810.626,47 2003 193 525.671,94 11.488 37.557.448,21 - 37.031.776,27 2004 100 205.769,31 22.936 20.593.435,02 - 20.387.665,71 2005 3 13.934,71 7.266 3.092.622,14 - 3.078.687,43 2000-2005 2.984 4.098.490,14 83.516 203.347.255,76 -199.248.765,62 Source: Ministry of Health Credit Bills Debt Bills
CEIS Health Report 2006 better treatment in other European countries than in Italy. In some cases they are attracted only by the fame of the foreign sanitary structures, but in many others they are pushed by the inefficiency found in Italian Hospitals, first of all the too long waiting lists. The below data in table 3 show how the costs for highly-specialized services is extremely unbalanced in favour of the foreign countries in a ratio 50 to 1. Finally, the whole balance of the last five years is shown in table 4 where all that has so far been said is apparent, i.e. a positive balance, even though of little relevance, for emergency care (E111/EHIC), while the balance is definitely negative for pre-arranged highly- Table 4 – Final Balance of pre-arranged and emergency care Credit in euro Debt in euro Balance in euro E111/EHIC 134.655.607,98 125.696.093,13 8.959.514,85 E112 4.098.490,14 203.347.255,76 - 199.248.765,62 Tot. 138.754.098,12 329.043.348,89 - 190.289.250,77 Source: our processing on Ministry of Health data specialized treatment. For a better understanding of the remarkable difference, a data may be useful: the mean amount of each bill for each treatment, calculated over a period of 5 years (table 5). A highly-specialized treatment such as a transplant will cost much more than “emergency care” provided to a tourist on holiday in Italy. Moreover, the higher cost for debit E112 compared with credit E112 let us understand either that health care provided abroad is higher quality than that provided in Italy, or that the same health services cost less in Italy than elsewhere. This may be explained by our lower mean expense for health services. Now, if you take into account only E112 forms, it is useful to analyse the European areas that attract a huge number of patients pushed to go abroad either by the long waiting lists in Italy, or to obtain treatment not available in our country. All E112 bills – and their balance – issued and due from Italy and distributed through EC countries between 2000 and 2002 are shown in table 6, where you see that the most inte- Table 5 – Mean amount for each bill Years 2000-2005 Form Credit in euro Debt in euro E111 478 447,60 E112 1.373,40 2.434,80 TOTAL 486 699,40 Source: our processing on Ministry of Health data Years 2000-2005 [290]
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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
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CEIS Health Report 2006 the Primary
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CEIS Health Report 2006 Table 1 - T
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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]
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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
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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
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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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Page 296 and 297: ✔ DE POUVOURVILLE GÉRARD Researc
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