This Ph.D. dissertation discusses equity in healthcare financing in Italy. Each of the three chapters of this dissertation constitutes an independent research output, answering stand-alone research questions. Chapter 1 is a systematic review on equity in healthcare financing in OECD and non- OECD countries. This deals both with the methodology used and the evidence around the world on vertical equity in healthcare financing. Chapters 2 and 3 report empirical evidence from Italy. Chapter 2 analyses the progressivity of healthcare financing in the Italian system and focuses on Italian regions, performing a comparison of progressivity of the healthcare financing across regional systems. Chapter 3 provides an assessment of how differences in co-payments between the Italian regions contribute to growing inequalities in access to public health care services in Italy. A common ground among chapters is the measurement of equity and inequalities in health financing, with particular reference to differences among the Italian regions.
Equity in healthcare financing in Italy / De Matteis, Domenico. - (2020 Sep 15).