Autore
Landi, Stefano

Titolo
Lo strumento del cost-sharing in Italia. Indicazioni fornite dalla diversificazione delle policy regionali sul ticket farmaceutico
Periodico
Autonomie locali e servizi sociali
Anno: 2014 - Fascicolo: 2 - Pagina iniziale: 303 - Pagina finale: 324

«Moral-hazard» affects welfare systems and also National Health Systems so cost-sharing is one of the tools that can be used to limit it. Italy has changed its policies about pharmaceutical ticket in three steps: moderate ticket, elimination of it and reintroduction of cost sharing with differences region by region. Using Italian data for pharmaceutical ticket, provided by Osmed, we exploit a series of natural experiments referring to several different costsharing introduction policies from 1999 to 2011. In this way we have found some evidence confirming literature and other critical points about a costsharing policy. Moreover we compare the various paths followed by Italian regions to face the problem. We build a sort of benchmark which could help to understand weak and strong points in the ticket policy chosen by every region as well as draw some empirical evidence.



SICI: 0392-2278(2014)2<303:LSDCII>2.0.ZU;2-5
Testo completo: http://www.rivisteweb.it/download/article/10.1447/78787
Testo completo alternativo: http://www.rivisteweb.it/doi/10.1447/78787

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