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

Franco Reviglio

No 2000/166, IMF Working Papers from International Monetary Fund

Abstract: 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.

Keywords: WP; government; regional authorities; Public health care in Italy; expenditure overrun; accrual expenditure; government debt-accounting problem; lack of responsibility; government funding; authorities claim; health sector deficit; expenditure undervaluation; health indicator; expenditure side; health program manager; Health care spending; Health care; Arrears (search for similar items in EconPapers)
Pages: 28
Date: 2000-10-01
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