ArticleHealth economics, policy, and law2016
Making governance work in the health care sector: evidence from a 'natural experiment' in Italy.
Article in Health economics, policy, and law, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 53 papers, 2 of them syntheses that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
53 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- The contribution of benchmarking to quality improvement in healthcare. A systematic literature review.BMC health services research · 2022Pooled it
- Regionalization for health improvement: A systematic review.PloS one · 2020Pooled it
- Acceptability of a Healthcare Performance Evaluation System Among Professionals in Rural Areas of Ethiopia, Tanzania, and Uganda Three Years After Its Implementation.International journal of environmental research and public health · 2026Article
- Models for analyzing territorial inequalities in hospitals for health sustainability: evidence from Italian regions.Population health metrics · 2026Article
- Uncovering hidden patterns: How good governance and health outcomes are shaped by the public healthcare funding?Frontiers in public health · 2026Article
- Enhancing Learning Systems in Using Patient Experience Data: An Exploratory Mixed-Method Study in Two Italian Regions.The International journal of health planning and management · 2025Article
- Digital health for environmentally sustainable cancer screening.NPJ digital medicine · 2025Article
- Regional variations in Italy's COVID-19 death toll: a descriptive analysis of excess mortality and associated factors from 2020 to 2021.Population health metrics · 2025Article
- The challenges of national health data ecosystems in feeding the European health data space: the Italian example.Frontiers in medicine · 2025Article
- Analyzing the 20-year declining trend of hospital length-of-stay in European countries with different healthcare systems and reimbursement models.International journal of health economics and management · 2024Article
- Efficiency Improvement Strategies for Public Health Systems: Developing and Evaluating a Taxonomy in the Australian Healthcare System.Healthcare (Basel, Switzerland) · 2023Article
- Effects of Covid-19 on the elective surgery: an approach based on the case of the Italian Province of Bolzano.Research in health services & regions · 2023Review
- Article
- Effectiveness of measures to preserve labour and childbirth companionship at the times of COVID-19 outbreak.Health policy (Amsterdam, Netherlands) · 2023Article
- Evaluating Healthcare Performance in Low- and Middle-Income Countries: A Pilot Study on Selected Settings in Ethiopia, Tanzania, and Uganda.International journal of environmental research and public health · 2022Article
- Including patient-reported measures in performance evaluation systems: Patient contribution in assessing and improving the healthcare systems.The International journal of health planning and management · 2022Article
- The Italian interregional performance evaluation system.Research in health services & regions · 2022Article
- Supporting efficiency improvement in public health systems: a rapid evidence synthesis.BMC health services research · 2022Review
- Estimating variations in the use of antibiotics in primary care: Insights from the Tuscany region, Italy.The International journal of health planning and management · 2022Article
- Response to COVID-19: was Italy (un)prepared?Health economics, policy, and law · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Italian Health care System provides universal coverage for comprehensive health services and is mainly financed through general taxation. Since the early 1990s, a strong decentralization policy has been adopted in Italy and the state has gradually ceded its jurisdiction to regional governments, of which there are twenty. These regions now have political, administrative, fiscal and organizational responsibility for the provision of health care. This paper examines the different governance models that the regions have adopted and investigates the performance evaluation systems (PESs) associated with them, focusing on the experience of a network of ten regional governments that share the same PES. The article draws on the wide range of governance models and PESs in order to design a natural experiment. Through an analysis of 14 indicators measured in 2007 and in 2012 for all the regions, the study examines how different performance evaluation models are associated with different health care performances and whether the network-shared PES has made any difference to the results achieved by the regions involved. The initial results support the idea that systematic benchmarking and public disclosure of data are powerful tools to guarantee the balanced and sustained improvement of the health care systems, but only if they are integrated with the regional governance mechanisms.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.