000			01643naa a2200205uu 4500
001			11134
003			OSt
005			20190211155318.0
008			030213s2000 xx ||||gr |0|| 0 eng d
100	1		_aPETRETTO, Alessandro _98369
245	1	0	_aReform : _bhealth care
260			_aNew York : _bMarcel Dekker, _c2000
520	3		_aThe 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			_aVolume 23
590			_aNumbers 2-3
773	0	8	_tInternational Journal of Public Administration- IJPA _g23, 2-3, p. 315-343 _dNew York : Marcel Dekker, 2000 _xISSN 01900692 _w
942			_cS
998			_a20030213 _bLucima _cLucimara
998			_a20100723 _b1440^b _cDaiane
999			_aConvertido do Formato PHL _bPHL2MARC21 1.1 _c11258 _d11258
041			_aeng