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Healthcare in Italy: expenditure determinants and regional differentials

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Author Info

  • Maura Francese

    ()
    (Bank of Italy)

  • Marzia Romanelli

    ()
    (Bank of Italy)

Abstract

The aim of this work is to identify the determinants of health spending differentials among Italian regions, which could highlight the existence of potential margins for savings. The analysis exploits a dataset for the panel of the 21 Italian regions starting in the early 1990s and ending in 2006. After having controlled for standard healthcare demand indicators, spending differentials appear to be associated with differences in the degree of appropriateness of the treatments, supply structure and social capital indicators. These results suggest that savings could be achieved without reducing the amount of services supplied to citizens. This is particularly important in view of the expected rise in health spending associated with the forecast demographic developments.

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Bibliographic Info

Paper provided by Bank of Italy, Economic Research and International Relations Area in its series Temi di discussione (Economic working papers) with number 828.

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Date of creation: Oct 2011
Date of revision:
Handle: RePEc:bdi:wptemi:td_828_11

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Keywords: government expenditure; health; regional variation;

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Cited by:
  1. Amanda Carmignani & Francesco Bripi & Raffaela Giordano, 2011. "The quality of public services in Italy," Questioni di Economia e Finanza (Occasional Papers) 84, Bank of Italy, Economic Research and International Relations Area.
  2. Maura Francese & Massimiliano Piacenza & Marzia Romanelli & Gilberto Turati, 2011. "Understanding Inappropriateness in Health Care: The Role of Supply Structure, Pricing Policies and Political Institutions in Caesarean Deliveries," ERSA conference papers ersa11p1439, European Regional Science Association.
  3. Maura Francese & Marzia Romanelli, 2014. "Is there room for containing healthcare costs? An analysis of regional spending differentials in Italy," The European Journal of Health Economics, Springer, vol. 15(2), pages 117-132, March.
  4. Vincenzo Atella & Federico Belotti & Domenico Depalo & Andrea Piano Mortari, 2014. "Measuring spatial effects in presence of institutional constraints: the case of Italian Local Health Authority expenditure," Temi di discussione (Economic working papers) 967, Bank of Italy, Economic Research and International Relations Area.
  5. Minelli, Liliana & Pigini, Claudia & Chiavarini, Manuela & Bartolucci, Francesco, 2014. "Employment status and perceived health condition: longitudinal data from Italy," MPRA Paper 55788, University Library of Munich, Germany.

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