Health Care and its Financing in Italy : Issues and Reform Options

Author/Editor:

Franco Reviglio

Publication Date:

October 1, 2000

Electronic Access:

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Disclaimer: This Working Paper should not be reported as representing the views of the IMF.The views expressed in this Working Paper are those of the author(s) and do not necessarily represent those of the IMF or IMF policy. Working Papers describe research in progress by the author(s) and are published to elicit comments and to further debate

Summary:

In Italy, health care budget ceilings are not effective. The poor control by the central government results in excessive use of expensive inputs, in long waiting lines for medical procedures, and in the emergence of large arrears to suppliers and commercial banks. To fully gain the benefits of its decentralized structure, Italy needs to clarify the rules of the game and strengthen controls on local health authorities. Full fiscal responsibility should be extended to local governments on both the expenditure and revenue sides. The central government should be involved neither in decisions on the services that local governments should supply, nor in their planning and management.

Series:

Working Paper No. 00/166

Subject:

English

Publication Date:

October 1, 2000

ISBN/ISSN:

9781451858099/1018-5941

Stock No:

WPIEA1662000

Price:

$15.00 (Academic Rate:$15.00)

Format:

Paper

Pages:

28

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