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In attesa del federalismo compiuto: LEA, spesa sanitaria e risorse finanziarie a livello regionale

Author

Listed:
  • Marianna Madia

    (Agenzia di Ricerche e Legislazione (AREL))

  • Fabio Pammolli

    () (Politecnico di Milano and CERM Foundation - Competitività, Regole, Mercati)

  • Nicola Carmine Salerno

    () (Ufficio parlamentare di bilancio)

Abstract

L'Italia sta affrontando la riforma federalista della sanità in maniera inadeguata. Il trasferimento delle responsabilità economico-finanziarie dallo Stato alle Regioni sta avvenendo all'interno di una cornice normativa incompleta e su più punti internamente incoerente. Le difficoltà normative sono lo specchio di scelte non ancora pienamente compiute a livello politico, e testimoniano delle difficoltà di costruire un assetto che permetta di ottenere i vantaggi dell'esplicitazione dei vincoli di bilancio, della piena responsabilizzazione dei centri di costo e dell'avvicinamento dei decisori agli utenti che esprimono la domanda sanitaria, senza che ciò comporti una diminutio del diritto universale alla salute connaturato alla cittadinanza nazionale.

Suggested Citation

  • Marianna Madia & Fabio Pammolli & Nicola Carmine Salerno, 2004. "In attesa del federalismo compiuto: LEA, spesa sanitaria e risorse finanziarie a livello regionale," Working Papers CERM 04-2004, Competitività, Regole, Mercati (CERM).
  • Handle: RePEc:ern:wpaper:04-2004
    as

    Download full text from publisher

    File URL: http://www.cermlab.it/wp-content/uploads/cerm/wp/wpcerm-2004-04.pdf
    File Function: First version, 2004
    Download Restriction: no

    References listed on IDEAS

    as
    1. Fabio Pammolli & Nicola Carmine Salerno, 2004. "Le proiezioni di lungo periodo della spesa sociale nell'UE: l'impatto demografico e il possibile impatto della tecnologia sulla spesa sanitaria," Working Papers CERM 02-2004, Competitività, Regole, Mercati (CERM).
    2. Fabio Pammolli & Nicola Carmine Salerno, 2004. "Gli andamenti della spesa sanitaria: l'Italia in una sintetica comparazione internazionale," Working Papers CERM 01-2004, Competitività, Regole, Mercati (CERM).
    Full references (including those not matched with items on IDEAS)

    More about this item

    Keywords

    federalismo; spesa saniaria; LEA;

    JEL classification:

    • D60 - Microeconomics - - Welfare Economics - - - General
    • H00 - Public Economics - - General - - - General
    • H30 - Public Economics - - Fiscal Policies and Behavior of Economic Agents - - - General
    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
    • I00 - Health, Education, and Welfare - - General - - - General
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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