le 29 septembre 2022
Title:
Will the Covid-19 crisis make the european Health Union?
Abstract:
“Seminar consists of country-based reviews that provide a description of European health system and of reform and policy initiatives in progress or under development in France and Italy. The analysis is focused on French and Italian health systems reviews recent developments in organization and governance, health financing, health care provision, health reforms and health system performance.
In particular, Italy’s national health service is statutorily required to guarantee the uniform provision of comprehensive care throughout the country. However, this is complicated by the fact that, constitutionally, responsibility for healthcare is shared between the central government and the 20 regions. There are large and growing differences in regional health service organisation and provision. Public health-care expenditure has absorbed a relatively low share of gross domestic product, although in the last 25 years it has consistently exceeded central government forecasts.
Changes in payment systems, particularly for hospital care, have helped to encourage organisational appropriateness and may have contributed to containing expenditure. Tax
sources used to finance the Servizio Sanitario Nazionale (SSN) have become somewhat more regressive. The limited evidence on vertical equity suggests that the SSN ensures equal access to primary care but lower income groups face barriers to specialist care. The health status of Italians has improved and compares favourably with that in other countries, although regional disparities persist."
