In this paper we explore how political pressures for an increased decentralisation of revenue and expenditure competencies to sub-national governments may affect the degree of interregional redistribution accomplished by the public sector. We do this by focusing on a specific case, that of the...

In this paper we explore how political pressures for an increased decentralisation of revenue and expenditure competencies to sub-national governments may affect the degree of interregional redistribution accomplished by the public sector. We do this by focusing on a specific case, that of the...

We exploit variation across Italian Regions in the implementation of region-specific tariffs within a Prospective Pay System (PPS) for hospitals based on Diagnosis Related Groups (DRG) to assess their impact on health and on the use of health care services. We consider survey data for the years...

Using the conceptual lenses offered by the ideational and cultural path taken in the health care arena, this article attempts to explain the trajectory of recent major health care reforms in Italy and the reasons for their failure, as well as providing some directions for successful...

We compare health system responses to the first wave of COVID-19 pandemic in Italy and Spain. In both countries, healthcare is managed at the regional level, but the central government behaved differently in the uncertainty surrounding the first wave, leaving more autonomy to regional...