Between Public and Private: The Business History of Hospitals in Italy (1968–2018)

Daniela Felisini () and Fernando Salsano ()
Additional contact information
Daniela Felisini: University of Rome Tor Vergata
Fernando Salsano: University of Rome Tor Vergata

A chapter in Business History of Hospitals in the 20th Century, 2024, pp 57-69 from Springer

Abstract: Abstract The chapter explores the transformations of the Italian hospital system in the period 1968–2018. Focusing on how the changing institutional framework has affected hospitals strategies and management, it aims to analyze the complexities of a system based on the coexistence/competition of public and private healthcare providers. To overcome the inefficiencies and inequalities generated by the great fragmentation inherited from the past, the reforms of the 1960s and 1970s set up a process of modernization and standardization which led to the establishment of the National Health Service (1978). However, in the 1990s a radical reform changed the system again, promoting a process of corporatization, regionalization, and liberalization, and designing a competitive framework for both public and private hospitals. In the twenty-first century, in a context marked by cuts in public health spending and major demographic and social changes, the Italian health system presents a relevant growth of private providers and a visible fragmentation at a regional level.

Date: 2024
References: Add references at CitEc
Citations:

There are no downloads for this item, see the EconPapers FAQ for hints about obtaining it.

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:spr:frochp:978-3-031-59423-6_5

Ordering information: This item can be ordered from
http://www.springer.com/9783031594236

DOI: 10.1007/978-3-031-59423-6_5

Access Statistics for this chapter

More chapters in Frontiers in Economic History from Springer
Bibliographic data for series maintained by Sonal Shukla () and Springer Nature Abstracting and Indexing ().