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Multi‐Level Governance Feedback and Health Care in Italy in the Aftermath of Covid‐19

Author

Listed:
  • David Natali

    (DIRPOLIS Institute, Sant’Anna School of Advanced Studies, Italy)

  • Emmanuele Pavolini

    (Department of Social and Political Sciences, University of Milan, Italy)

  • Andrea Terlizzi

    (Department of Political and Social Sciences, University of Florence, Italy)

Abstract

At the crossroads of EU studies and public policy analysis, a vast literature identifies global crises as one of the main triggers of change. The present article provides a test of this hypothesis in the case of health care in the aftermath of the pandemic crisis that hit Europe between 2020 and 2022. We use Italy as an extreme case, where both the magnitude of the Covid-19 outbreak and the effect of the pre-existent domestic cost-cutting strategy potentially opened a large window of opportunity for change. Through the lenses of historical institutionalism, we aim to shed light on policy change in multi-level health governance systems. Evidence collected through semi-structured interviews, triangulated with secondary sources, proves that the governance of health care in Italy has experienced no paradigmatic change. We show that “governance feedbacks” have reinforced pre-existing dynamics and inhibited more radical forms of change.

Suggested Citation

  • David Natali & Emmanuele Pavolini & Andrea Terlizzi, 2023. "Multi‐Level Governance Feedback and Health Care in Italy in the Aftermath of Covid‐19," Politics and Governance, Cogitatio Press, vol. 11(4), pages 365-377.
    • Handle: RePEc:cog:poango:v:11:y:2023:i:4:p:365-377
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    References listed on IDEAS

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    1. Jan Hupkens & Christine Neuhold & Sophie Vanhoonacker, 2023. "One Crisis Is not Like Another: Exploring Different Shades of Crisis in the EU," Politics and Governance, Cogitatio Press, vol. 11(4), pages 252-262.
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    1. Edoardo Bressanelli & David Natali, 2023. "Tested by the Polycrisis: Reforming or Transforming the EU?," Politics and Governance, Cogitatio Press, vol. 11(4), pages 246-251.

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