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La spesa sanitaria Ssn in Italia e nel Lazio. Ricostruzione con la metodologia Ecofin-Ocse, 1990 - oggi
[Public Health Care Expenditure of Italy and the Italian Region Lazio. Reconstruction with the methodology of Ecofin and Ocse, period 1990-present]

Author

Listed:
  • SALERNO, Nicola Carmine

Abstract

Ecofin and Oecd methodology is used to reconstruct the historical evolution of public current health care expenditure for Italy and Lazio (an Italian Region). The reconstructed evolutions allow to detect what have been the per-capita expenditures per age brackets in absolute values (Euro) in 1990, as well as their rate of growth over the period 1990-2010. The comparison Italy vs. Lazio allows to underline two main evidence: (1) the higher level of expenditure of Lazio with respect to the national average; (2) the much higher trend of the expenditure of Lazio with respect to the national average. The outsider position of Lazio cannot be attributed to different strength of the ageing process, neither to different evolution of health care needs or health care supply (simulations deal with essential levels of assistance that should be equally provided across Regions). The outsider position of Lazio is to be attributed to inefficiency and in a broad sense. Nicola C. Salerno (nicola.salerno@tin.it)

Suggested Citation

  • SALERNO, Nicola Carmine, 2013. "La spesa sanitaria Ssn in Italia e nel Lazio. Ricostruzione con la metodologia Ecofin-Ocse, 1990 - oggi [Public Health Care Expenditure of Italy and the Italian Region Lazio. Reconstruction with th," MPRA Paper 52307, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:52307
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    File URL: https://mpra.ub.uni-muenchen.de/52307/1/MPRA_paper_52307.pdf
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    More about this item

    Keywords

    health care expenditure; benchmarking; efficiency; comparison; sustainability; simulation; Ssn; Ssr; Italy; Lazio; Federalism; standard costs; Ecofin; Oecd; projections; projection methodology; per-capita profile per age brackets; elasticity; dynamic profiling; healthy ageing; ageing; public finances;
    All these keywords.

    JEL classification:

    • H50 - Public Economics - - National Government Expenditures and Related Policies - - - General
    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • H55 - Public Economics - - National Government Expenditures and Related Policies - - - Social Security and Public Pensions
    • H70 - Public Economics - - State and Local Government; Intergovernmental Relations - - - General
    • H72 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Budget and Expenditures
    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I10 - Health, Education, and Welfare - - Health - - - General
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J11 - Labor and Demographic Economics - - Demographic Economics - - - Demographic Trends, Macroeconomic Effects, and Forecasts

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