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The Lombardy Health Care System

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  • Elenka Brenna

    () (DISCE, Università Cattolica)

Abstract

In the very recent past, the Lombardy health care system - established on the quasi-market model – has caught the interest of researchers and politicians in different OECD countries1. The merits of the model, compared to other Italian regional models, are the control of health care spending and the balanced budget, in a frame of good quality of services and patient choice. This paper stems from a literature review and tries to analyse the evolution of this regional system, the institutional path that brought to the implementation of the model, its theoretical basis, its merits and criticism. The period considered ranges from 1997, when the reform was enacted, to 2010.

Suggested Citation

  • Elenka Brenna, 2011. "The Lombardy Health Care System," DISCE - Quaderni dell'Istituto di Economia dell'Impresa e del Lavoro ieil0063, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
  • Handle: RePEc:ctc:serie4:ieil0063
    as

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    File URL: http://www.unicatt.it/Istituti/EconomiaImpresaLavoro/Quaderni/ieil0063.pdf
    File Function: First version, 2011
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    References listed on IDEAS

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    1. John Mullahy, 1999. "It'll only hurt a second? Microeconomic determinants of who gets flu shots," Health Economics, John Wiley & Sons, Ltd., vol. 8(1), pages 9-24.
    2. Burkhauser, Richard V. & Cawley, John & Schmeiser, Maximilian D., 2009. "The timing of the rise in U.S. obesity varies with measure of fatness," Economics & Human Biology, Elsevier, vol. 7(3), pages 307-318, December.
    3. Balia, Silvia & Jones, Andrew M., 2008. "Mortality, lifestyle and socio-economic status," Journal of Health Economics, Elsevier, vol. 27(1), pages 1-26, January.
    4. Neidell, Matthew J., 2004. "Air pollution, health, and socio-economic status: the effect of outdoor air quality on childhood asthma," Journal of Health Economics, Elsevier, vol. 23(6), pages 1209-1236, November.
    5. Espinosa, Javier & Evans, William N., 2008. "Heightened mortality after the death of a spouse: Marriage protection or marriage selection?," Journal of Health Economics, Elsevier, vol. 27(5), pages 1326-1342, September.
    6. Contoyannis, Paul & Jones, Andrew M., 2004. "Socio-economic status, health and lifestyle," Journal of Health Economics, Elsevier, vol. 23(5), pages 965-995, September.
    7. Lorenzo Cappellari & Stephen P. Jenkins, 2003. "Multivariate probit regression using simulated maximum likelihood," Stata Journal, StataCorp LP, vol. 3(3), pages 278-294, September.
    8. Cinzia Di Novi, 2010. "The influence of traffic-related pollution on individuals' life-style: results from the BRFSS," Health Economics, John Wiley & Sons, Ltd., vol. 19(11), pages 1318-1344.
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    1. repec:eee:ecanpo:v:55:y:2017:i:c:p:47-56 is not listed on IDEAS

    More about this item

    Keywords

    quasi-market; health care system; Italian NHS reforms.;

    JEL classification:

    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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