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Il pendolo delle riforme nei sistemi sanitari europei

  • Antonio Nicita

    ()

    (Department of Economics and Law, University La Sapienza Rome)

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    Gli anni Novanta sono stati caratterizzati da un vivace processo di riforma dei sistemi sanitari europei. Sebbene ogni sistema sanitario nazionale costituisca un caso a sé dal punto di vista della governance della domanda e dell'offerta di prestazioni sanitarie, l'avvio di un processo di riforma dei sistemi sanitari, all'inizio degli anni Novanta, rappresenta un elemento comune a gran parte dei paesi UE (OCSE, 1995a, 1996). Una caratteristica comune all'ondata di riforme realizzate o annunciate in Europa negli anni Novanta è il tentativo di trasformare lo Stato da erogatore diretto a controllore e ad acquirente di prestazioni per conto dei propri assistiti, riservando l'erogazione diretta di prestazioni a strutture sanitarie terze (pubbliche e private) dotate di autonomia amministrativa e decisionale.

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    File URL: http://www.cermlab.it/wp-content/uploads/cerm/wp/wpcerm-2004-05.pdf
    File Function: First version, 2004
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    Paper provided by Competitività Regole Mecati (CERM) in its series Working Papers with number 05-2004.

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    Length: 28 pages
    Date of creation: Apr 2004
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    Handle: RePEc:ern:wpaper:05-2004
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    1. Julian Le Grand, 2002. "The Labour Government and the National Health Service," Oxford Review of Economic Policy, Oxford University Press, vol. 18(2), pages 137-153, June.
    2. Goddard, Maria & Mannion, Russell & Smith, Peter C., 1999. "Assessing the performance of NHS Hospital Trusts: the role of `hard' and `soft' information," Health Policy, Elsevier, vol. 48(2), pages 119-134, August.
    3. Hart, Oliver, 1995. "Firms, Contracts, and Financial Structure," OUP Catalogue, Oxford University Press, number 9780198288817.
    4. George Baker & Robert Gibbons & Kevin J. Murphy, 2001. "Bringing the Market inside the Firm?," American Economic Review, American Economic Association, vol. 91(2), pages 212-218, May.
    5. Carol Propper & Neil Söderlund, 1998. "Competition in the NHS internal market: an overview of its effects on hospital prices and costs," Health Economics, John Wiley & Sons, Ltd., vol. 7(3), pages 187-197.
    6. Culyer, A J, 1989. "The Normative Economics of Health Care Finance and Provision," Oxford Review of Economic Policy, Oxford University Press, vol. 5(1), pages 34-58, Spring.
    7. Diane Dawson & Maria Goddard & Peter Smith, 2001. "The NHS plan: an economic perspective," Working Papers 186chedp, Centre for Health Economics, University of York.
    8. Dawson, Diane & Goddard, Maria & Street, Andrew, 2001. "Improving performance in public hospitals: a role for comparative costs?," Health Policy, Elsevier, vol. 57(3), pages 235-248, September.
    9. Propper, Carol & Wilson, Deborah & Soderlund, Neil, 1998. "The effects of regulation and competition in the NHS internal market: the case of general practice fundholder prices," Journal of Health Economics, Elsevier, vol. 17(6), pages 645-673, December.
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