01735cas a2200241 a 4500 AALejournalIMF001350 230101c9999 xx r poo 0 0eng d 5.00 USD 9781451858099 1018-5941 BD-DhAAL BD-DhAAL Reviglio, Franco. Health Care and its Financing in Italy : Issues and Reform Options / Franco Reviglio. Washington, D.C. : International Monetary Fund, 2000. 1 online resource (28 pages) IMF Working Papers <strong>Off-Campus Access:</strong> No User ID or Password Required <strong>On-Campus Access:</strong> No User ID or Password Required Electronic access restricted to authorized BRAC University faculty, staff and students In Italy, health care budget ceilings are not effective. The poor control by the central government results in excessive use of expensive inputs, in long waiting lines for medical procedures, and in the emergence of large arrears to suppliers and commercial banks. To fully gain the benefits of its decentralized structure, Italy needs to clarify the rules of the game and strengthen controls on local health authorities. Full fiscal responsibility should be extended to local governments on both the expenditure and revenue sides. The central government should be involved neither in decisions on the services that local governments should supply, nor in their planning and management. Mode of access: Internet IMF Working Papers; Working Paper ; No. 2000/166 Full text available on IMF http://elibrary.imf.org/view/journals/001/2000/166/001.2000.issue-166-en.xml IMF e-Library