The Lombardy Health Care System

Elenka Brenna

Research output: Working paper


In the very recent past, the Lombardy health care system - established on the quasi-market model – has caught the interest of researchers and politicians in different OECD countries1. The merits of the model, compared to other Italian regional models, are the control of health care spending and the balanced budget, in a frame of good quality of services and patient choice. This paper stems from a literature review and tries to analyse the evolution of this regional system, the institutional path that brought to the implementation of the model, its theoretical basis, its merits and criticism. The period considered ranges from 1997, when the reform was enacted, to 2010.
Original languageEnglish
Number of pages27
Publication statusPublished - 2011
Externally publishedYes


  • italian NHS reforms
  • quasi market
  • regional health care system


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