Personal Care Services in Health Economics: On the Efficiency-Equity Trade-Off
The paper focuses on the recent evolution in performance of healthcare production in Italy. It regards the technical efficiency and equity in the use of public funds in public primary healthcare actions, concerning the funding profile in the new scenario of fiscal federalism. The analysis is directly concerned with the degree of utilisation of public resources and the production efficiency of the healthcare services provided. On a theoretical basis, healthcare services might be considered as merit goods, since they are granted directly at a first-aid level by the State on the provision of the Italian Constitution Act. At article 32, health is recognized as a fundamental right of the individual and as a collective interest; equity and equal access to all citizens are ensured. Nevertheless, this scenario may drive to a detriment of competition, to a failure in the market and to allocative inefficiencies. For the future, the growing financial responsibilities of the Italian Regions in this respect might give a solution, in which direction, at the moment, it is difficult to predict. The paper analyzes the potential impacts of decentralization reform in the healthcare sector using the technical efficiency as a parameter of evaluation of its performance; the idea is to verify possible associations among technical efficiency, equity and the funding profile of expenses with healthcare.
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.
As the access to this document is restricted, you may want to look for a different version under "Related research" (further below) or search for a different version of it.
When requesting a correction, please mention this item's handle: RePEc:mul:j1t56u:doi:10.2382/32699:y:2010:i:1:p:63-90. 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.