Health Expenditure in Italy: A Comprehensive Intergovernmental Model

37 Pages Posted: 5 Jun 2018

See all articles by Fabio Pammolli

Fabio Pammolli

Polytechnic University of Milan - Department of Management, Economics and Industrial Engineering; CERM Foundation

Francesco Porcelli

University of Warwick

Francesco Vidoli

SOSE

Guido Borà

University of Siena - Labsi Experimental Economics Laboratory; CERM Foundation

Date Written: September 16, 2016

Abstract

The paper provides an analysis of the determinants of health spending differentials among the Italian Regions for the years 1998-2010. An original standardised spending framework is proposed that takes into account the appropriateness of the services provided and price/technical efficiency, as well as the main socioeconomic demand variables. Italian economic duality in terms of differences between historical and standard expenditure needs is reflected in regional health systems. Results suggest that spending reduction by the Regions since 2006 for budgetary needs has mainly been achieved through the quantity of health services supplied rather than by reducing inefficiency.

Keywords: Expenditure Needs, Health Care Expenditure, Intergovernmental Relationships, Composite Indicator

JEL Classification: D610, H510, H550, H750, H770, I110, I130, I180, I310, I380, L180

Suggested Citation

Pammolli, Fabio and Porcelli, Francesco and Vidoli, Francesco and Borà, Guido, Health Expenditure in Italy: A Comprehensive Intergovernmental Model (September 16, 2016). Available at SSRN: https://ssrn.com/abstract=3182958 or http://dx.doi.org/10.2139/ssrn.3182958

Fabio Pammolli (Contact Author)

Polytechnic University of Milan - Department of Management, Economics and Industrial Engineering ( email )

Via Lambruschini 4C - building 26/A
Milano, 20156
Italy

CERM Foundation ( email )

Via Fiorentina, 1
Siena, Siena 53100
Italy

HOME PAGE: http://www.cermlab.it

Francesco Porcelli

University of Warwick ( email )

Gibbet Hill Rd.
Coventry, West Midlands CV4 8UW
United Kingdom

Francesco Vidoli

SOSE ( email )

Rome
Italy

Guido Borà

University of Siena - Labsi Experimental Economics Laboratory ( email )

Piazza S. Francesco 7
Siena, Siena 53100
Italy

CERM Foundation ( email )

Via Fiorentina, 1
Siena, Siena 53100
Italy

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