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


  • Pammolli, Fabio
  • Salerno, Nicola


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

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    More about this item


    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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