| The rise of governmentality in the Italian National Health System: physiology or pathology of a decentralized and (ongoing) federalist system? | |
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MedLine Citation:
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PMID: 21097728 Owner: NLM Status: In-Process |
Abstract/OtherAbstract:
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In this paper, we aim to discuss the implications and lessons that can be learnt from the ongoing process of federalism affecting the Italian National Health System (INHS). Many countries are currently taking decisions concerning the decentralization or re-centralization of their health-care systems, with several key issues that are illustrated in the recent history of the INHS. The decentralization process of INHS has produced mixed results, as some regions took advantage of it to strengthen their systems, whereas others were not capable of developing an effective steering role. We argue that the mutual reinforcement of the decentralization and recentralization processes is not paradoxical, but is actually an effective way for the State to maintain control over the equity and efficiency of its health-care system while decentralizing at a regional level. In this perspective, we provide evidence backing up some of the assumptions made in previous works as well as new food-for thought - specifically on how governmentality and federalism should meet - to reshape the debate on decentralization in health care. |
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Authors:
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Federico Lega; Massimo Sargiacomo; Luca Ianni |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Health services management research : an official journal of the Association of University Programs in Health Administration / HSMC, AUPHA Volume: 23 ISSN: 1758-1044 ISO Abbreviation: Health Serv Manage Res Publication Date: 2010 Nov |
Date Detail:
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Created Date: 2010-11-24 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8811549 Medline TA: Health Serv Manage Res Country: England |
Other Details:
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Languages: eng Pagination: 172-80 Citation Subset: H |
Affiliation:
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Bocconi University and SDA School of Management, Milan, Italy. federico.lega@unibocconi.it |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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