Crea Report

Healthcare, Veneto at the top, Calabria last. But the gap is narrowing

In the period 2019-2024, the overall performance index improved and analyses revealed fewer differences across the territory

by Health Review

2' min read

2' min read

The best-performing region in healthcare, Veneto, achieves a maximum performance of 55% of the theoretically achievable maximum, while Calabria, last in the ranking, stands at 23%. The distance from the optimal levels reflects a growing expectation of stakeholders who demand increasingly higher standards; if their satisfaction with the best performance recorded at regional level were to be considered 'full', the best performance (of Veneto) would stand at 69% of the maximum.

This is the finding of the 13th edition of the study on Regional Performance, which analyses the health protection opportunities offered to citizens in the various Italian regions, prepared by Crea Sanità - Centre for Applied Economic Research in Health - of the University of Rome 'Tor Vergata', which will be presented in Rome on 2 July.

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Citizens' satisfaction and quality of life measured with LEAs

The study, which was conducted with the contribution of a panel of 107 stakeholders in the National Health Service, introduced important new features and highlighted significant results by flanking for the first time the Essential Levels of Care to measure the universality and equity of the National Health Service with citizen satisfaction and quality of life in the different Italian regions.

"The results," Crea Sanità explains in anticipation of some of the study's findings, "show a complex picture, characterised by an increase in the expectations of stakeholders, and citizens in particular, and a positive correlation between the performance of health services and the level of citizen satisfaction; there is also a positive, but less strong correlation between performance and perceived quality of life.

In improvement of the overall performance index

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In the period 2019-2024, however, there was an improvement in the overall performance index, and analyses also revealed that the gap between the best-performing and the worst-performing regions is narrowing, which is mainly attributable to the fact that the improvements affected the regions of Southern and Central Italy in particular.

"The study," Crea Sanità continues, "showed a positive correlation between the performance of healthcare services and citizen satisfaction in areas such as hospital care, outpatient specialist care, and prevention, demonstrating that improved performance generates customer satisfaction. However, this correlation is not found in social areas such as home care for the elderly and social spending for municipalities, where satisfaction remains low even in the best performing regions. As far as family doctors and access to medicines are concerned, satisfaction is generally high throughout the country, with no particular criticalities'.

Health quality of life is unrelated to the performance of the NHS

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Another interesting aspect that emerged, according to the research centre, "is that perceived (health-related) quality of life is less closely linked to the performance of regional health systems. Some southern regions, despite having low levels of health performance, record a higher quality of life than other better performing regions. This phenomenon confirms that perceived quality of life depends on cultural, educational and environmental factors, as well as on citizens' expectations, which vary according to socio-economic context'.

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