Over the past twenty years, important changes in the Italian health system have led to different approaches in organizing, delivering and financing health services throughout the country's regions. In this paper, we assess the impacts that such changes have had on health efficiency. The analysis performed here is in two stages. In the first stage, healthcare efficiency is measured via bootstrapped Data Envelopment Analysis. In the second stage, the impacts of organizational and environmental variables on efficiency are investigated. Our results highlight that the organizational model adopted by the Lombardia region allows for the best results in healthcare efficiency in Italy. A process of administrative decentralization from the regional governments to local health units appears to be a source of inefficiency. Finally, patient mobility has a significant impact on healthcare efficiency. © 2013 John Wiley & Sons, Ltd.

De Nicola, A., Gitto, S., Mancuso, P., Valdmanis, V. (2014). Healthcare reform in Italy: An analysis of efficiency based on nonparametric methods. INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 29(1), 48-63 [10.1002/hpm.2183].

Healthcare reform in Italy: An analysis of efficiency based on nonparametric methods

GITTO, SIMONE;MANCUSO, PAOLO;
2014-01-01

Abstract

Over the past twenty years, important changes in the Italian health system have led to different approaches in organizing, delivering and financing health services throughout the country's regions. In this paper, we assess the impacts that such changes have had on health efficiency. The analysis performed here is in two stages. In the first stage, healthcare efficiency is measured via bootstrapped Data Envelopment Analysis. In the second stage, the impacts of organizational and environmental variables on efficiency are investigated. Our results highlight that the organizational model adopted by the Lombardia region allows for the best results in healthcare efficiency in Italy. A process of administrative decentralization from the regional governments to local health units appears to be a source of inefficiency. Finally, patient mobility has a significant impact on healthcare efficiency. © 2013 John Wiley & Sons, Ltd.
2014
Pubblicato
Rilevanza internazionale
Articolo
Esperti anonimi
Settore ING-IND/35 - INGEGNERIA ECONOMICO-GESTIONALE
English
Con Impact Factor ISI
Bootstrap-DEA; Health efficiency; Health policy; Healthcare; Patient mobility; Health Policy
De Nicola, A., Gitto, S., Mancuso, P., Valdmanis, V. (2014). Healthcare reform in Italy: An analysis of efficiency based on nonparametric methods. INTERNATIONAL JOURNAL OF HEALTH PLANNING AND MANAGEMENT, 29(1), 48-63 [10.1002/hpm.2183].
De Nicola, A; Gitto, S; Mancuso, P; Valdmanis, V
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2108/119058
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