The thesis consists of an introductory part and three self-contained papers. <p> Paper [I] studies the determinants of the differences in expenditure on services for functionally impaired individuals among municipalities in Sweden. A spatial autoregressive model is used in order to test whether the...</p>

In this essay a conceptual and theoretical scheme for decentralized integrated health care systems of the northern European kind is developed. With small changes it is also applicable to other countries, e.g. Italy, Spain, and Portugal. Three ideas tie together the scheme: modified fiscal...

This paper addresses the question of the social policy harmonization in the European Union. In adopting a common monetary policy Europe is faced with structural and fiscal concerns, as national growth levels differ. Another possible factor in output shocks are the levels of various social...

Il presente rapporto analizza l'impatto del DL 15/04/2002 n. 63 del Governo Italiano ("Misure per il contenimento della spesa farmaceutica"), con particolare riferimento agli effetti indotti da tali misure sulle decisioni di investimento delle imprese, sulla struttura dell'industria di...

Questo Working Paper porta un esempio di criterio di ripartizione del Fsn tra le Regioni. Il criterio rimane coerente, in termini generali, con le indicazioni contenute nel "Decreto legislativo in materia di autonomia di entrata delle Regioni a statuto ordinario e delle Province, nonché...

In recent years, decentralization of financial and political power has been perceived as a useful means to improve outcomes of the health care sector. Such reforms are often a result of fashion, rather than being based on knowledge of “what works”. If decentralization is the favored strategy...

This paper aims at assessing the impact of fiscal discipline towards sub-national governments on citizens’ well-being. We model fiscal discipline by considering the expectations of deficit bailouts by Central Government, and focus on a particular dimension of well-being, namely health outcomes...

The issues of patients’ interregional mobility and «health fashions» are, somehow, exemplary cases: they show that it is not possible tackling correctly financial issues (such as the financing of local public services or their standard cost) provided by the Enabling Act on Fiscal Federalism...

This paper aims at assessing the impact on citizens’ well-being of fiscal discipline imposed by Central Government to sub-national governments. Since health care policies involve strategic interactions between different layers of governments in many different countries, we focus on a...

Il nuovo rapporto SaniRegio fornisce, in linea con le edizioni precedenti, il calcolo della spesa sanitaria standard delle singole Regioni attraverso la stima di una funzione di spesa in cui la distribuzione della popolazione per fasce di età rappresenta il driver principale dei fabbisogni...