This paper aims at providing an indepth analysis of the role of the File F, to provide a systematized knowledge of the mechanisms for accounting and funding of pharmaceuticals in Italy. File F is an information flow originally implemented for regulating inter-regional mobility. It has been differently modified by Regions, and in principle it has over time become a tool for monitoring the use of drugs, for controlling pharmaceutical expenditure and for providing ad hoc funding for specific pharmaceuticals. Nine Regions were investigated and a substantial cross-regional variability has emerged. Policy implications, concerning the relationships between the Central and Regional Governments, the actions Regions and the impact of File F on the economic performance of health care organizations are discussed on the ground of the evidence collected

La rendicontazione e la remunerazione dei farmaci. Finalità, struttura e gestione del File F in nove Regioni italiane

COSTA, FRANCESCO;ARMENI, PATRIZIO;OTTO, MONICA HILDEGARD;AMOROSO, NICOLA;JOMMI, CLAUDIO
2016

Abstract

This paper aims at providing an indepth analysis of the role of the File F, to provide a systematized knowledge of the mechanisms for accounting and funding of pharmaceuticals in Italy. File F is an information flow originally implemented for regulating inter-regional mobility. It has been differently modified by Regions, and in principle it has over time become a tool for monitoring the use of drugs, for controlling pharmaceutical expenditure and for providing ad hoc funding for specific pharmaceuticals. Nine Regions were investigated and a substantial cross-regional variability has emerged. Policy implications, concerning the relationships between the Central and Regional Governments, the actions Regions and the impact of File F on the economic performance of health care organizations are discussed on the ground of the evidence collected
2016
2016
Costa, Francesco; Armeni, Patrizio; Otto, MONICA HILDEGARD; Amoroso, Nicola; Jommi, Claudio
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11565/3997261
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