The Italian National Health Service (INHS) is grounded in a decentralised and multilevel governance framework, where the regions enjoy extensive autonomy in planning, organising, and managing healthcare services within their territories. Despite the formal autonomy granted to regions, the current configuration of public healthcare organisations reflects a long-term consolidation process that has unfolded over the past two decades.
The Italian NHS: Structure and Activities
Broccolo, Giulia;Gugiatti, Attilio;Manfredi, Simone
;Oprea, Natalia;Palvarini, Agnese
2026
Abstract
The Italian National Health Service (INHS) is grounded in a decentralised and multilevel governance framework, where the regions enjoy extensive autonomy in planning, organising, and managing healthcare services within their territories. Despite the formal autonomy granted to regions, the current configuration of public healthcare organisations reflects a long-term consolidation process that has unfolded over the past two decades.
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