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Italy

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Online HiT With modifications since publication of printed version 1. Introduction 1.1 Geography and sociodemography 1.2 Economic context 1.3 Political context 1.4 Health status 2. Organization and governance 2.1 Overview of the health system 2.2 Historical background 2.3 Organization 2.4 Decentralization and centralization 2.5 Planning 2.6 Intersectorality 2.7 Health information management 2.8 Regulation 2.9 Patient empowerment 3. Financing 3.1 Health expenditure 3.2 Sources of revenue and financial flows 3.3 Overview of the statutory financing system 3.4 Out of pocket payments 3.5 Voluntary health insurance 3.6 Other financing 3.7 Payment mechanisms 4. Physical and human resources 4.1 Physical resources 4.2 Human resources 5. Provision of servicesLast modified: 11/05/2018 5.1 Public healthLast modified: 11/05/2018 5.2 Patient pathways 5.3 Primary / ambulatory care 5.4 Specialized ambulatory care / inpatient care 5.5 Emergency care 5.6 Pharmaceutical care 5.7 Rehabilitation / intermediate care 5.8 Long term care 5.9 Services for informal carers 5.10 Palliative care 5.11 Mental health care 5.12 Dental care 5.13 Complementary and alternative medicine 5.14 Health services for specific populations 6. Principal health reforms 6.1 Analysis of recent reforms 6.2 Future developments 7. Assessment of the health system 7.1 Stated objectives of the health system 7.2 Financial protection and equity in financing 7.3 User experience and equity of access to health care 7.4 Health outcomes, health service outcomes and quality of care 7.5 Health system efficiency 7.6 Transparency and accountability 8. Conclusions 8. Conclusions

Reform log

15 May 2018 - New law on the “living will”Read more 23 April 2018 - Commission established to oversee the implementation of the National Plan to tackle chronic conditionsRead more 07 March 2018 - Delayed implementation of the National Decree to reform the health care workforce Read more 15 March 2017 - New Benefits Package (LEA) finally approved and in force from January 2017Read more

Health policy updates

The new government expresses strong support for the NHS but there is uncertainty about required resources published 05/06/2018 The impact of the new law on compulsory children’s vaccines published 11/05/2018 Key findings from the Osservasalute Report 2018 published 20/04/2018 An ambitious and wide-ranging reform being implemented in Italy’s Lombardy Region published 08/06/2017

HiT Profile Italy

Vol. 16 No. 4 2014: This is the latest published version of the health systems in transition profile (HiT) for Italy written by Francesca Ferré, Antonio Giulio de Belvis, Luca Valerio, Silvia Longhi, Agnese Lazzari, Giovanni Fattore, Walter Ricciardi, Anna Maresso. Download HiT full version

HSPM members for Italy Institute of Hygiene - Catholic University of Rome CERGAS - Centre for Research on Health and Social Care Management, Bocconi University

Contributors Authors: Walter Ricciardi, Antonio Giulio de Belvis, Silvia Longhi, Agnese Lazzari, Giovanni Fattore, Francesca Ferrè, Marta Marino, Alessio Santoro, Elena Azzolini, Andrea Poscia, Verdiana Morando, Tiziana Sabetta. Editors: Anna Maresso ​

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