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Approccio value-based e logiche di finanziamento: implicazioni per le politiche di rimborsabilità in sanità
Journal Title: MECOSAN 
Author/s: Alessandro Furnari, Giuditta Callea, Marianna Cavazza, Lucia Ferrara, Francesca Lecci, Francesco Longo, Alberto Ricci, Valeria Tozzi, Rosanna Tarricone 
Year:  2019 Issue: 112 Language: Italian 
Pages:  19 Pg. 83-101 FullText PDF:  614 KB
DOI:  10.3280/MESA2019-112005
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Demographic and epidemiological changes put the stability of the Italian National Health Service (INHS) principles under pressure and the next decade will represent a critical momentum for keeping and reinforcing its institutional format. Reimbursement schemes could represent an important policy tool to orient providers and patients’ behaviour. Nowadays, these schemes do not seem to be adequately designed and the remuneration system appears too oriented to the short term and no longer consistent with the context. This article discusses the development possibilities of reimbursement policies for the INHS in a Value-Based Health Care (VBHC) perspective and highlights gaps to be filled that should not be underestimated in the implementation phase. The article also extends the existing theoretical framework for VBHC. At the same time, it underlines how the Italian healthcare system already has adequate information and knowhow for a gradual dissemination of measurement techniques and financing models that can stimulate a reimbursement approach centred on creating value.
Keywords: Reimbursement, NHS, Value- Based Health Care, bundled payment, processes, sustainability, innovation.

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Alessandro Furnari, Giuditta Callea, Marianna Cavazza, Lucia Ferrara, Francesca Lecci, Francesco Longo, Alberto Ricci, Valeria Tozzi, Rosanna Tarricone, in "MECOSAN" 112/2019, pp. 83-101, DOI:10.3280/MESA2019-112005


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