The Enterprise Formula, New Public Management and the Italian Health Care System
Remedy or Contagion
Bibliographic Data
| ID | 10389772 |
|---|---|
| Authors | Paola Mattei (0000-0002-9373-4390, London School of Economics and Political Science, corresponding author) |
| Year | 2006 |
| Volume | 84 |
| Issue | 4 |
| Pages | 1007-1027 |
| Publication date | 2006-11-06 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Public Administration (JOURNAL) |
| Journal identifiers | ISSN: 0033-3298 • E-ISSN: 1467-9299 |
| Publisher | Wiley (PUBLISHER • GB) |
| DOI | 10.1111/j.1467-9299.2006.00624.x |
| OpenAlex | W2042155113 |
| Language | EN |
| Citations received | 13 |
| References cited | 13 |
Health care services represent an extraordinary experimental ground for introducing wider political and institutional transformations of the state. The adoption of entrepreneurialism into European health care systems has strengthened technocratic decision making over traditional mechanisms of political control. In Italy, in the midst of a severe legitimacy crisis affecting the administrative and political systems at the beginning of the 1990s, New Public Management ideas seemed ‘the’ remedy against the pathological politicization of distributive politics. Much hope has been placed since in a new and ascending group of general managers, entrusted with the ambitious mission of running health care services more efficiently and with the unenviable expectation of resuscitating public trust in welfare institutions. By analysing the 1992 Amato government’s landmark health care reform in its substantive changes, this paper explores the last decade’s main reform trajectories of Italian health care reforms that irreversibly transformed its institutional arrangements and organizational structure, namely the enterprise formula and the regionalization of the health care sector. The paper suggests that the political turmoil of 1992–94 served as catalyst for radical policy change and argues that the single most important explanation for the enactment of New Public Management‐type reforms rests in a new executive reinterpretation of its legislative prerogatives and function
Economic growth · Economics · Government (linguistics · Health care · Health care reform · Legislature · Legitimacy · New public management · Political economy · Political science · Politics · Public sector · Reinterpretation · Technocracy · Welfare state · Italy: Economic History and Contemporary Issues · Law · Management, Economics, and Public Policy · Public Administration · Health Policy
Exploring the Legacies of New Public Management in Europe
Unintended consequences of expenditure targets on resource allocation in health systems
Legislative Delegation to the Executive in the ‘Second’ Italian Republic
Balancing Competing Goals
Exploring regionalism in public management reforms
Public sector entrepreneurship
New Public Management Reform ideas and the remaking of the Italian and Danish health systems
Unpacking the multidimensional relationship between crisis and policy change
Coordination and Health Policy Responses to the First Wave of Covid-19 in Italy and Spain
Public management in turbulent times
Implementing Performance‐based Funding for Health Research
Managerial and political accountability
From politics to good management? Transforming the local welfare state in Italy
Bureaucracy in the Modern State
Rescued by Europe?
Government by the Market?
Agendas, alternatives, and public policies
Bureaucratic Elites in Western European States
Surviving Without Governing
Italy and Its Discontents
Changing pattern of centre–periphery relations in Italy
Institutional Rules and Legislative Outcomes in the Italian Parliament
Roger's Revolution
Party system change and parliamentary scrutiny of the executive in Italy
Parliaments in the modern world
| Unique citing works | 13 |
|---|---|
| Citations per year | 0,68 |
| Citation span | 2007 - 2025 (19) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 13 |