Objectives. Can Equity be included in a performance evaluation system? In Italy, the Tuscan Region has tested and now is adopting an integrated model for performance measurement to which the regional administration, the local health authorities, and other stakeholders may refer either in terms...

This paper analyses migrant access to health care through the Italian legal framework and the use of health care services. In both analyses, an underlying gap and critical issues are demonstrated for migrants regarding their knowledge of the health care system as well as the accessibility and...

Regional healthcare performance evaluation system (PES) can help optimize healthcare resources on regional basis and to improve the performance of healthcare services provided. The Tuscany region in Italy is a good example in meeting these requirements. China is yet to build such a system based...

The study demonstrated how a patient choice model could be used by decision makers for developing successful policies that takes into account different healthcare needs, balancing responsiveness with care continuity, equity and appropriateness. Considering that a primary care centre would...

Governance systems which are based on assumptions of purposive-rational action have received significant criticism. For example the quality and performance frameworks of the English NHS function on the basis of incentives and sanctions, and have been critiqued in terms of both the logic on which...

This paper proposes an integrated quantitative benchmarking approach for the measurement of the performance of Local Health Authorities (LHAs). It is based on a sound balanced scorecard approach developed and implemented in the Tuscany Region by the Management and Health Laboratory of...

Since 80’s the introduction of New Public Management principles has promoted the use of performance measurement to drive a more efficient, effective and accountable public sector. The adoption of a sophisticated and comprehensive multidimensional performance measurement system, which looks...

The Italian National Health System, which follows a Beveridge model, provides universal healthcare coverage through general taxation. Universal coverage provides uniform healthcare access to citizens and is the characteristic usually considered the added value of a welfare system financed by tax...

Healthcare providers often look for feedback from patient surveys. Does health-professional awareness of patient survey results improve communication between patients and providers? To test this hypothesis, we analyzed the data of two surveys on organizational-climate and patient experience in...

Objectives. In recent years, there has been a growing interest in the development and application of discrete choice experiments (DCEs) within health economics. Even though the literature include several reviews of the methodology associated with conducting DCEs and analysing the resultant...