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Il pendolo delle riforme nei sistemi sanitari europei

Listed author(s):
  • 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 Function: First version, 2004
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    Paper provided by Competitività, Regole, Mercati (CERM) in its series Working Papers CERM with number 05-2004.

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    Length: 28 pages
    Date of creation: Apr 2004
    Handle: RePEc:ern:wpaper:05-2004
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    1. Diane Dawson & Maria Goddard & Peter Smith, 2001. "The NHS plan: an economic perspective," Working Papers 186chedp, Centre for Health Economics, University of York.
    2. Hart, Oliver, 1995. "Firms, Contracts, and Financial Structure," OUP Catalogue, Oxford University Press, number 9780198288817.
    3. 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.
    4. 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.
    5. 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.
    6. 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.
    7. 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.
    8. 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.
    9. 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.
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