Cost containment: Europe. Italy.

G. Apolone, R. Melotti, F. Repetto, G. Iapichino

Research output: Contribution to journalArticle

9 Citations (Scopus)

Abstract

Through prepaid compulsory insurance managed by the central government, Italy's National Health Service (NHS) provides full coverage, free accessibility, and no or limited copayment by individuals when receiving health services. Although Italy spends less than other countries on health care (<8% of the country's gross national product), the present NHS faces considerable difficulties, and its performance regarding quality, outcome, and spending has come under question. ICUs account for <2% of total hospital beds, and the proportion of ICU patients is <2.5% of all hospital patients (2.5% of all Italian hospital patients receive ICU care at some time during their hospital stay). Information from administrative databases and epidemiologic studies gives an interesting national picture of the situation in Italy regarding admission criteria case mix, and outcomes when compared with data from other countries. Important changes in the financial and institutional framework of the NHS are underway, yielding an unpredictable scenario for the future. Innovations focus mostly on cost containment and quality initiatives. These innovations will likely produce a new health service in which regions will have a more important role than in the past. Actions planned in a large Italian region by the local government are used as an example to explain the potential impact of this new trend on critical care medicine.

Original languageEnglish
Pages (from-to)350-356
Number of pages7
JournalNew horizons (Baltimore, Md.)
Volume2
Issue number3
Publication statusPublished - Aug 1994

Fingerprint

Cost Control
National Health Programs
Italy
Health Services
Gross Domestic Product
Local Government
Diagnosis-Related Groups
Critical Care
Insurance
Epidemiologic Studies
Length of Stay
Medicine
Databases
Delivery of Health Care

ASJC Scopus subject areas

  • Critical Care and Intensive Care Medicine

Cite this

Apolone, G., Melotti, R., Repetto, F., & Iapichino, G. (1994). Cost containment: Europe. Italy. New horizons (Baltimore, Md.), 2(3), 350-356.

Cost containment : Europe. Italy. / Apolone, G.; Melotti, R.; Repetto, F.; Iapichino, G.

In: New horizons (Baltimore, Md.), Vol. 2, No. 3, 08.1994, p. 350-356.

Research output: Contribution to journalArticle

Apolone, G, Melotti, R, Repetto, F & Iapichino, G 1994, 'Cost containment: Europe. Italy.', New horizons (Baltimore, Md.), vol. 2, no. 3, pp. 350-356.
Apolone G, Melotti R, Repetto F, Iapichino G. Cost containment: Europe. Italy. New horizons (Baltimore, Md.). 1994 Aug;2(3):350-356.
Apolone, G. ; Melotti, R. ; Repetto, F. ; Iapichino, G. / Cost containment : Europe. Italy. In: New horizons (Baltimore, Md.). 1994 ; Vol. 2, No. 3. pp. 350-356.
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