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AN ECONOMETRIC ANALYSIS OF THE QUALITY OF HOSPITAL CARE IN ITALY: MARKET CHARACTERISTICS AND POLICY CHOICES WITHIN REGIONS AND LOCAL HEALTH UNITS (LHUs)

Lara Gitto

Rivista Internazionale di Scienze Sociali, 2016, vol. 124, issue 3-4, 327-347

Abstract: Hospital financing, in Italy, is governed through Diagnosis Related Groups reimbursement system. National legislation allows Regions to set autonomously their own tariffs; Regions can also decide other aspects of the hospital care, such as the public-private mix, the relationship among health policy authorities and providers, etc. All these arrangements are expected to impact on quality of hospital care. The aim of this study is that of clarifying which factors may affect quality, as measured by the National Program for Outcome Assessment. A truncated regression model has been applied. The variables used to represent quality, among those ones available within the PNE, include mortality and readmission rates for Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), Stroke and Chronic Obstructive Pulmonary Disease (COPD). The results confirm the hypothesis that factors related to demand, supply and the reimbursement scheme may explain quality outcomes.

Keywords: Hospital care; reimbursement system; quality indicators. (search for similar items in EconPapers)
JEL-codes: C19 I11 I18 (search for similar items in EconPapers)
Date: 2016
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