Phasing out market mechanisms in the Italian National Health Service
| Autor: | Claudio Jommi, Elena Cantu, Eugenio Anessi Pessina |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2004 |
| Předmět: |
Economic growth
Aziende sanitarie Funding systems Public Administration Sociology and Political Science Finanziamento Health administration Health-care organizations Accounting Settore SECS-P/07 - ECONOMIA AZIENDALE Sanità funding arrangements devolution health care economics and organizations Public economics National health service healthcare management fees General Business Management and Accounting Devolution Managerialism Aziendalizzazione DRGS DRG Business Finance |
| Popis: | The Italian National Health Service introduced quad-markets, regionalization, and managerialism in the 1990s. Under quasi-markets, large providers have been separated from purchasers and funded by ‘activity’—the quantity, mix, and possibly appropriateness of services provided. Under regionalization, each of Italy's 21 regional governments is able to design its own funding arrangements. The regions have generally been trying to mitigate the effects of quasi-markets and are now increasingly ‘governing’ them. The system is producing some desirable results, including a shift from ordinary to same-day hospitalizations and a reduction in length of stay. Hospital admissions increased initially, but only where the regions encouraged this. Financial effects are more controversial. |
| Databáze: | OpenAIRE |
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