Lagravinese, Raffaele and Paradiso, Massimo (2012): Corruption and health expenditure in Italy.
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The vulnerability of health sector to corruption lies in the complex interaction between the social environment and the institutional setting of health systems. We investigate this interaction in the case of Italy, speci�cally looking at the impact of corruption on health expenditure. In Italy corruption is a social phenomenon. Health sector has been often involved in corruption o¤ences and decentralized health expenditure is considerably out of control. We show that the impact of corruption on health expenditure is positive, along with ageing population, technological change and supply factors inducing demand in pharmaceuticals and hospitalization. Moreover, the empirical analysis demonstrates that corruption a¤ects pharmaceutical expenditure and accredited private hospital expenditure, suggesting implications for health governance and policy.
|Item Type:||MPRA Paper|
|Original Title:||Corruption and health expenditure in Italy|
|English Title:||Corruption and health expenditure in Italy|
|Keywords:||health expenditures, corruption, panel data, sur model|
|Subjects:||H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health
H - Public Economics > H7 - State and Local Government; Intergovernmental Relations > H75 - State and Local Government: Health; Education; Welfare; Public Pensions
K - Law and Economics > K1 - Basic Areas of Law > K14 - Criminal Law
|Depositing User:||Raffaele Lagravinese|
|Date Deposited:||11. Dec 2012 10:28|
|Last Modified:||18. Feb 2013 22:14|
 Lewis M. Governance and Corruption in Public Health Care Systems. Working Paper 78; Washington, Center for Global Development 2006.
 Vian T. Review of corruption in the health sector: theory, methods and interventions. Health policy and planning 2008; 23:83-94.
 Aidt TS. Economic Analysis of Corruption: A Survey, Economic Journal , 2003; 113:F632-F652.
 Ensor T, Antonio DM. Corruption as a challenge to e¤ective regulation in the health sector. In: Saltman RB, Busse R, Mossialos E,(eds). Regulating entrepreneurial behavior in European health care systems. Buckingham, UK: Open University Press; 2002.
 Duncan F. Corruption in the health sector. Washington,DC: USAID Bureau for Europe & Eurasia, O¢ ce of Democracy and Governance;2003.
 Savedo¤WD. The causes of corruption in the health sector: a focus on health care.systems. In: Transparency International. Global Corruption Report 2006: Special focus on corruption and health. London:Pluto Press; 2006.
 OatesWE. An essay on .scal federalism, Journal of Economic Literature 1999; 37:1120-1149.
 Robalino D, Picazo O, Voetberg A. Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis,Policy research working paper series 2565; World Bank 2001.
 Jiménez Rubio D. The impact of decentralization of health services on health outcomes: evidence from Canada. Applied Economics 2011;43: 3907-3917.
 Khaleghian P, Das Gupta M. Public management and the essential public health functions. World Development 2005; 33:1083-1099.
 Gupta S, Davoodi H, Tiongson E. Corruption and the provision of health care and education. IMF Working Paper 00/116; Washington, DC 2000.
 Azfar O, Gurgur T. Does corruption a¤ect health outcomes in the Philippines?, Economics of Governance 2008; 9: 197-244.
 Della Porta D, Vannucci A. Corrupt exchanges: Actors, resources and mechanism of political corruption. New York: Aldine de Gruyter 1999.
 Della Porta D, Vannucci A. Mani Impunite. Vecchia e nuova corruzione in Italia. Bari, Laterza 2007.
 Golden M A. Electoral connections: the e¤ects of the personal vote on political patronage, bureaucracy and legislation in postwar Italy. British Journal of Political Science 2003; 33: 189.212.
 Del Monte A, Papagni E. Public expenditure, corruption, and economic growth: the case of Italy. European Journal of Political Economy 2001; 17:1-16.
 Del Monte A, Papagni E. The determinants of corruption in Italy: Regional panel data analysis. European Journal of Political Economy 2007; 23: 379-396.
 Fattore G, Jommi C. The new pharmaceutical policy in Italy, Health Policy 1998; 46: 21- 41.
 Corte dei Conti. Relazione sulla gestione .nanziaria delle regioni: esercizi 2004-2005 (deliberazione 14/2006), Rome 2006.
 Corte dei Conti. Rapporto 2012 sul coordinamento della finanza pubblica, Rome 2012.
 France G, Taroni F, Donatini A. The Italian health-care system. Health Economics 2005; 14:187-202.
 Cappellaro G, Fattore G, Torbica A. Funding health technologies in decentralized systems: a comparison between Italy and Spain, Health Policy 2009; 92: 313-321.
 Ferrario C, Zanardi A. Fiscal decentralization in the Italian NHS: what happens to interregional redistribution?. Health Policy 2011; 100:71-80.
 Liberati P. Fiscal federalism and national health standards in Italy: implications for redistribution. In: I sistemi di welfare tra decentramento regionale ed integrazione europea, Franco D, Zanardi A. (eds). Franco Angeli 2003; 241.73.
 Mosca I. Is decentralisation the real solution? A three country study.Health Policy 2006; 77: 113-120.
 Tediosi F, Gabriele S, Longo F. Governing decentralization in health care under tough budget constraint: What can we learn from the Italian experience? Health Policy 2009; 90: 303.312.
 Bordignon M, Turati G. Bailing out Expectations and Public Health Expenditure, Journal of Health Economics 2009 ; 28:305-321.
 Citton A, Liberati P, Paradiso M. Il percorso del federalismo scale in Italia. In: La .nanza locale: struttura, .nanziamento e regole, Degni M. and Pedone A. (eds.). Franco Angeli 2010; 219-238.
 France G, Taroni F. The evolution of Health-Policy Making in Italy.Journal of Health Politics, Policy and Law 2005; 1-2:169-184.
 Torbica A, Fattore G. The .Essential Levels of Care.in Italy: when being explicit serves the devolution of powers. The European Journal of Health Economics 2005; 6: 46.52.
 Carinci F, Caracci G, Di Stanislao F, Moirano F. Performance measurement in response to the Tallinn Charter:Experiences from the decentralized Italian framework 2012; 108: 60-66.
 Tediosi F, Paradiso M. Il controllo della spesa sanitaria e la credibilità dei Piani di rientro. in Rapporto ISAE - Finanza pubblica e Istituzioni, Roma 2008.
 Ferrè F, Cuccurullo C, Lega F. The challenge and the future of health care turnaround plans:Evidence from the Italian experience. Health Policy 2012; 106: 3-9.
 ISTAT. Health For All 2012. ISTAT 2012.
 ISTAT. Information system on justice. ISTAT 2012.
 Gerdtham UG, Jonsson B. International comparisons of health expenditure: theory, data and econometric analysis. In: Handbook of Health Economics, Culyer AJ, Newhouse JP (eds). Elsevier Science Publishers: Amsterdam 2000.
 Zellner A. An E¢ cient Method of Estimating Seemingly Unrelated Regressions and Tests for Aggregation Bias. Journal of American Statistical Association 1962; 57: 348.368.
 Gianonni M, Hittris T. The regional impact of health care expenditure:the case of Italy. Applied Economics 2002; 34:1829.1836.
 Di Matteo L, Di Matteo R. Evidence on the determinants of Canadian provincial Government health expenditures: 1965-1991. Journal of Health Economics 1998 ; 17: 211-228.
 Crivelli L, Filippini M, Mosca I. Federalism and regional health care: an empirical analysis for the Swiss cantons. Health Economics 2006; 15:535-541.
 Costa-Font J, Pons-Novell J. Public health expenditure and spatial interactions in a decentralized national health system. Health Economics 2007; 16: 291.306.
 Baltagi BH, Moscone F. Health care expenditure and income in the OECD reconsidered: Evidence from panel date, Economic modeling 2010 ; 27: 804-811.
 Di Matteo L. The determinants of the public.private mix in Canadian health care expenditures: 1975.1996, Health Policy 2005; 52: 87.112.
 Martin Martin J J, Gonzalez M P, Garcia M D. Review of the literature on the determinants of healthcare expenditure. Applied Economics 2011; 43: 19-46.
 Clemente J, Marcuello C, Montanes A. Pharmaceutical expenditure,total health-care expenditure and GDP. Health Economics 2008; 17:1187-1206.
 Lauridsen J, Bech M, López F, Maté Sánchez M. Geographic and Temporal Heterogeneity in Public Prescription Pharmaceutical Expenditures in Spain. The Review in Regional Studies 2008; 38: 89-103.
 Barbetta GP, Turati G, Zago AM. Behavioral di¤erences between public and private not-for-pro.t hospitals in the Italian national health service. Health Economics 2007; 16: 75-96.
 Kassirer J. The corrupting in.uence of money in medicine. In: Transparency International. Global Corruption Report 2006: Special focus on corruption and health. London: Pluto Press 2006.
 Cohen JC, Cercone JA, Macaya R. Improving Transparency in Pharmaceutical Systems: Strengthening Critical Decision Points Against Corruption,World Bank, Human Development network,Washington 2002.
 Cohen JC, Mrazek M, Hawkins L. Tackling Corruption in the Pharmaceutical Systems Worldwide with Courage and Conviction, Clinical pharmacology and therapeutics 2007; 81: 445-449.
 Fidler A, Msisha W. Governance in the pharmaceutical sector. Eurohealth 2008; 14: 25-29.
 World Health Organization. Measuring transparency in the public pharmaceutical sector: assessment instrument, Geneva, WHO 2009.
 Ghislandi S, Krulichova I, Garattini L. Pharmaceutical policy in Italy: towards a structural change?. Health Policy 2005; 72: 53.63.
 Gallizzi M, Ghislandi S, Miraldo M. E¤ects of Reference Pricing in pharmaceutical markets: a review. PharmacoEconomics 2011; 29:17-33.
 OsMed. L.uso dei farmaci in Italia, Rapporto 2011, Roma, Il Pensiero Scienti.co Editore 2012.