The role of Intermediate Entities in the governance of regional health systems: From the analysis of emerging structures to the case of Calabria

Journal title MECOSAN
Author/s Giorgia Rotundo, Monica Giancotti, Giuseppe Profiti, Luca Reali, Marianna Mauro
Publishing Year 2025 Issue 2024/131
Language English Pages 25 P. 7-31 File size 0 KB
DOI 10.3280/mesa2024-131oa20236
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Following the institutional and governance structure changes of the 1990s reforms, Italian regional health systems have undergone a re-centralization process which leads to the creation of Intermediate Entities located among the Region and health structures.The study aims to provide an overview of the functions attributed to the Intermediate Entities, focusing on the Calabria Region, the last in the establishment.The analysis of the functions performed provides the first observations about the points of convergence and divergence among the emerging institutional structures.Regarding the Calabrian case, apart from the considerable advantages, the critical issues related to the establishment of the new Entity are not negligible, both relating to the internal regional order and to the future operational phase.

Keywords: ; governance; health systems; health groups; health structures; Intermediate Entities; Italy

Giorgia Rotundo, Monica Giancotti, Giuseppe Profiti, Luca Reali, Marianna Mauro, The role of Intermediate Entities in the governance of regional health systems: From the analysis of emerging structures to the case of Calabria in "MECOSAN" 131/2024, pp 7-31, DOI: 10.3280/mesa2024-131oa20236