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La Sostenibilità dei Sistemi Sanitari Regionali
[The Financial Sustainability of Italian Regional Health Care Systems]

Author

Listed:
  • Pammolli, Fabio
  • Salerno, Nicola

Abstract

The paper first develops Region-based mid-long term projections of public health care expenditure for Italy; then wonders about the most appropriate rule for financing it, distinguishing between its efficient part and the part absorbed by inefficiencies of regional governments. The first part should find full ordinary financing, including also the support by 'rich' Regions in favour of 'poor' Regions; while the second part should remain in full charge of the Region who fails efficent targets. As the projections of efficient expenditure are concerned, the paper projects also the inter Regions perequation matrix. The projection horizon is 2012-2030.

Suggested Citation

  • Pammolli, Fabio & Salerno, Nicola, 2012. "La Sostenibilità dei Sistemi Sanitari Regionali [The Financial Sustainability of Italian Regional Health Care Systems]," MPRA Paper 36927, University Library of Munich, Germany.
    • Handle: RePEc:pra:mprapa:36927
    as

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    File URL: https://mpra.ub.uni-muenchen.de/36927/1/MPRA_paper_36927.pdf
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    References listed on IDEAS

    as
    1. Oecd, 2006. "Projecting OECD Health and Long-Term Care Expenditures: What Are the Main Drivers?," OECD Economics Department Working Papers 477, OECD Publishing.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Italian Health care System; health care expenditure; regionally-based projections; 2012- 2030; financial resources at regional level; inter Regions redistribution matrix; long term sustainability; fiscal federalism;
    All these keywords.

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • H00 - Public Economics - - General - - - General

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