Search tips
Search criteria 


Logo of jepicomhJournal of Epidemiology and Community HealthVisit this articleSubmit a manuscriptReceive email alertsContact usBMJ
J Epidemiol Community Health. 1995 December; 49(6): 559–562.
PMCID: PMC1060168

Epidemiology and the Italian national health service.


The Italian national health services is under criticism. Although recent legislative changes are intended to introduce managed competition, there is no clear epidemiological view of the health care needs and priorities. Several inconsistencies and inequalities (particularly between the northern and the southern regions) are obvious, both in the health status of the population and in the provision of health care. Problems that should be addressed by future governments are: the uneven distribution of medical technology; the persistence of large inequalities, documented by outcomes such as rheumatic fever, between northern and southern regions; the large variability in clinical practices; the lack of an explicit policy as far as the diffusion of advanced technology is concerned; the ensuing "hidden" rationing; and the peculiar relationship between public and private health structures. Both the current ideological shift towards a market economy for health care and the traditional lack of epidemiological input in health care planning could threaten a rational approach to these problems.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (684K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Morosini PL, Lauriola P, Magliola E, Feola G, Paul EM. Le morti evitabili nella valutazione dell' attività del servizio sanitario. II. Atlante Europeo sulle morti evitabili: primi dati ed alcune riflessioni. Epidemiol Prev. 1990 Dec;12(45):48–58. [PubMed]
  • Ferraroni M, La Vecchia C, Pagano R, Negri E, Decarli A. Smoking in Italy, 1986-1987. Tumori. 1989 Dec 31;75(6):521–526. [PubMed]

Articles from Journal of Epidemiology and Community Health are provided here courtesy of BMJ Publishing Group