Evaluating health performance and inequalities in the Italian region of Marche

Abstract

A worldwide selection of models that are used to measure health service performance were appraised. The internationally recognised Health System Performance Assessment tool was chosen for testing in a local health authority in the Marche, Italy. Local, regional, national and international comparisons were also used. A complementary means of measuring health inequality involving the Concentration Index enabled a holistic evaluation of the local health environment. While the approach addressed a comprehensive range of issues, limitations with data availability were found to present genuine constraints that require future action. Nevertheless, valuable lessons were learned for policy makers, with the relationship between socioeconomic inequalities and systematic variations in health indicators highlighted. The Health System Performance Assessment tool presents the opportunity for strategic alignment in performance measurement.

Cancer Mortality and Deprivation: Comparison Among the Performances of the European Deprivation Index, the Italian Deprivation Index and Local Socio-Health Deprivation Indices

“…In Italy, the administrative organization in regions, which have enough decisional autonomy in the health and social sectors, causes wide differences in the managing efficiency (La Torre and Federici 2017;Golinelli et al 2017;Cicchetti and Gasbarrini 2016). This depends on the quantity of resources made available from the central government, the intrinsic richness of each region and its efficiency in managing (Franci et al 2019;Golinelli et al 2017;Cicchetti and Gasbarrini 2016;Vercelli et al 2014).…”