ECONOMIA SANITARIA

The course aims at understanding the explanatory factors of the demand for health care services, the characteristics of the health care service supply, the problems concerning the allocation of resources within the health sector and the elements for policy evaluation in this field. The student will acquire the ability to apply the tools of the economic analysis, in order to evaluate efficiency and equity issues in the allocation of resources in a given health system, and to identify the characteristics of the main intervention policies to address these problems.

The course includes lectures, carried out with the support of slides and supplementary teaching material that is made available to students through the Studium on-line platform. There will also be occasions for classroom discussion on case studies.Should teaching be carried out in mixed mode or remotely, it may be necessary to introduce changes with respect to previous statements, in line with the programme planned and outlined in the syllabus.

Organization and financing of health systems; taxonomy of health systems; the Italian National Health Service and its comparison with other health systems; health needs and the demand for health care services; the Grossman model; the doctor-patient agency relationship; the provision of health care services; theoretical models of hospital behavior; efficiency in the provision of health care services; quality and appropriateness; principles and methods of economic evaluation of health care services.

1. Rosella Levaggi – Stefano Capri, Economia Sanitaria, Franco Angeli, 2013 (chapters 1, 2, 3, 9, 10).
2. Michael Drummond et al., Metodi per la valutazione economica dei programmi sanitari, Il Pensiero Scientifico, 2010, terza edizione (chapters 2, 3, 4, 5, 6, 7).

3. Turati G. (2013) The Italian Servizio Sanitario Nazionale: A Renewing Tale of Lost Promises. In: Costa-Font J., Greer S.L. (eds) Federalism and Decentralization in European Health and Social Care. Palgrave Macmillan.

4. - Tediosi F., Gabriele S. , Longo F., (2009) Governing decentralization in health care under tough budget constraint: What can we learn from the Italian experience?, Health Policy, Volume 90, Issues 2–3.

Other useful readings:

- A. Wagstaff, E. Van Doorslaer, "Equity in healthcare finance and delivery", Handbook of Health Economics, ch. 34, Volume 1, Part B, Pages 1803-1862, Elsevier.

- Ministero della Salute, Monitoraggio dei LEA attraverso la cd. Griglia LEA - Metodologia e risultati dell'anno 2017, Available at: http://www.salute.gov.it/imgs/C_17_pubblicazioni_2832_allegato.pdf