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Table 5 – Measurements of regional redistribution 2003 Region Indicator A Indicator B (% € per capita) B (% GDP) Piemonte -12,556 -0,011 Valle d'Aosta -6,791 -0,005 Lombardia -18,402 -0,015 Trentino A.A. -0,590 0,000 Veneto -7,203 -0,006 Friuli V.G. -5,047 -0,004 Liguria -16,340 -0,015 E. Romagna -15,904 -0,013 Toscana -12,878 -0,011 Umbria -6,445 -0,006 Marche -7,194 -0,006 Lazio -3,506 -0,003 Abruzzo 3,183 0,003 Molise 19,131 0,018 Campania 52,624 0,038 Puglia 39,260 0,029 Basilicata 20,852 0,017 Calabria 50,647 0,038 Sicilia 26,111 0,021 Sardegna 36,210 0,026 public action produces an increase in total health expenditure of 0,36% (€ 6,47); 0,36% in the North (€ 6,69) and 0,29% in the Centre-South (€ 5,02). Some discussion on the choice between direct operation and outsourcing of services is also legitimate. According to our estimates the direct operation is more efficient; however this result depends strictly on what happens in the Centre-South. We could hazard a guess that where the services are well planned (in our divisions in the North), the choice makes little difference, whereas in the Centre-South outsourcing is inefficient, probably related to the problem of duplication of services cited earlier. The econometric model also makes it possible to estimate implicitly the redistributive effects of the system of public financing. A significant impact is stressed by a redistribution which, as it was reasonable to expect, goes from the North to the Centre-South. The size and characteristics of this redistribution reveal how hard it would be to achieve full fiscal and health federalism. [65] CEIS Health Report 2006
CEIS Health Report 2006 References ● Auerbach AJ, Kolikoff LJ, Haugemann RP, Nicoletti G (1989); “The Economic dynamics of an ageing population: The case of four OECD countries”, OECD Economics Department Working papers. ● Governo Italiano Presidenza del Consiglio dei Ministri (2006), “Andamento tendenziale dell’economia italiana 2007-2011”: Documento di programmazione economica-finanziaria. ● Health at a Glance (2005): “OECD Indicators – 2005 Edition”. ● Pammolli F, Salerno NC (2006), “Spesa Sanitaria, Demografia, Governance Istituzionale”, Quaderno CERM 2/06. ● Wooldridge JM, “Econometric Analysis of Cross Section and Panel Data”, The MIT Press Cambridge, Massachussets, England. [66]
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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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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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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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