ArticleSocial indicators research2022
Measuring Regional Performance in the Italian NHS: Are Disparities Decreasing?
Article in Social indicators research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers, 2 of them syntheses that pooled it.
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Who cites it
14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 35 citations in OpenAlex.
- Methods to derive composite indicators used for quality and safety measurement and monitoring in healthcare: a scoping review.Frontiers in health services · 2026Pooled it
- Methods for modelling composite indices of access to healthcare facilities: a systematic literature review.Population health metrics · 2025Pooled it
- Challenges of the general practitioner's role in integrated primary health care: a qualitative study of trainees in a reform-oriented network in Northern Italy.BMC primary care · 2026Article
- Integrating ESG indicators and behavioral factors to estimate the mental health index in Italy.International journal of mental health systems · 2026Article
- Models for analyzing territorial inequalities in hospitals for health sustainability: evidence from Italian regions.Population health metrics · 2026Article
- 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
- Geographical disparities in fibromyalgia severity: An Italian study.European journal of pain (London, England) · 2025Article
- Gastrentrological clinical trials in Italy: an association study on regional economic factors and healthcare system efficiency.Frontiers in pharmacology · 2025Article
- Consumption of Tap Water and Sociodemographic-Associated Characteristics: A Nationwide Cross-Sectional Study.Nutrients · 2024Article
- Vial Sharing of High-Cost Drugs to Decrease Leftovers and Costs: A Retrospective Observational Study on Patisiran Administration in Bologna, Italy.Healthcare (Basel, Switzerland) · 2023Article
- Inter-Regional Patients' Migration for Hospital Orthopedic Intensive Rehabilitation: The Italian Experience.International journal of environmental research and public health · 2022Article
- Trends in the Use of Home LTC Services in Large, Medium and Small Municipalities in Italy: Lessons for the Post-COVID-19 Reappraisal.International journal of environmental research and public health · 2022Article
- The Italian interregional performance evaluation system.Research in health services & regions · 2022Article
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Corrections and comments
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Authors and funding
3 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Given the regional disparities that historically characterize the Italian context, in this paper we propose a framework to evaluate the regional health care systems' performance in order to contribute to the debate on the relationship between decentralisation of health care and equity. To investigate the regional health systems performance, we refer to the OECD Health Care Quality Indicators project to construct of a set of five composite indexes. The composite indexes are built on the basis of the non-compensatory Adjusted Mazziotta-Pareto Index, that allows comparability of the data across units and over time. We propose three indexes of health system performance, namely Quality Index, Accessibility Index and Cost-Expenditure Index, along with a Health Status Index and a Lifestyles Index. Our framework highlights that regional disparities still persist. Consistently with the evidence at the institutional level, there are regions, particularly in Southern Italy, which record lower levels of performance with high levels of expenditure. Continuous research is needed to provide policy makers with appropriate data and tools to build a cohesive health care system for the benefit of the whole population. Even if future research is needed to integrate our framework with new indicators for the calculation of the indexes and with the identification of new indexes, the study shows that a scientific reflection on decentralisation of health systems is necessary in order to reduce inequalities.
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Registered trials
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