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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | De Nicola, Arianna Gitto, Simone Mancuso, Paolo Valdmanis, Vivian |
| Spatial Coverage | Italy |
| Description | Country affiliation: Italy Author Affiliation: De Nicola A ( Dipartimento di Ingegneria dell'Impresa, Università di Roma Tor Vergata, Rome, Italy.); Gitto S ( Dipartimento di Ingegneria dell'Impresa, Università di Roma Tor Vergata, Rome, Italy.); Mancuso P ( Dipartimento di Ingegneria dell'Impresa, Università di Roma Tor Vergata, Rome, Italy.); Valdmanis V ( University of the Sciences of Philadelphia, Health Policy Program, Philadelphia, Pennsylvania, USA.) |
| 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. |
| File Format | HTM / HTML |
| ISSN | 07496753 |
| Issue Number | 1 |
| Volume Number | 29 |
| e-ISSN | 10991751 |
| Journal | The International Journal of Health Planning and Management |
| Language | English |
| Publisher | Wiley |
| Publisher Date | 2014-01-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Health Services Research Efficiency, Organizational Health Care Reform Organization & Administration Delivery Of Health Care Humans Italy Local Government Models, Organizational Reimbursement Mechanisms Statistics, Nonparametric Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Health Policy |
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