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Italy

The Structuring of Regional Health Services and the Governance of the Health System

Articolo scritto da:

in the issue
Europe and Regions
In the 1990s decentring the national health service was the signal for processes of institutional differentiation between the Regions, from which emerged three models of governance for the health system. In recent years, however, most of the Regions have partially converged on regulatory solutions based on principles of cooperation and integration between the health organisations, pursued through negotiating or centralised planning. This trend is probably a response to the common problem of control of expenditure and financial retrenching, which, in the most critical cases, risks heavily conditioning regional autonomy, setting off process of recentralisation of the health service.only subscribers can see the full article
Keywords: Italy :: devolution :: health system ::

The Repression of Citizenship. The Future of the Social Model in the White Paper

Articolo scritto da:

in the issue
Women and Welfare
The White Paper on the future of the social model «The good life in an active society», presented as a natural sequel to the Green Paper by the Minister of Labour on 6 May 2009, has been widely criticized for the vagueness of its positions and for the gap between good intentions and actual lines of action. The article claims that the questions raised by the document do not concern only vagueness or abstractness, but that some of the proposals are dangerous and fallacious, and some of the statements made ambiguous. only subscribers can see the full article

Rise and Decline of Sustainable Welfare in Italy, 1960-2013

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The article presents a new alternative indicator to Gdp – the Sustainable welfare index (Swi) – a modified version of the Isew developed by Daly and Cobb (1989). Expressed in monetary terms, this synthetic measure of flows provides a proxy of aggregate welfare, with a comprehensive view of social and economic aspects and environmental sustainability. Swi is calculated for Italy over the period 1960-2013, providing a novel series of data, mapping the growth and decline of national sustainable welfare. Empirical results show that during the first three decades per capita Gdp and per capita Swi have evolved in parallel. Whereas the former continued to increase until 2007, Italy’s Swi peaked in 1991, then stabilised with significant oscillations, and has shown a sharp decline since the start of the 2008 financial and economic crisis.only subscribers can see the full article

Regionalism Italian style? Reflections on the financial dimension of regional social policy

Articolo scritto da:

in the issue
The Italian case
This essay uses the financial dimension to analyse the present state of social regionalism in Italy following the profound changes that have affected the territorial organisation of responsibilities and functions. The picture that emerges is characterised by the persistence of various historical features of but also by some signs of change indicative of a desire by the regions to play a leading role. The combination of these two elements offers the prospect of opportunities, but also risks that could be related to the present territorial imbalance of social policy on a regional dimension.only subscribers can see the full article

Italy. Phases and Typologies of Reconcilement Policies

Articolo scritto da:

in the issue
Times and Hours
Starting out from the premise that in order to encourage work/family reconcilement, it’s important to intervene at various levels - the sharing and redistribution of care work, market-targeted work modalities, organisation of local services, times and usability of life spaces - the paper examines the Italian case, demonstrating how reconcilement policies have been developed and consolidated due to pressure from the Eu and the importance of a nucleus of norms, the most important being law 53/2000. The variety of experiences conducted are traced back to three successive intervention phases and a type of reconcilement «measures» integrated by some proposals. Lastly, some critical aspects are highlighted for the development of these policies and the positive role of organisational innovation prospected and the resort to more advanced models for flexibility management. only subscribers can see the full article

The government Green Paper on welfare. Weak perspectives for structural problems

Articolo scritto da:

in the issue
The Italian case
The article offers a general comment on the government Green Paper on welfare, designed to clarify the document’s underlying approach, its merits and intrinsic weaknesses. In particular, it brings out some errors of perspective and some contradictions in the government document: the «fiscal illusion», which encourages a reduction in public health cover, thus worsening the macroeconomic sustainability of overall health expenditure; the emphasis on the family, which is nevertheless asked to increase its role of making up for the shortcomings in the welfare system.only subscribers can see the full article
Keywords: Italy :: Green Paper on welfare ::

Poverty as an Adaptable Concept and Policy Informer

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Each year the Commission on social exclusion presents a «Poverty Report» which illustrates, through a series of indicators and analyses, the main features of poverty in Italy and the policies which have been implemented to contrast it in the previous year. Most of the data presented initially seem to be easily interpreted but it is not always the case: in the construction of some indicators, there may be some hidden conceptual traps which can be misleading and offer a distorted vision of the reality. Without a «preventative» clarification of what is really meant by poverty, you run the risk of misinterpreting the real condition of poor families and the most appropriate policy measures needed to improve their standard of living. It is thus necessary to clear up any possible confusions to prevent any policy mystification from causing policy errors.only subscribers can see the full article

Trade Union and Welfare State: Initiatives at a Local Level

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In Italy one may detect quite a long, although largely unknown, history of diffused relationships between trade unions and local-level governments and institutions, which over time resulted in practices of union involvement in and contribution to the design and implementation of labor and social policies at the periphery of the Ir system. This phenomenon is largely dependent on the characteristics and limits of the Italian welfare system as a whole. The article discusses the phases and logics of this concealed history, focusing on their main features and outcomes. Two main phases and two main logics of action are pointed out. While in a first period - during the 1970s and 1980s - the initiative of the unions in the field of labor and social policies at the territorial level was essentially contingent and reactive in character, aimed at seizing opportunities and/or coping with emergencies, subsequently - during the last two decades - such initiative turned out to be more intentional and strategic in orientation, entering into the redefinition of the unions’ representative strategy targeted to specific groups of workers and citizens. only subscribers can see the full article

Services System and Social Citizenship Access

Articolo scritto da:

in the issue
Migration
The paper analyses the level of preparation of the local welfare system targeted at immigrants, focusing specifically on the social requirements of foreign citizens as well as the chance to achieve integration. On the basis of the experience acquired by the city council of Reggio Emilia, some characteristics of the intervention system aimed at the integration of immigrants are outlined.only subscribers can see the full article

Tax Federalism: which Financing for which Functions

Articolo scritto da:

in the issue
Europe and Regions
This paper discusses the implementation of «tax federalism» in Italy, concentrating on the link that should exist beteen the type of legislative and administrative functions attributed to the decentred bodies, how they are financed, and the plan for equal distribution. Different views are compared concerning citizen solidarity, the autonomy of territorial bodies and investing them with responsibility, and behind these views emerges the redistributive conflict between the North and South of the country. Taking the problems connected with defining and financing essential service levels as an example, the article shows how the principle problems are not connected so much with preparing a delegated law, on which the general guiding principles are often open to different interpretations, as identifying how to implement it effectively.only subscribers can see the full article