IMF Working Papers

Health Care and its Financing in Italy: Issues and Reform Options

By Franco Reviglio

October 1, 2000

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Franco Reviglio. Health Care and its Financing in Italy: Issues and Reform Options, (USA: International Monetary Fund, 2000) accessed December 23, 2024
Disclaimer: This Working Paper should not be reported as representing the views of the IMF.The views expressed in this Working Paper are those of the author(s) and do not necessarily represent those of the IMF or IMF policy. Working Papers describe research in progress by the author(s) and are published to elicit comments and to further debate

Summary

In Italy, health care budget ceilings are not effective. The poor control by the central government results in excessive use of expensive inputs, in long waiting lines for medical procedures, and in the emergence of large arrears to suppliers and commercial banks. To fully gain the benefits of its decentralized structure, Italy needs to clarify the rules of the game and strengthen controls on local health authorities. Full fiscal responsibility should be extended to local governments on both the expenditure and revenue sides. The central government should be involved neither in decisions on the services that local governments should supply, nor in their planning and management.

Subject: Arrears, Expenditure, External debt, Health, Health care, Health care spending

Keywords: Accrual expenditure, Arrears, Authorities claim, Expenditure overrun, Expenditure side, Expenditure undervaluation, Government, Government debt-accounting problem, Government funding, Health care, Health care spending, Health indicator, Health program manager, Health sector deficit, Lack of responsibility, Public health care in Italy, Regional authorities, WP

Publication Details

  • Pages:

    28

  • Volume:

    ---

  • DOI:

    ---

  • Issue:

    ---

  • Series:

    Working Paper No. 2000/166

  • Stock No:

    WPIEA1662000

  • ISBN:

    9781451858099

  • ISSN:

    1018-5941

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