From government fragmentation to local governance: welfare reforms and lost opportunities in Italy

Kazepov, Yuri; Genova, Angela

doi:10.1332/policypress/9781861346520.003.0011

Cited by 6 publications

(7 citation statements)

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“…Moreover, in order to outline the main aspects of Italian welfare policies, the following features have to be considered (Kazepov, Genova, 2005): a) Strong north-south division: the territorial imbalances characterise not only the socio-economic structure, but also the institutional design of policies (often regionally and locally fragmented). The high industrialisation in the centre-northern regions, where a diffused SME-based industrial sector strengthens the occupational base, contrasts with high unemployment in the southern regions, where wide informal work goes hand in hand with a subsistence economy.…”

Section: 2mentioning

confidence: 99%

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The Path-Dependent Nature of Urban Governance: Emerging Modes in Finland and Italy

Genova¹

2016

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The socio-economic changes and the territorial reorganisation they imply (new productive districts, new emerging regional economies, etc) together with the processes of political and administrative reform bring about a deeper process of rescaling strongly affecting European urban societies since the end of the 70s. Among the main consequences we find the processes of welfare state reform towards new forms of local welfare arrangements characterised by the rhetoric of activation policies. Cities are now increasingly the main actor in the design of new welfare policies within the broader context of the reconfiguration of urban governance. The aim of the paper is to investigate the modes of urban governance emerging from the reform process common to most EU countries. My hypothesis is that there is a relationship between urban governance modes and welfare regimes. The analysis of urban welfare modes of governance in two EU capitals, Helsinki and Rome bring to light the role of local institutional milieus in shaping modes of governance. Although there are common challenges and a common response toward an increasing neoliberal role of activation policies, local institutional milieus have played a crucial role in defining a path-dependant process of reform. In social democratic welfare regimes a managerial mode of governance has emerged, stressing the central role of the State. In the familistic welfare regime, the consolidated role of third sector organizations and the non-structured and fragmented position of local public authorities in welfare policies has shaped a mode of clientelistic and corporatist governance.

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Section: 2mentioning

confidence: 99%

“…16. An earlier version of this part of the paper has been partly presented in Kazepov and Genova (2005). support families directly to maintain standards of living and overcome conditions of need, but only people in the labour market.…”

Section: 2mentioning

confidence: 99%

The Path-Dependent Nature of Urban Governance: Emerging Modes in Finland and Italy

Genova¹

2016

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“…Employment and social policies represent an emblematic example since both have been subjected to institutional reform processes in all EU member states aimed at improving the role of local authorities (Kazepov and Genova 2006;Kazepov et al, 2007). Implicit rescaling refers to reforms in policy contents, aims and objectives.…”

Section: The Territorial Reorganisation Of Welfare Ser Vices In Italymentioning

confidence: 99%

Integrated Services in Activation Policies in Finland and Italy: A Critical Appraisal

Genova¹

2008

Social Policy & Society

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The integration of welfare services in activation policies has been one of the common answers to welfare challenges in EU member states over the last two decades. The process has been interwoven with the rescaling both downwards and upwards of welfare regulative authorities. The article discusses the role of integrated services in activation policies in relation to the centralisation and decentralisation of welfare policies in a comparative perspective of different EU welfare regimes and highlights the role of local institutional milieus in shaping path-dependent modes of governance in integrated services.

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“…In this framework, the ministers are neutral, acting to uphold constitutional laws and enact flexible guidelines to be locally implemented (Vicarelli 2005). As a result, there is a considerable lack of consistency in regional budget performance and medical care quality (Kazepov and Genova 2005;Cartocci 2007).…”

Section: Introduction Recent Developments Of the Italian National Heamentioning

confidence: 99%

The Regionalization of the Public Health System and New Governance Models for Healthcare: The Stroke Network Case in Italy

Farinella

Saitta

Signorino

2011

World Med & Health Policy

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Background: In the 1990s, Italy enacted a drastic reform of the public administration system, giving local governments (regions) unprecedented autonomy in public service management, including healthcare. This shift in responsibilities resulted in a lack of consistency in budget performance and quality of medical care in the regional health systems. Purpose: This article describes the outcomes of a 2009 study into the reasons for the regional differences in implementation of “stroke networks” in Italy. Strokes represent one of the most important health issues for Italy. They are the primary causes of permanent disability, the second highest cause of dementia, and (in Italy) the third highest cause of mortality. Evidence shows that early diagnosis and delivery of treatment in specialized stroke units, including rehabilitation therapy, can reduce the risks of death and disability. Nevertheless, there are significant differences and delays in the implementation of such practices. To understand the reasons for the delays, measures were examined, including decision makers' agendas, regional budget limitations, organizational delays, structural complexity, competition over scarce resources, power structure differences, and informal practices. Methods: The study consisted of 52 in‐depth interviews and six focus groups involving 62 people (total = 114 interviewees) and addressing key actors in the health systems from six Italian regions. In accordance with Italian regulations and research practices, the present sociological study did not require the approval by an Ethical Committee, since it did not involve minors or subjects who might be injured, coerced, or those who necessitate an informed consent. Results: This study outlines five main models of management and shows how competition with private hospitals, internal rivalries involving professionals and medical sectors, expenditure restraints, and a lack of well‐trained personnel represent the main obstacles to the development and operation of stroke units. Policy Implications: Network implementation should be framed within the culture and standards of the broader social and health context. Social networks should be central to the system of care, targeting long‐term health issues associated with strokes. There is also a need to decrease competition and increase collaboration among the stakeholders. Finally, the relation between hospitals, care services, and regional administrations requires improvement. Italian version of the abstract: Sfondo: Nel corso degli anni novanta l'Italia ha avviato una drastica riforma della pubblica amministrazione e assegnato agli enti locali di governo nuovi poteri e autonomia nella gestione dei servizi pubblici, ivi inclusa la sanità. Tale mutamento ha comportato una consistente difformità nel livello delle prestazioni e nella gestione finanziaria dei sistemi sanitari regionali. Scopi: Il presente articolo descrive gli esiti di uno studio condotto nel 2009, volto a indagare le ragioni che si celano dietro le differenze esistenti n...

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From government fragmentation to local governance: welfare reforms and lost opportunities in Italy

Cited by 6 publications

References 0 publications

The Path-Dependent Nature of Urban Governance: Emerging Modes in Finland and Italy

The Path-Dependent Nature of Urban Governance: Emerging Modes in Finland and Italy

Integrated Services in Activation Policies in Finland and Italy: A Critical Appraisal

The Regionalization of the Public Health System and New Governance Models for Healthcare: The Stroke Network Case in Italy

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