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Updated: Oct 24, 2025

Comparative Lesions Analysis Through a Targeted Sequencing Approach
Published on: November 5, 2019
[Comparing two regional health services: is it always the same italian NHS?]
Marco Badinella Martini1, Michele Zanetti1, Livio Garattini1
1Centro di Economia Sanitaria CESAV, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Ranica (BG).
Abstract:
The Italian National Health Service (NHS) provides universal and almost free health coverage to all Italian citizens. However, since 1992 the NHS has been progressively decentralized, with a gradual transfer of health powers to the regions. This has made a radical difference in terms of health administration and service delivery. Here we focus our analysis on two of the most important and populous northern Italian regions: Lombardy and Veneto. Although they are two neighboring regions and similar in many aspects, nevertheless they are totally different as regards their regional health services. Large differences stand out above all in the number of health sector agencies and the density of acute care hospitals. This heterogeneity is mainly due to the profound local political interference, which have been deeply rooted within the NHS over the years. Finally, we analyze the main implications of this situation and try to give insights for an indispensable future (re)harmonization of the NHS.
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