Università della Svizzera italiana

Federalism and regional health care expeditures : an empirical analysis for the Swiss cantons

Crivelli , Luca ; Filippini, Massimo ; Mosca, Ilaria

In: Health Economics, 2006, vol. 15, no. 5, p. 535-541

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. The autonomy of cantons and a particular health insurance system create strong heterogeneity in terms of regulation and organisation of health care services. In this study we use a single equation approach to model the per-capita cantonal expenditures on health care services and postulate that per-capita health...

Università della Svizzera italiana

Health care expenditure and decentralization : a national and international empirical analysis for OECD countries

Mosca, Ilaria ; Filippini, Massimo (Dir.) ; Meneguzzo, Marco (Codir.) ; Crivelli, Luca (Codir.)

Thèse de doctorat : Università della Svizzera italiana, 2005 ; 2005ECO002.

The consistent rise in health care expenditure in these last years has attracted a lot of attention by academics, policy makers, and politicians. The quota of GDP spent on health has become considerably high in many OECD countries and pundits searched for possible solutions to increase the efficiency of the health care sector and to contain waste. Decentralization has been perceived as a solution...

Università della Svizzera italiana

Federalismo e spesa sanitaria regionale : analisi empirica per i Cantoni svizzeri

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Il sistema sanitario svizzero è, a giusta ragione, considerato uno dei più complessi al mondo e, almeno in parte, questa complessità è legata al federalismo. Pur avendo di fronte una nazione che, per dimensioni, è paragonabile ad un “Länder" tedesco o ad una regione italiana, non è infatti corretto parlare di sistema sanitario elvetico, quanto piuttosto di 26 sub-sistemi cantonali,...

Università della Svizzera italiana

Federalism and regional health care expenditures : an empirical analysis for the Swiss cantons

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. Article 3 of the Federal Constitution grants ample autonomy to individual cantons in those sectors that are not directly regulated by the Constitution, among others health and social care. The autonomy of cantons creates strong heterogeneity in terms of regulatory systems and the organization of health care services....