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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. Dinar, Ariel & Wolf, Aaron, 1994. "International Markets for Water and the Potential for Regional Cooperation: Economic and Political Perspectives in the Western Middle East," Economic Development and Cultural Change, University of Chicago Press, vol. 43(1), pages 43-66, October.
    2. David A. Harpman, 1999. "Assessing the Short-Run Economic Cost of Environmental Constraints on Hydropower Operations at Glen Canyon Dam," Land Economics, University of Wisconsin Press, vol. 75(3), pages 390-401.
    3. Brian K. Edwards & Silvio J. Flaim & Richard E. Howitt, 1999. "Optimal Provision of Hydroelectric Power under Environmental and Regulatory Constraints," Land Economics, University of Wisconsin Press, vol. 75(2), pages 267-283.
    4. Chatterjee, Bishu & Howitt, Richard E. & Sexton, Richard J., 1998. "The Optimal Joint Provision of Water for Irrigation and Hydropower," Journal of Environmental Economics and Management, Elsevier, vol. 36(3), pages 295-313, November.
    Full references (including those not matched with items on IDEAS)

    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;

    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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