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 Regions and the impact of File F on the economic performance of health care organizations are discussed on the ground of the evidence collected.

Accounting and funding of pharmaceuticals. Purpose, structure and management of the File F in nine Italian regions

Costa F.;Armeni P.;Jommi C.
2016-01-01

Abstract

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 Regions and the impact of File F on the economic performance of health care organizations are discussed on the ground of the evidence collected.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11579/163829
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