21810008 - FINANZA DEGLI ENTI LOCALI ED ECONOMIA SANITARIA

The organization of the Italian government system has undergone a profound change characterized by progressive decentralization. Since the creation of the Regions in 1970, up until the reform of Title V of the Constitution in 2001, the central government has transferred an increasing number of functions to local governments and has devolved powers and responsibilities to the Regions.
Hence the importance of the Public Finance in a Decentralized Government for those seeking employment both in public and in private sectors that have to do with the public administration and for those who intend to deal with health sector
In fact, as local and regional authorities play an key role in the Italian healthcare, part of the course will analyze the Healthcare sector. The contradictions that emerge between the attribution to the Regions of healthcare delivery and the imposition of rigid organizational models as well as the maintenance at central level of an organization role, will be the subject of in-depth analysis in order to understand the relationship between State, Regions and Local Authorities in the organization, management and provision of health services.

AUTERI MONICA

teacher profile | teaching materials

Programme

for non Italian speaking students:

book: State and Local Public Finance, C. Fisher

Chapter 1. Why State and Local Government Finance
Chapter 3. Demand for State and Local Government Goods and Services Chapter
Chapter 4. Public Choice Without Mobility: Voting Chapter
Chapter 5. Public Choice Through Mobility Chapter
Chapter 6. Organization of Subnational Government

Budgeting and Fiscal Outcomes in Italy
Chapter 8. Costs and Production of State and Local Goods and Services
Chapter 9. Pricing of Government Goods—User Charges
Chapter 10. Intergovernmental Grants Chapter
Chapter 13. Property Tax: Institutions, Structure, and Process Chapter
Chapter 21. Health and Welfare Chapter


Book: The Economics of Health and Health Care by Folland, Goodman, Stano

Supply and Demand
Chapter 5 Production of Health
Chapter 6 The Production, Cost, and Technology of Health Care
Chapter 7 Demand for Health Capital
Chapter 8 Demand and Supply of Health Insurance
Chapter 9 Consumer Choice and Demand
PART III Information and Insurance Markets
Chapter 10 Asymmetric Information and Agency
Chapter 11 The Organization of Health Insurance Markets
Chapter 12 Managed Care
Chapter 13 Nonprofit Firms

PART IV Key Players in the Health Care Sector
Chapter 14 Hospitals and Long-Term Care
Chapter 15 The Physician’s Practice
Chapter 16 Health Care Labor Markets and Professional Training
Chapter 17 The Pharmaceutical Industry

PART V Social Insurance
Chapter 18 Equity, Efficiency, and Need
Chapter 19 Government Intervention in Health Care Markets
Chapter 20 Government Regulation: Principal Regulatory Mechanisms
Chapter 21 Social Insurance
Chapter 22 Comparative Health Care Systems
Chapter 23 Health System Reform

Core Documentation

Libro di testo:
1. G. Brosio, e S. Piperno, Governo e finanza locale. IV ed Torino, Giappichelli, 2009.
NB Il formato cartaceo del testo non è piu disponibile. Dal sito dell’editore si può acquistare il testo
in formato pdf con ISBN 9788834847145 codice breve 3484714
2. Auteri M, Il mercato del farmaco. Tra andamenti e prospettive, Libreria Universitaria, 2013
3. Tre articoli in inglese tra quelli indicati
4. Per il materiale relativo alla parte di economia sanitaria contattare il docente oppure:
Levaggi, R. Capri, S. (2008) Economia Sanitaria, Franco Angeli, 4a edizione: Capitoli 1, 2, 3 [par 3.1, 3.2,
3.3], 4 [par. 4.1, 4.2, 4.3, 4.4, 4.9], 5 [pp.213-220, 228-237], 6 [introduzione, pp. 280-288], 9, 10)Pammolli,F., Porcelli,F, Vidoli F, Auteri, M, and Guido Borà, (2020, aprile)
La Sanità delle Regioni , Il Mulino, Bologna, ISBN 978-88-15-28723-6 solo le parti indicate

Reference Bibliography

Arrow, Kenneth J. (1963) “Uncertainty and the Welfare Economics of Medical Care,” The American Economic Review, Vol. 53, No. 5, pp. 941–973, December. (1968) “The Economics of Moral Hazard: Further Comment,” The American Economic Review, Vol. 58, No. 3, pp. 537–539, June. Auteri, M. (2009) “Centralismo, autonomia regionale e controllo della spesa sanitaria,” in G. Trupiano ed. La Legge Finanziaria 2009: Aracne editrice, pp. 119–149. (2010) “Finanziamento pubblico e federalismo sanitario nel triennio 2010-2012,” in G. Trupiano ed. La manovra finanziaria 2010: Aracne editrice, pp. 107–126. (2011) “Manovra finanziaria per il 2011 e determinazione dei costi e dei fabbisogni standard nel settore sanitario,” in G. Trupiano ed. La manovra finanziaria 2011-.2013: Aracne editrice. Bandow, D. (2003) “Demonizing Drugmakers: The Political Assault on the Pharmaceutical Industry,” Policy Analysis - Cato Institute, Vol. 475. Bandow, Doug (2005) “Avoiding Medicare’s Pharmaceutical Trap,” Policy Analysis - Cato Institute, Vol. 56. Baumol, William J. (1993) “Health care, education and the cost disease: A looming crisis for public choice,” Public Choice, Vol. 77, pp. 17–28, September. Bergvall, Daniel, Claire Charbit, Dirk-Jan Kraan, and Olaf Merk (2006) “Intergovernmental transfers and decentralised public spending,” OECD Journal on Budgeting, Vol. 5, No. 4, p. 111. Berndt, Ernst R. (2002) “Pharmaceuticals in U.S. Health Care: Determinants of Quantity and Price,” The Journal of Economic Perspectives, Vol. 16, No. 4, pp. 45–66, October. Bloom, David E., David Canning, and Jaypee Sevilla (2001) “The Effect of Health on Economic Growth: Theory and Evidence,” National Bureau of Economic Research Working Paper Series, Vol. No. 8587. Brickley, James A. and R. Lawrence Van Horn (2000) “Incentives in Nonprofit Organizations: Evidence from Hospitals,” SSRN eLibrary, February. Burstall, M L (1991) “Europe after 1992: implications for pharmaceuticals,” Health Affairs, Vol. 10, No. 3, pp. 157 –171. Byrne, Margaret M, Kenneth Pietz, LeChauncy Woodard, and Laura A Petersen (2007) “Health care funding levels and patient outcomes: a national study,” Health Economics, Vol. 16, No. 4, pp. 385–393, April. Culyer, A.J. and J.P. Newhouse (2000) “Introduction: the state and scope of health economics,” Handbook of Health Economics, Vol. 1. Cutler, David M. and Elizabeth Richardson (1999) “Your Money and Your Life: The Value of Health and What Affects It,” Working Paper 6895, National Bureau of Economic Research. Cutler, David M., Mark McClellan, Joseph P. Newhouse, and Dahlia Remler (1996) “Are Medical Prices Declining?” National Bureau of Economic Research Working Paper Series, Vol. No. 5750. featured in NBER digest on 1997-02-01. Dumont, Etienne, Bernard Fortin, Nicolas Jacquemet, and Bruce Shearer (2008) “Physicians’ multitasking and incentives: Empirical evidence from a natural experiment,” Journal of Health Economics, Vol. 27, No. 6, pp. 1436–1450, December. Ennett, Susan T. and Karl E. Bauman (1993) “Peer Group Structure and Adolescent Cigarette Smoking: A Social Network Analysis,” Journal of Health and Social Behavior, Vol. 34, No. 3, pp. 226–236. Ferrara, Peter J. (1998) “The next steps for Medicare reform,” Cato Policy Analysis, Vol. 305, pp. 1–24. Finkelstein, Amy (2005) “The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare,” National Bureau of Economic Research Working Paper Series, Vol. No. 11619. featured in NBER digest on 2005-09-19. Frech, H. E. III and Richard D. Jr. Miller (1996) “The Productivity of Health Care and Pharmaceuticals: An International Comparison,”Technical report, Research Program in Pharmaceutical Economics and Policy, UCLA. Fuchs, V.R. (1996) “Economics, values, and health care reform,” American Economic Review, Vol. 86, No. 1, pp. 1–24. (2000) “The future of health economics,” Journal of Health Economics, Vol. 19, No. 2, pp. 141–157, March. Gawande, A. (1999) “Whose Body is it Anyway?” New Yorker, Vol. 4 Oct, pp. 84–91. Glied, Sherry (1999) “Managed Care,” National Bureau of Economic Research Working Paper Series, Vol. No. 7205. Grossman, Michael (1972) “On the Concept of Health Capital and the Demand for Health,” Journal of Political Economy, Vol. 80, No. 2, pp. 223–255, March. (2000) “The human capital model,” Handbook of health economics, Vol. 1, pp. 347–408. Grossman, Michael, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 7 The human capital model,” Vol. Volume 1, Part A: Elsevier, pp. 347–408. Hennig-Schmidt, Heike, Reinhard Selten, and Daniel Wiesen (2011) “How payment systems affect physicians’ provision behaviour. An experimental investigation,” Journal of Health Economics, Vol. 30, No. 4, pp. 637–646, July. Kessler, Daniel P. and Mark B. McClellan (1999) “Is Hospital Competition Socially Wasteful?” National Bureau of Economic Research Working Paper Series, Vol. No. 7266. Kiuila, Olga and Peter Mieszkowski (2007) “The effects of income, education and age on health,” Health Economics, Vol. 16, No. 8, pp. 781–798, August. Lantz, Paula M., James S. House, James M. Lepkowski, David R. Williams, Richard P. Mero, and Jieming Chen (1998) “Socioeconomic Factors, Health Behaviors, and Mortality,” JAMA: The Journal of the American Medical Association, Vol. 279, No. 21, pp. 1703 –1708, June. Manning, W.G., J.P. Newhouse, N. Duan, E.B. Keeler, and A. Leibowitz (1987) “Health insurance and the demand for medical care: evidence from a randomized experiment,” The American Economic Review, pp. 251–277. Martín, J.J.M., M.P.L. del Amo González, and M.D.C. García (2011) “Review of the literature on the determinants of healthcare expenditure,” Applied Economics, Vol. 43, No. 1, pp. 19–46. Oates, Wallace E (1999) “An essay on fiscal federalism,” Journal of economic literature, Vol. 37, No. 3, pp. 1120–1149. Oates, Wallace E. (2005) “Toward A Second-Generation Theory of Fiscal Federalism,” International Tax and Public Finance, Vol. 12, No. 4, pp. 349–373, Aug. Oates, Wallace E (2008) “On the evolution of fiscal federalism: theory and institutions,” National Tax Journal, Vol. 61, No. 2, pp. 313–334. Pauly, Mark V. (1968) “The Economics of Moral Hazard: Comment,” The American Economic Review, Vol. 58, No. 3, pp. 531–537, June. Ruhm, Christopher J. (2001) “Economic Expansions Are Unhealthy: Evidence from Microdata,” National Bureau of Economic Research Working Paper Series, Vol. No. 8447. Sacker, Amanda, David Firth, Ray Fitzpatrick, Kevin Lynch, and Mel Bartley (2000) “Comparing health inequality in men and women: prospective study of mortality 1986-96,” BMJ, Vol. 320, No. 7245, pp. 1303 –1307, May. Sandler, Todd and John Tschirhart (1997) “Club theory: Thirty years later,” Public choice, Vol. 93, No. 3-4, pp. 335–355. Scharpf, Fritz W (2001) “Notes toward a theory of multilevel governing in Europe,” Scandinavian Political Studies, Vol. 24, No. 1, pp. 1–26. Tiebout, Charles M (1961) “An economic theory of fiscal decentralization,” in Public finances: Needs, sources, and utilization: Princeton University Press, pp. 79–96. Tuljapurkar, Shripad, Nan Li, and Carl Boe (2000) “A universal pattern of mortality decline in the G7 countries,” Nature, Vol. 405, No. 6788, pp. 789–792, June. Wagstaff, Adam, Eddy van Doorslaer, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 34 Equity in health care finance and delivery,” Vol. 1, Part B: Elsevier, pp. 1803–1862. Zweifel, Peter, Willard G. Manning, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 8 Moral hazard and consumer incentives in health care,” Vol. 1, Part A: Elsevier, pp. 409–459

Type of delivery of the course

lectures and econometrics applications on line

Attendance

Not mandatory but recommended

Type of evaluation

oral exam and optional intermediate written exam

AUTERI MONICA

teacher profile | teaching materials

Programme

for non Italian speaking students:

book: State and Local Public Finance, C. Fisher

Chapter 1. Why State and Local Government Finance
Chapter 3. Demand for State and Local Government Goods and Services Chapter
Chapter 4. Public Choice Without Mobility: Voting Chapter
Chapter 5. Public Choice Through Mobility Chapter
Chapter 6. Organization of Subnational Government

Budgeting and Fiscal Outcomes in Italy
Chapter 8. Costs and Production of State and Local Goods and Services
Chapter 9. Pricing of Government Goods—User Charges
Chapter 10. Intergovernmental Grants Chapter
Chapter 13. Property Tax: Institutions, Structure, and Process Chapter
Chapter 21. Health and Welfare Chapter


Book: The Economics of Health and Health Care by Folland, Goodman, Stano

Supply and Demand
Chapter 5 Production of Health
Chapter 6 The Production, Cost, and Technology of Health Care
Chapter 7 Demand for Health Capital
Chapter 8 Demand and Supply of Health Insurance
Chapter 9 Consumer Choice and Demand
PART III Information and Insurance Markets
Chapter 10 Asymmetric Information and Agency
Chapter 11 The Organization of Health Insurance Markets
Chapter 12 Managed Care
Chapter 13 Nonprofit Firms

PART IV Key Players in the Health Care Sector
Chapter 14 Hospitals and Long-Term Care
Chapter 15 The Physician’s Practice
Chapter 16 Health Care Labor Markets and Professional Training
Chapter 17 The Pharmaceutical Industry

PART V Social Insurance
Chapter 18 Equity, Efficiency, and Need
Chapter 19 Government Intervention in Health Care Markets
Chapter 20 Government Regulation: Principal Regulatory Mechanisms
Chapter 21 Social Insurance
Chapter 22 Comparative Health Care Systems
Chapter 23 Health System Reform

Core Documentation

Libro di testo:
1. G. Brosio, e S. Piperno, Governo e finanza locale. IV ed Torino, Giappichelli, 2009.
NB Il formato cartaceo del testo non è piu disponibile. Dal sito dell’editore si può acquistare il testo
in formato pdf con ISBN 9788834847145 codice breve 3484714
2. Auteri M, Il mercato del farmaco. Tra andamenti e prospettive, Libreria Universitaria, 2013
3. Tre articoli in inglese tra quelli indicati
4. Per il materiale relativo alla parte di economia sanitaria contattare il docente oppure:
Levaggi, R. Capri, S. (2008) Economia Sanitaria, Franco Angeli, 4a edizione: Capitoli 1, 2, 3 [par 3.1, 3.2,
3.3], 4 [par. 4.1, 4.2, 4.3, 4.4, 4.9], 5 [pp.213-220, 228-237], 6 [introduzione, pp. 280-288], 9, 10)Pammolli,F., Porcelli,F, Vidoli F, Auteri, M, and Guido Borà, (2020, aprile)
La Sanità delle Regioni , Il Mulino, Bologna, ISBN 978-88-15-28723-6 solo le parti indicate

Reference Bibliography

Arrow, Kenneth J. (1963) “Uncertainty and the Welfare Economics of Medical Care,” The American Economic Review, Vol. 53, No. 5, pp. 941–973, December. (1968) “The Economics of Moral Hazard: Further Comment,” The American Economic Review, Vol. 58, No. 3, pp. 537–539, June. Auteri, M. (2009) “Centralismo, autonomia regionale e controllo della spesa sanitaria,” in G. Trupiano ed. La Legge Finanziaria 2009: Aracne editrice, pp. 119–149. (2010) “Finanziamento pubblico e federalismo sanitario nel triennio 2010-2012,” in G. Trupiano ed. La manovra finanziaria 2010: Aracne editrice, pp. 107–126. (2011) “Manovra finanziaria per il 2011 e determinazione dei costi e dei fabbisogni standard nel settore sanitario,” in G. Trupiano ed. La manovra finanziaria 2011-.2013: Aracne editrice. Bandow, D. (2003) “Demonizing Drugmakers: The Political Assault on the Pharmaceutical Industry,” Policy Analysis - Cato Institute, Vol. 475. Bandow, Doug (2005) “Avoiding Medicare’s Pharmaceutical Trap,” Policy Analysis - Cato Institute, Vol. 56. Baumol, William J. (1993) “Health care, education and the cost disease: A looming crisis for public choice,” Public Choice, Vol. 77, pp. 17–28, September. Bergvall, Daniel, Claire Charbit, Dirk-Jan Kraan, and Olaf Merk (2006) “Intergovernmental transfers and decentralised public spending,” OECD Journal on Budgeting, Vol. 5, No. 4, p. 111. Berndt, Ernst R. (2002) “Pharmaceuticals in U.S. Health Care: Determinants of Quantity and Price,” The Journal of Economic Perspectives, Vol. 16, No. 4, pp. 45–66, October. Bloom, David E., David Canning, and Jaypee Sevilla (2001) “The Effect of Health on Economic Growth: Theory and Evidence,” National Bureau of Economic Research Working Paper Series, Vol. No. 8587. Brickley, James A. and R. Lawrence Van Horn (2000) “Incentives in Nonprofit Organizations: Evidence from Hospitals,” SSRN eLibrary, February. Burstall, M L (1991) “Europe after 1992: implications for pharmaceuticals,” Health Affairs, Vol. 10, No. 3, pp. 157 –171. Byrne, Margaret M, Kenneth Pietz, LeChauncy Woodard, and Laura A Petersen (2007) “Health care funding levels and patient outcomes: a national study,” Health Economics, Vol. 16, No. 4, pp. 385–393, April. Culyer, A.J. and J.P. Newhouse (2000) “Introduction: the state and scope of health economics,” Handbook of Health Economics, Vol. 1. Cutler, David M. and Elizabeth Richardson (1999) “Your Money and Your Life: The Value of Health and What Affects It,” Working Paper 6895, National Bureau of Economic Research. Cutler, David M., Mark McClellan, Joseph P. Newhouse, and Dahlia Remler (1996) “Are Medical Prices Declining?” National Bureau of Economic Research Working Paper Series, Vol. No. 5750. featured in NBER digest on 1997-02-01. Dumont, Etienne, Bernard Fortin, Nicolas Jacquemet, and Bruce Shearer (2008) “Physicians’ multitasking and incentives: Empirical evidence from a natural experiment,” Journal of Health Economics, Vol. 27, No. 6, pp. 1436–1450, December. Ennett, Susan T. and Karl E. Bauman (1993) “Peer Group Structure and Adolescent Cigarette Smoking: A Social Network Analysis,” Journal of Health and Social Behavior, Vol. 34, No. 3, pp. 226–236. Ferrara, Peter J. (1998) “The next steps for Medicare reform,” Cato Policy Analysis, Vol. 305, pp. 1–24. Finkelstein, Amy (2005) “The Aggregate Effects of Health Insurance: Evidence from the Introduction of Medicare,” National Bureau of Economic Research Working Paper Series, Vol. No. 11619. featured in NBER digest on 2005-09-19. Frech, H. E. III and Richard D. Jr. Miller (1996) “The Productivity of Health Care and Pharmaceuticals: An International Comparison,”Technical report, Research Program in Pharmaceutical Economics and Policy, UCLA. Fuchs, V.R. (1996) “Economics, values, and health care reform,” American Economic Review, Vol. 86, No. 1, pp. 1–24. (2000) “The future of health economics,” Journal of Health Economics, Vol. 19, No. 2, pp. 141–157, March. Gawande, A. (1999) “Whose Body is it Anyway?” New Yorker, Vol. 4 Oct, pp. 84–91. Glied, Sherry (1999) “Managed Care,” National Bureau of Economic Research Working Paper Series, Vol. No. 7205. Grossman, Michael (1972) “On the Concept of Health Capital and the Demand for Health,” Journal of Political Economy, Vol. 80, No. 2, pp. 223–255, March. (2000) “The human capital model,” Handbook of health economics, Vol. 1, pp. 347–408. Grossman, Michael, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 7 The human capital model,” Vol. Volume 1, Part A: Elsevier, pp. 347–408. Hennig-Schmidt, Heike, Reinhard Selten, and Daniel Wiesen (2011) “How payment systems affect physicians’ provision behaviour. An experimental investigation,” Journal of Health Economics, Vol. 30, No. 4, pp. 637–646, July. Kessler, Daniel P. and Mark B. McClellan (1999) “Is Hospital Competition Socially Wasteful?” National Bureau of Economic Research Working Paper Series, Vol. No. 7266. Kiuila, Olga and Peter Mieszkowski (2007) “The effects of income, education and age on health,” Health Economics, Vol. 16, No. 8, pp. 781–798, August. Lantz, Paula M., James S. House, James M. Lepkowski, David R. Williams, Richard P. Mero, and Jieming Chen (1998) “Socioeconomic Factors, Health Behaviors, and Mortality,” JAMA: The Journal of the American Medical Association, Vol. 279, No. 21, pp. 1703 –1708, June. Manning, W.G., J.P. Newhouse, N. Duan, E.B. Keeler, and A. Leibowitz (1987) “Health insurance and the demand for medical care: evidence from a randomized experiment,” The American Economic Review, pp. 251–277. Martín, J.J.M., M.P.L. del Amo González, and M.D.C. García (2011) “Review of the literature on the determinants of healthcare expenditure,” Applied Economics, Vol. 43, No. 1, pp. 19–46. Oates, Wallace E (1999) “An essay on fiscal federalism,” Journal of economic literature, Vol. 37, No. 3, pp. 1120–1149. Oates, Wallace E. (2005) “Toward A Second-Generation Theory of Fiscal Federalism,” International Tax and Public Finance, Vol. 12, No. 4, pp. 349–373, Aug. Oates, Wallace E (2008) “On the evolution of fiscal federalism: theory and institutions,” National Tax Journal, Vol. 61, No. 2, pp. 313–334. Pauly, Mark V. (1968) “The Economics of Moral Hazard: Comment,” The American Economic Review, Vol. 58, No. 3, pp. 531–537, June. Ruhm, Christopher J. (2001) “Economic Expansions Are Unhealthy: Evidence from Microdata,” National Bureau of Economic Research Working Paper Series, Vol. No. 8447. Sacker, Amanda, David Firth, Ray Fitzpatrick, Kevin Lynch, and Mel Bartley (2000) “Comparing health inequality in men and women: prospective study of mortality 1986-96,” BMJ, Vol. 320, No. 7245, pp. 1303 –1307, May. Sandler, Todd and John Tschirhart (1997) “Club theory: Thirty years later,” Public choice, Vol. 93, No. 3-4, pp. 335–355. Scharpf, Fritz W (2001) “Notes toward a theory of multilevel governing in Europe,” Scandinavian Political Studies, Vol. 24, No. 1, pp. 1–26. Tiebout, Charles M (1961) “An economic theory of fiscal decentralization,” in Public finances: Needs, sources, and utilization: Princeton University Press, pp. 79–96. Tuljapurkar, Shripad, Nan Li, and Carl Boe (2000) “A universal pattern of mortality decline in the G7 countries,” Nature, Vol. 405, No. 6788, pp. 789–792, June. Wagstaff, Adam, Eddy van Doorslaer, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 34 Equity in health care finance and delivery,” Vol. 1, Part B: Elsevier, pp. 1803–1862. Zweifel, Peter, Willard G. Manning, Anthony J. Culyer, and Joseph P. Newhouse (2000) “Chapter 8 Moral hazard and consumer incentives in health care,” Vol. 1, Part A: Elsevier, pp. 409–459

Type of delivery of the course

lectures and econometrics applications on line

Attendance

Not mandatory but recommended

Type of evaluation

oral exam and optional intermediate written exam