| 000 -LEADER |
|---|
| fixed length control field |
01643naa a2200205uu 4500 |
| 001 - CONTROL NUMBER |
|---|
| control field |
11134 |
| 003 - CONTROL NUMBER IDENTIFIER |
|---|
| control field |
OSt |
| 005 - DATE AND TIME OF LATEST TRANSACTION |
|---|
| control field |
20190211155318.0 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
030213s2000 xx ||||gr |0|| 0 eng d |
| 999 ## - SYSTEM CONTROL NUMBERS (KOHA) |
|---|
| Koha Dewey Subclass [OBSOLETE] |
PHL2MARC21 1.1 |
| 041 ## - LANGUAGE CODE |
|---|
| Language code of text/sound track or separate title |
eng |
| 100 1# - MAIN ENTRY--PERSONAL NAME |
|---|
| Personal name |
PETRETTO, Alessandro |
| 9 (RLIN) |
8369 |
| 245 10 - TITLE STATEMENT |
|---|
| Title |
Reform : |
| Remainder of title |
health care |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
|---|
| Place of publication, distribution, etc. |
New York : |
| Name of publisher, distributor, etc. |
Marcel Dekker, |
| Date of publication, distribution, etc. |
2000 |
| 520 3# - SUMMARY, ETC. |
|---|
| Summary, etc. |
The Italian National Health Service was established in 1978 as three-tie system, involving State, regions, USLs (unita sanitarie locali, Local Health Care Units). The division between the responsibility of determining the general features of health care policy and financing it, on one side (the State), and that of managing services, on the order side (Regions adn USLs), was bound to lead to increasing levels of expenditure and large financial deficits. An important reform has been carried out over the last five years, aiming toward a more decentralized system, which although still public, were based on competition among suppliers and free choice for consumers. We argue that although the reform seems to have been successful in containing public expenditure, it has left some important issues still unresolved: the relationship between patients' freedom of choice and competition among providers, and the definition of a model of rationing the bundle of health services financed by the public sector |
| 590 ## - LOCAL NOTE (RLIN) |
|---|
| Local note |
Volume 23 |
| 590 ## - LOCAL NOTE (RLIN) |
|---|
| Local note |
Numbers 2-3 |
| 773 08 - HOST ITEM ENTRY |
|---|
| Title |
International Journal of Public Administration- IJPA |
| Related parts |
23, 2-3, p. 315-343 |
| Place, publisher, and date of publication |
New York : Marcel Dekker, 2000 |
| International Standard Serial Number |
ISSN 01900692 |
| Record control number |
|
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Koha item type |
Periódico |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) |
|---|
| -- |
20030213 |
| Operator's initials, OID (RLIN) |
Lucima |
| Cataloger's initials, CIN (RLIN) |
Lucimara |
| 998 ## - LOCAL CONTROL INFORMATION (RLIN) |
|---|
| -- |
20100723 |
| Operator's initials, OID (RLIN) |
1440^b |
| Cataloger's initials, CIN (RLIN) |
Daiane |
