La spesa sanitaria Ssn in Italia e nel Lazio. Ricostruzione con la metodologia Ecofin-Ocse, 1990 - oggi

SALERNO, Nicola Carmine (2013): La spesa sanitaria Ssn in Italia e nel Lazio. Ricostruzione con la metodologia Ecofin-Ocse, 1990 - oggi.

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 ([e-mail])

• Item Type: MPRA Paper
• English Title: Public Health Care Expenditure of Italy and the Italian Region Lazio. Reconstruction with the methodology of Ecofin and Ocse, period 1990-present
• Language: Italian
• 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
• Subjects: H - Public Economics > H5 - National Government Expenditures and Related Policies > H50 - General; H - Public Economics > H5 - National Government Expenditures and Related Policies > H51 - Government Expenditures and Health; H - Public Economics > H5 - National Government Expenditures and Related Policies > H55 - Social Security and Public Pensions; H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H70 - General; H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H72 - State and Local Budget and Expenditures; H - Public Economics > H7 - State and Local Government ; Intergovernmental Relations > H75 - State and Local Government: Health ; Education ; Welfare ; Public Pensions; I - Health, Education, and Welfare > I1 - Health > I10 - General; I - Health, Education, and Welfare > I1 - Health > I18 - Government Policy ; Regulation ; Public Health; J - Labor and Demographic Economics > J1 - Demographic Economics > J11 - Demographic Trends, Macroeconomic Effects, and Forecasts

References

Latest Reports on Mid-Long Term Projections by Awg-Ecofin and Oecd

Latest Reports on Mid-Long Term Projections by Italian Treasury (Ragioneria Generale dello Stato)

Istat, www.istat.it

Istat, Health for All dataset