Efficienza e "best practices" in sanità. Uno studio per gli ospedali e le regioni italiane

European health systems are submitted, for several years, in penalizing economic / financial tension due both to the high public debt and not favorable economic cycle. This situation takes on greater importance in countries where health systems are publicly funded. Despite these conditions, the health care systems have been and are committed to pursuing its objectives of improving the health status of the population, to guarantee equitable access to health services, economic and efficient use of resources allocated to them, the prosecution financiers of a more equitable system, improving quality of care and appropriateness of medical treatment. Among the non favorable conditions economic / financial and the achievement of the objectives listed above, European health systems have undergone numerous and radical reforms, and this was no exception on the Italian health system, largely since the 90s. The main objectives of the Italian health care reforms (not only in Italy the reforms have taken place), were the establishment of a National Health Service (NHS) public, more anteriorly, as well as the creation of "quasi markets", i.e. the separation between purchasers and providers of services, streamlining the hospital network, the introduction of hospital funding from different systems adopted in both the public and private accredited, the school accreditation, continuing the process federalism, largely in fiscal federalism, which is giving to the Italian regions increasing autonomy from the expenditure and principally sources of funding side, to name a few from the 90s onwards. .. [edited by Author]