ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

Reporting and measuring health care performances: the Italian case.

Updated on June 19, 2015

Healthcare worldwide symbol


The Directorate General for Health and Food Safety last October published a study on public perception about science, research and innovation. A very wide range of subjects contemplating education, sustainability, employment, heath care and medi care is covered. Social progress mixes both human decision and technological advancement. About health care and medi care, 13 countries on the EU 28 show an absolute majority of people thinking people actions and behaviour in the future will have a positive impact. The number rise to 96% when the actor is not people but science and technology. Last one in the chart, in both cases, Italy.

13 countries on 28 show absolute majority believing in human made advancement

Only one country shows no absolute majority believing in advancement to be carried on by science

Scuola Superiore Sant'Anna, the entrance


Enrico Rossi, president of Tuscany Region, politician trying to link science with health care managers in charge


Public spending situation in Italy regards big numbers. Evolving from a labour linked guarantee, it became universal with the Servizio Sanitario Nazionale's birth. Nowadays spending in this balance item is higher than the Value Added Tax income; it is more than 4 times the IRAP income (having the Irap being invented to finance public health) and amounts to 112 billions in 2013. Most of public health finance is managed by regions. "Public spending on health care in Tuscany amounted to 6100 million euro, corresponding to approximately 70% of the total budget of the Region. The regional public health system includes more than 50,000 employees and its services greatly affect the lives of citizens, both in social terms - as they represent a crucial determinant of the quality of life of the person - and in economic terms as an expense which the community claims. So that it's also a driver of economic development". So said Sabina Nuti as a resercher for the Scuola Superiore Sant'Anna, just before the beginning of the crisis. At the time, Irpet set up a study concerning the subject. If public health care did not exist in Tuscany, than regional GDP would be lower by 7.5 % , the employed would be 8 % lower and imports regional and foreign companies would respectively lower by 4.5 % and 5.7 %. That's what the researches shown. After the financial crisis lasting for 8 years, there have been many reductions in public expenditure, even if volunteers network helped preventing any collapse. The impact of these shortcuts is not a mortal strike for the local economy, thanks also to the capacity to keep expense effectiveness.Best reporting procedures need to be used, as the regions after Bassanini,Titolo V and more recent reforms are becoming more and more big funds spending. As president Rossi said, "valuation and measures coming from scientific research should innovate public health. We started in 2004, avoiding money and energy wasting, we reached an optimum level thanks to the contribution by Management School MES". Gween Bevan from the London School of Economics and Political Sciences praised the collaboration between MES researchers, politicians and health care managers as exemplar; the advancement reached by the region in this field as impressive (still the video linked above).Is this combination capable to stood down and overcome Italian public skepticism and lack of trust in people behaviour and science? If time for Italy to overcome some structural resistances and to make assignment on scientific innovation, especially in the public sector. That is to say not only to give an administrative acknowledgement to some doctors in charge of responsibility, but also help the development of scientific management as a powerful clarifier.

London School of Economics logo


So if the Italian sentiment about the future in public health care is negative, management in this sector needs to be improved and it has got sufficient instruments to do so. Nevertheless, transparency is a crucial issue. The blend between public and private -that is to say private doctors get commonly repaid by the state, whether they accept patients with no sufficient means- is always risky. Doctors can choose to practice bigger interventions just to get bigger payments back. Or, other way, they can treat patients badly and superficially just because they know they will get the payment back in any case.

USA after medi care adoption are experiencing some tries to break the rules. More than 240 people—including doctors, nurses, and other licensed professionals—were arrested for their participation in Medicare fraud scheme involving approximately $712 million in false billings. "A group seeking payments by the state for equipment that was not provided and care that was not needed" said Attorney General in charge of the case.

Health care funds, to be managed in transparency



    0 of 8192 characters used
    Post Comment

    No comments yet.


    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at:

    Show Details
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the or domains, for performance and efficiency reasons. (Privacy Policy)
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)