We use the same methodology, that Ecofin-Oecd apply for projecting expenditure in the medium-long term, to reconstruct expenditure in the medium-long past. It is possible to compare the effective expenditure with the reconstructed one. The effective expenditure is of course influenced by policy...

The issues of patients’ interregional mobility and «health fashions» are, somehow, exemplary cases: they show that it is not possible tackling correctly financial issues (such as the financing of local public services or their standard cost) provided by the Enabling Act on Fiscal Federalism...

Il decreto legislativo 68/2011 su costi e fabbisogni standard in sanità introduce, rispetto al sistema di riparto fra le regioni delle risorse destinate ai livelli essenziali di assistenza in vigore dagli anni novanta, due innovazioni: il depotenziamento della ponderazione della quota capitaria...

Since the late eighties the Italian National Health System, in particular hospital care, has undergone deep reforms. This paper evaluates the technical efficiency of Italian public hospitals in light of the main features of the hospital system at a regional level. The evaluation was carried out...

The model studies the role of reputation in contracts between providers and purchasers of health care services. The economic literature has examined the case when the demand for health services depends on the quality offered, but because of information asymmetry, we assume that quality is not...

Over the last decade two reforms have affected the Italian hospital system, one introducing market mechanisms, the other concerning the tools of planning and expense control assigned to the regional governments. The paper summarizes these institutional changes and describes the evolution of the...

The English version of this text is available at: 'http://ssrn.com/abstract=2481539' http://ssrn.com/abstract=2481539La versión en español de este artículo está disponible en: 'http://ssrn.com/abstract=2439008' http://ssrn.com/abstract=2439008 A versão em português deste artigo está...

Per quanto concerne la finanza delle Regioni – ed in particolare, per la determinazione delle “spese essenziali” riconducibili al vincolo di cui alla lettera m), secondo comma, dell’art. 117 della Costituzione – nella “legge delega in materia di federalismo fiscale” (legge 5 maggio...

In relation to the finances of Regions – particularly, to the determination of “fundamental expenses” referable to the constraint specified in the letter m), 2nd paragraph, of the article 117 of Italian Constitution – in the Delegation Act on Fiscal Federalism (Law n. 42 of 5 May 2009),...