La Sostenibilità dei Sistemi Sanitari Regionali

Pammolli, Fabio and Salerno, Nicola (2012): La Sostenibilità dei Sistemi Sanitari Regionali. Published in: CeRM Working Papers (www.cermlab.it) (February 2012)

Abstract

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.

• Item Type: MPRA Paper
• English Title: The Financial Sustainability of Italian Regional Health Care Systems
• Language: Italian
• Keywords: 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
• 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; H - Public Economics > H0 - General > H00 - General

References

Burniaux J. M. et al. (2003), “Coping with ageing: a dynamic approach to quantify the impact of alternative policy options on future labour supply in Oecd Countries”, Oecd Economic Department Working Papers n. 271

Commissione Europea (2006), “European Economy”, special report n. 1‐2006 (con Appendici)

Commissione Europea (2007), “Public Finances in EMU – 2007” (e altre edizioni)

Commissione Europea (2009), “2009 Ageing Report”, sta in “European Economy” n. 2‐2009 (provisional version)

Kotlikoff L. J. (2008), “The health care fix”, the MIT Press

Ocse (2006), “Projecting Oecd health care and long term care expenditures: what are the main drivers?”, ECO/WKP(2006)5