Dinamiche di finanziamento ed equilibrio economico nelle aziende sanitarie: profili teorici ed evidenze empiriche

This research focuses on the public health care services funding system as a specific governance mechanism adopted by the Regions. Specifically, it analyses interregional differences concerning the financial resources allocation, both on the basis of the population requirement (quota pro capite) and in relation to the services provided (fare). The main issue examined concerns the relationship between the Regional fare, aimed at funding the local health units for their services provided, and the economic balance achieved by them. This empirical study has been made on a sample of 10 Regions, basically homogeneous with regard to health care demand, as to the quality of services provided, as to the expenditure pro capite value, and the consolidated balance sheet (regional surplus – loss). As for the surveyed Regions, a fare system comparison has been made, relatively to three stages of analyses: The investment grade in the fare list from the single Regions, the usage grade of the reimbursement based on fees for services, and the position of each Region as to the global fare average calculated on the whole sample. The analyses result of the fare list regarding the dimensions abovementioned, has been at last cross-checked on the operating result achieved by local health units and public hospital trusts.