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Proposte per una revisione del finanziamento e dell’offerta dei servizi odontoiatrici in Italia. L’intervento pubblico e i fondi integrativi

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Le cure odontoiatriche sono una componente di rilievo in un servizio sanitario ispirato al principio della globalità assistenziale. Tuttavia, i volumi di prestazioni odontoiatriche erogate dal servizio sanitario sono relativamente modesti e il 90% della spesa odontoiatrica privata è costituita da pagamenti diretti interamente a carico dei pazienti. Vi sono quindi problemi di disuguaglianza nell’accesso alle cure odontoiatriche. Dal lato dell’offerta le strutture sono parcellizzate con prevalenza di studi con pochi professionisti. L’entrata di nuovi soggetti imprenditoriali dall’estero e il fenomeno del turismo odontoiatrico sembrano introdurre incentivi a ridurre la frammentazione e ad adottare nuovi modelli organizzativi. La ricerca intende approfondire le possibilità di un’estensione dell’accesso alle cure odontoiatriche favorendo una riorganizzazione della domanda, modificando la regolamentazione dell’offerta e incentivando i meccanismi di finanziamento integrativi alle disponibilità del servizio sanitario pubblico. Infine, vengono analizzati diversi modelli di fondi integrativi aperti e la loro efficacia nell’ampliare il grado di copertura complessivo del rischio odontoiatrico.

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  • Mazzanti, Giovanni Maria & Fiorentini, Gianluca, 2012. "Proposte per una revisione del finanziamento e dell’offerta dei servizi odontoiatrici in Italia. L’intervento pubblico e i fondi integrativi," AICCON Working Papers 100-2012, Associazione Italiana per la Cultura della Cooperazione e del Non Profit.
    • Handle: RePEc:ris:aiccon:2012_100
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    1. Armstrong, John & Paolucci, Francesco & van de Ven, Wynand P.M.M., 2010. "Risk equalisation in voluntary health insurance markets," Health Policy, Elsevier, vol. 98(1), pages 1-2, November.
    2. Barr, Nicholas, 2004. "Economics of the Welfare State," OUP Catalogue, Oxford University Press, edition 4, number 9780199264971.
    3. Sintonen, Harri & Linnosmaa, Ismo, 2000. "Economics of dental services," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 24, pages 1251-1296, Elsevier.
    4. Grönqvist, Erik, 2004. "Information Updating and Insurance Dropout: Evidence from Dental Insurance," SSE/EFI Working Paper Series in Economics and Finance 576, Stockholm School of Economics.
    5. Eddy van Doorslaer & Cristina Masseria, 2004. "Income-Related Inequality in the Use of Medical Care in 21 OECD Countries," OECD Health Working Papers 14, OECD Publishing.
    6. Armstrong, John & Paolucci, Francesco & McLeod, Heather & van de Ven, Wynand P.M.M., 2010. "Risk equalisation in voluntary health insurance markets: A three country comparison," Health Policy, Elsevier, vol. 98(1), pages 39-49, November.
    7. Michael Grossman, 1972. "The Demand for Health: A Theoretical and Empirical Investigation," NBER Books, National Bureau of Economic Research, Inc, number gros72-1.
    8. Obermaier, Andreas J., 2009. "Cross-border purchases of health services : a case study on Austria and Hungary," Policy Research Working Paper Series 4825, The World Bank.
    9. Grignon, Michel & Hurley, Jeremiah & Wang, Li & Allin, Sara, 2010. "Inequity in a market-based health system: Evidence from Canada's dental sector," Health Policy, Elsevier, vol. 98(1), pages 81-90, November.
    10. Murat K. Munkin & Pravin K. Trivedi, 2007. "Dental Insurance and Dental Care: the Role of Insurance and Income," Health, Econometrics and Data Group (HEDG) Working Papers 07/16, HEDG, c/o Department of Economics, University of York.
    11. Connelly, Luke B. & Paolucci, Francesco & Butler, James R.G. & Collins, Paul, 2010. "Risk equalisation and voluntary health insurance markets: The case of Australia," Health Policy, Elsevier, vol. 98(1), pages 3-14, November.
    12. Sebastian Gechert, 2010. "Supplementary Private Health Insurance in Selected Countries: Lessons for EU Governments?," CESifo Economic Studies, CESifo Group, vol. 56(3), pages 444-464, September.
    13. Bevan, Gwyn & Helderman, Jan-Kees & Wilsford, David, 2010. "Changing choices in health care: implications for equity, efficiency and cost," Health Economics, Policy and Law, Cambridge University Press, vol. 5(03), pages 251-267, July.
    14. George A. Akerlof, 1970. "The Market for "Lemons": Quality Uncertainty and the Market Mechanism," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 84(3), pages 488-500.
    15. Hurley, Jeremiah, 2000. "An overview of the normative economics of the health sector," Handbook of Health Economics, in: A. J. Culyer & J. P. Newhouse (ed.), Handbook of Health Economics, edition 1, volume 1, chapter 2, pages 55-118, Elsevier.
    16. Bedos, C. & Brodeur, J.-M. & Levine, A. & Richard, L. & Boucheron, L. & Mereus, W., 2005. "Perception of dental illness among persons receiving public assistance in Montreal," American Journal of Public Health, American Public Health Association, vol. 95(8), pages 1340-1344.
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