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Corona-regionalism? Differences in regional responses to COVID-19 in Italy

Author

Listed:
  • Bosa, Iris
  • Castelli, Adriana
  • Castelli, Michele
  • Ciani, Oriani
  • Compagni, Amelia
  • Galizzi, Matteo M.
  • Garofano, Matteo
  • Ghislandi, Simone
  • Giannoni, Margherita
  • Marini, Giorgia
  • Vainieri, Milena

Abstract

The paper discusses the responses to the COVID-19 crisis in the acute phase of the first wave of the pandemic (February-May 2020) by different Italian regions in Italy, which has a decentralised healthcare system. We consider five regions (Lombardy, Veneto, Emilia-Romagna, Umbria, Apulia) which are located in the north, centre and south of Italy. These five regions differ both in their healthcare systems and in the extent to which they were hit by the first wave of COVID-19 pandemic. We investigate their different responses to COVID-19 reflecting on seven management factors: (1) monitoring, (2) learning, (3) decision-making, (4) coordinating, (5) communicating, (6) leading, and (7) recovering capacity. In light of these factors, we discuss the analogies and differences among the regions and their different institutional choices.

Suggested Citation

  • Bosa, Iris & Castelli, Adriana & Castelli, Michele & Ciani, Oriani & Compagni, Amelia & Galizzi, Matteo M. & Garofano, Matteo & Ghislandi, Simone & Giannoni, Margherita & Marini, Giorgia & Vainieri, M, 2021. "Corona-regionalism? Differences in regional responses to COVID-19 in Italy," Health Policy, Elsevier, vol. 125(9), pages 1179-1187.
    • Handle: RePEc:eee:hepoli:v:125:y:2021:i:9:p:1179-1187
    DOI: 10.1016/j.healthpol.2021.07.012
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    References listed on IDEAS

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    1. Enrico Lavezzo & Elisa Franchin & Constanze Ciavarella & Gina Cuomo-Dannenburg & Luisa Barzon & Claudia Del Vecchio & Lucia Rossi & Riccardo Manganelli & Arianna Loregian & Nicolò Navarin & Davide Aba, 2020. "Suppression of a SARS-CoV-2 outbreak in the Italian municipality of Vo’," Nature, Nature, vol. 584(7821), pages 425-429, August.
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    4. Mauro, Marianna & Giancotti, Monica, 2021. "Italian responses to the COVID-19 emergency: Overthrowing 30 years of health reforms?," Health Policy, Elsevier, vol. 125(4), pages 548-552.
    5. Saltman, Richard B. & Bankauskaite, Vaida, 2006. "Conceptualizing decentralization in European health systems: a functional perspective," Health Economics, Policy and Law, Cambridge University Press, vol. 1(2), pages 127-147, April.
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    2. Becchetti, Leonardo & Conzo, Gianluigi & Conzo, Pierluigi & Salustri, Francesco, 2022. "Excess mortality and protected areas during the COVID-19 pandemic: Evidence from Italian municipalities," Health Policy, Elsevier, vol. 126(12), pages 1269-1276.

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