Health Services Management Research > Volume 21, Number 4 > Pp. 248-261

This Article Figures Only Full Text Full Text (PDF) Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Lega, F. Search for Related Content PubMed PubMed Citation Social Bookmarking                      What's this?

Lights and shades in the managerialization of the Italian National Health Service

Federico Lega 

Correspondence to: Federico Lega Email: federico.lega{at}unibocconi.it

After fifteen years from the first of a series of reforms that introduced managerial paradigms and techniques into the Italian National Health System (INHS), it is possible to provide a critical assessment of the outcomes of such changes.

The aim of this paper is to assess how these reforms have changed the INHS, to what extent they concurred to improve the system, where they failed and which issues are still in agenda. To do so we run through the recent history of the INHS and propose an interpretative framework to understand the grounds for its light and shade results.

The basis for the analysis is triple. The study draws from researches, literature review, action-researches and field investigations conducted over the last 10 years in the INHS.

CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    What's this?