Abstract
This paper tries to analyse the way of
financing hospital admissions in Lombardy Region. With the help of a case study, it attempts to verify if the governance model approved in 1997, which enables local Health Authority (ASL) to contract with providers about number, typology and prices of hospital admissions, is achieved.
The findings show that till 2003 it was
the Region who controlled for these parameters and who regulated hospital
expenses, while ASL had a marginal position. If Region doesn’t let more
autonomy to ASL, and continues financing deficit ex-post, it will be very difficult to program and control hospital expenses.
Titolo tradotto del contributo | [Machine translation] The role of Local Health Agencies in the management of hospital expenditure in the light of an empirical survey on the Local Health Authority of Como |
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Lingua originale | Italian |
pagine (da-a) | 39-49 |
Numero di pagine | 11 |
Rivista | SANITÀ PUBBLICA E PRIVATA |
Numero di pubblicazione | Dicembre |
Stato di pubblicazione | Pubblicato - 2007 |
Keywords
- modello contrattuale
- spesa ospedaliera
- programmazione dei ricoveri