Il ruolo delle Aziende Sanitarie Locali nella gestione della spesa ospedaliera alla luce di un indagine empirica sulla Asl di Como

Translated title of the contribution: [Autom. eng. transl.] The role of Local Health Authorities in the management of hospital expenditure in the light of an empirical investigation on the Asl of Como

Elenka Brenna

Research output: Contribution to journalArticlepeer-review

Abstract

This paper tries to analyse the way of financing hospital admissions in Lombardy Region. With the help of a case study, it attempts to verify if the governance model approved in 1997, which enables local Health Authority (ASL) to contract with providers about number, typology and prices of hospital admissions, is achieved. The findings show that till 2003 it was the Region who controlled for these parameters and who regulated hospital expenses, while ASL had a marginal position. If Region doesn’t let more autonomy to ASL, and continues financing deficit ex-post, it will be very difficult to program and control hospital expenses.
Translated title of the contribution[Autom. eng. transl.] The role of Local Health Authorities in the management of hospital expenditure in the light of an empirical investigation on the Asl of Como
Original languageItalian
Pages (from-to)39-49
Number of pages11
JournalSANITÀ PUBBLICA E PRIVATA
Publication statusPublished - 2007

Keywords

  • contractual model
  • hospital expenditure
  • hospitalization schedule
  • modello contrattuale
  • programmazione dei ricoveri
  • spesa ospedaliera

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