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La spesa farmaceutica territoriale convenzionata: il modello FarmaRegio per l'analisi della variabilità regionale

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Author Info

  • Chiara Bonassi

    (Autorità Garante della Concorrenza e del Mercato)

  • Laura Magazzini

    ()
    (Department of Economics, University of Verona)

  • Fabio Pammolli

    ()
    (IMT Lucca Institute for Advanced Studies and CERM Foundation - Competitività, Regole, Mercati)

  • Massimo Riccaboni

    ()
    (IMT Lucca Institute for Advanced Studies and and Department of Managerial Economics, Strategy and Innovation, K.U. Leuven)

  • Nicola Carmine Salerno

    ()
    (EIOPA - European Insurance and Occupational Pensions Authority)

Abstract

Si presenta la prima versione di FarmaRegio, modello econometrico per l'analisi della variabilità regionale della spesa farmaceutica territoriale convenzionata (un panel ad effetti casuali). Si suggeriscono due prospettive di lettura: da un lato, la valutazione della significatività delle variabili esplicative; dall'altro, l'interpretazione della relazione funzionale stimata come possibile benchmark con cui chiedere alle Regioni di confrontarsi. Nel primo caso, emergono chiare indicazioni di policy: la rilevanza del reddito e quindi dei flussi di perequazione a sostegno dei LEA, ma anche l'importanza degli strumenti di regolazione lato offerta/domanda, e delle riforme pro concorrenziali della distribuzione al dettaglio. Poco significativo appare l'impatto dell'invecchiamento, la qual cosa dovrebbe far riflettere sul peso da assegnare a questa variabile nell'allocazione interregionale delle risorse oppure, nel caso in cui il risultato derivasse da razionamenti dell'offerta, sull'utilità di ripristinare vincoli di destinazione mirati su una selezione di prestazioni. Nel secondo caso, la relazione funzionale media può concorrere a dare concretezza a quel riferimento ai costi standard dei LEA presente anche nel recente disegno di legge applicativo dell'articolo 119 della Costituzione.

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File URL: http://www.cermlab.it/wp-content/uploads/cerm/wp/wpcerm-2007-03.pdf
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Bibliographic Info

Paper provided by Competitività Regole Mecati (CERM) in its series Working Papers with number 03-2007.

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Length: 70 pages
Date of creation: Oct 2007
Date of revision:
Handle: RePEc:ern:wpaper:03-2007

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Related research

Keywords: spesa farmaceutica territoriale convenzionata; LEA; costi standard;

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References

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  1. Lopez-Casasnovas, Guillem & Puig-Junoy, Jaume, 2000. "Review of the literature on reference pricing," Health Policy, Elsevier, vol. 54(2), pages 87-123, November.
  2. Baltagi, Badi H, 1984. "A Monte Carlo Study for Pooling Time Series of Cross-Section Data in the Simultaneous Equations Model," International Economic Review, Department of Economics, University of Pennsylvania and Osaka University Institute of Social and Economic Research Association, vol. 25(3), pages 603-24, October.
  3. Badi H. Baltagi, 2006. "Estimating an economic model of crime using panel data from North Carolina," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 21(4), pages 543-547.
  4. Atella, Vincenzo, 2000. "Drug cost containment policies in Italy: are they really effective in the long-run?: The case of minimum reference price," Health Policy, Elsevier, vol. 50(3), pages 197-218, January.
  5. Okunade, Albert A. & Suraratdecha, Chutima, 2006. "The pervasiveness of pharmaceutical expenditure inertia in the OECD countries," Social Science & Medicine, Elsevier, vol. 63(1), pages 225-238, July.
  6. Baltagi, Badi H., 1981. "Simultaneous equations with error components," Journal of Econometrics, Elsevier, vol. 17(2), pages 189-200, November.
  7. Grossman, Michael, 1972. "On the Concept of Health Capital and the Demand for Health," Journal of Political Economy, University of Chicago Press, vol. 80(2), pages 223-55, March-Apr.
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Cited by:
  1. Fabio Pammolli & Gianluca Papa & Nicola Carmine Salerno, 2009. "La spesa sanitaria pubblica in Italia: dentro la "scatola nera" delle differenze regionali - Il modello SaniRegio," Working Papers 02-2009, Competitività Regole Mecati (CERM).
  2. Pammolli, Fabio & Salerno, Nicola, 2011. "Le differenze regionali nella governance della spesa sanitaria. La sanità alla sfide del federalismo: il modello SaniRegio di CeRM
    [Regional differences in the governance of health care expenditur
    ," MPRA Paper 36934, University Library of Munich, Germany.
  3. Fabio Pammolli & Nicola Carmine Salerno, 2011. "Le differenze regionali nella governance della spesa sanitaria - SaniRegio-2011," Working Papers 02-2011, Competitività Regole Mecati (CERM).

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