Boccia A, De Giusti M, Del Cimmuto A, Tufi D, Villari P
Sezione di Medicina Clinica e Sanità Pubblica, Dipartimento di Medicina Sperimentale e Patologia, Università degli Studi di Roma La Sapienza.
Ann Ig. 2003 Nov-Dec;15(6):771-85.
The aim of the article is to describe the new Italian National Health Service outlined by the third health care reform ("riforma-ter"), the fiscal federalism and the modifications to the title V of the second part of the Constitution. The authors examine the present "performance" of the Italian National Health Service in terms of health status of the population, perceived quality of care and health care expenditure, analyzing the international and national context in which the new reforms were developed. The most significant changes in health care programming, organization and functioning of the system, financing of the National Health Service and medical education are described. The authors conclude outlining research priorities to be addressed.
本文旨在描述第三次医疗改革（“riforma - ter”）所勾勒的意大利新国家医疗服务体系、财政联邦制以及对宪法第二部分第五章的修改。作者从人口健康状况、感知到的医疗质量和医疗保健支出方面审视了意大利国家医疗服务体系目前的“表现”，分析了新改革所处的国际和国内背景。文中描述了医疗保健规划、体系的组织与运作、国家医疗服务体系的融资以及医学教育方面最显著的变化。作者最后概述了有待解决的研究重点。
