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Review
. 2005 Dec;Suppl(Suppl 1):46-52.
doi: 10.1007/s10198-005-0318-x.

The "Essential Levels of Care" in Italy: when being explicit serves the devolution of powers

Aleksandra Torbica  1 , Giovanni Fattore
Affiliations
Review

The "Essential Levels of Care" in Italy: when being explicit serves the devolution of powers

Aleksandra Torbica et al. Eur J Health Econ. 2005 Dec.

Abstract

The definition of an explicit health benefit package in Italy has gained importance because of devolution of powers from the national level to the regions. The set of services to be guaranteed by the public sector are defined at national level, while regions are accountable for their provision. This contribution discusses the entitlements and the decision criteria adopted by Italian policy-making bodies. Entitlements to services are clearly defined for few sectors (mainly outpatient specialist care); for hospital care the benefit catalogue is vague. The definition of the health benefit package in Italy is an essential element of the relationship between the central government and the regions. It is argued that adequate monitoring systems and accountability procedures are still needed to make the essential levels of care an effective pivotal element of the Italian National Health Service.

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Figures

Fig. 1
Fig. 1
Decision making on benefits in Italy
Fig. 2
Fig. 2
DPCM, 29 November 2001. Definition of national standards of care (LEAs). MoH Ministry of Health
See this image and copyright information in PMC

References

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