Advanced Search
MyIDEAS: Login

Demand and supply of hospital services. International trends

Contents:

Author Info

  • Giovanni Iuzzolino

    ()
    (Banca d'Italia)

Registered author(s):

    Abstract

    This paper describes the main international trends in the demand for and supply and cost of hospital services in the last decades. In almost all countries, including Italy, there has been a substantial reduction in the total length of hospitalizations, a steady rise in the use of day-hospitals and a widespread reduction in the number and capacity of hospitals. These trends have been reinforced by reforms in payment systems and in particular by the use of case payments for reimbursing hospitals. By international standards, the Italian hospital system is characterized by relatively high fragmentation, a situation partly related to the weakness of nursing and residential care facilities in Italy, with an unbalanced "division of labour" between in-patient and out-patient care. This has consequences both for the unit costs of hospitalization and for the hospital component’s share of total health expenditure (in Italy above the OECD average). The higher cost of hospital services is also a reflection of the composition of hospital staff, which is strongly biased towards the medical component, especially in small hospitals.

    Download Info

    If you experience problems downloading a file, check if you have the proper application to view it first. In case of further problems read the IDEAS help page. Note that these files are not on the IDEAS site. Please be patient as the files may be large.
    File URL: http://www.bancaditalia.it/pubblicazioni/econo/quest_ecofin_2/qef_27_08/QEF_27.pdf
    Download Restriction: no

    Bibliographic Info

    Paper provided by Bank of Italy, Economic Research and International Relations Area in its series Questioni di Economia e Finanza (Occasional Papers) with number 27.

    as in new window
    Length:
    Date of creation: Oct 2008
    Date of revision:
    Handle: RePEc:bdi:opques:qef_27_08

    Contact details of provider:
    Postal: Via Nazionale, 91 - 00184 Roma
    Web page: http://www.bancaditalia.it
    More information through EDIRC

    Related research

    Keywords: hospital services; health expenditure;

    Find related papers by JEL classification:

    This paper has been announced in the following NEP Reports:

    References

    References listed on IDEAS
    Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
    as in new window
    1. Jonas Schreyƶgg & Tom Stargardt & Oliver Tiemann & Reinhard Busse, 2006. "Methods to determine reimbursement rates for diagnosis related groups (DRG): A comparison of nine European countries," Health Care Management Science, Springer, vol. 9(3), pages 215-223, August.
    2. Massimo Filippini & Diego Lunati & Luca Crivelli, 2001. "Dimensione ottima degli ospedali in uno Stato federale," ECONOMIA PUBBLICA, FrancoAngeli Editore, vol. 2001(5).
    Full references (including those not matched with items on IDEAS)

    Citations

    Lists

    This item is not listed on Wikipedia, on a reading list or among the top items on IDEAS.

    Statistics

    Access and download statistics

    Corrections

    When requesting a correction, please mention this item's handle: RePEc:bdi:opques:qef_27_08. See general information about how to correct material in RePEc.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ().

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If references are entirely missing, you can add them using this form.

    If the full references list an item that is present in RePEc, but the system did not link to it, you can help with this form.

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your profile, as there may be some citations waiting for confirmation.

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.