Journal title MECOSAN
Author/s Francesco Costa, Patrizio Armeni, Monica Hildegard Otto, Nicola Amoroso, Claudio Jommi
Publishing Year 2016 Issue 2016/98 Language Italian
Pages 22 P. 61-82 File size 23821 KB
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This paper aims at providing an indepth analysis of the role of the File F, to provide a systematized knowledge of the mechanisms for accounting and funding of pharmaceuticals in Italy. File F is an information flow originally implemented for regulating inter-regional mobility. It has been differently modified by Regions, and in principle it has over time become a tool for monitoring the use of drugs, for controlling pharmaceutical expenditure and for providing ad hoc funding for specific pharmaceuticals. Nine Regions were investigated and a substantial cross-regional variability has emerged. Policy implications, concerning the relationships between the Central and Regional Governments, the actions proof Regions and the impact of File F on the economic performance of health care organizations are discussed on the ground of the evidence collected.
Keywords: Pharmaceuticals, public expenditure, File F, accounting, funding, Regions.
Francesco Costa, Patrizio Armeni, Monica Hildegard Otto, Nicola Amoroso, Claudio Jommi, La rendicontazione e la remunerazione dei farmaci. Finalità, struttura e gestione del File F in nove Regioni italiane in "MECOSAN" 98/2016, pp 61-82, DOI: 10.3280/MESA2016-098004