Dottorato di Ricerca in
Economia e Finanza dell’UE
Economics and Finance of European Union
Coordinatore Prof. Luca Gandullia  
Obiettivi formativi
IT EN
Health integration in the European Union

The Bolkeinstain directive on “services in the internal market” leaves out the health care services (HCS). Nonetheless a necessary condition to favour internal market and ensure economic and social progress in Europe is to grant people of Europe with the same access to public sector HCS. This latter is a key instrument for an efficiently functioning  “single market” ensuring actual mobility within the EU. The aim of the Module is to study the actual European health care market and discuss the hypothesis of a European right of citizenship with reference to HCS. To this extent the European Health Insurance Card makes it easier for people from EU to access HCS in other member states but it has to be improved and developed. The Module provides deeper understanding of the health market and stimulates reflection in European integration studies at a university level. The hypothesis for a fully coordinated European Health System will be investigated in great detail high-lightening the connected law and economic implications. The goal is to enhance, by lectures and seminars, the knowledge and awareness among students and academics about issues relating to European integration..

TEACHING ACTIVITY
1. European Union and tiers of government (lectures and seminars)
Description: Economic theory of different tiers of government: the optimal federalism and the distribution of functions. Fiscal federalism in the European Union. Sorting the functions of government within the fiscal hierarchy. Fiscal and political federalism. The modeling dimensions. Mobility and redistribution. The role of grants in aid in a federalist system of governments. Harmonisation of economic and fiscal policies within Europe. Externalities and Public Goods in a Federal Framework. Policy Simulations in the European Union using a Applied Economic General Equilibrium approach.
Impact: This part is fundamental to the comprehension of people ability to move in response to government policies. Attendants will be able to cope with the important question: is Federalism suitable to produce a social welfare optimum? The study of the economic aspects connected to: fiscal federalism, local provision of public goods, tiers of governments, mobility models, economic environment, information set available to citizens within a locality cannot be ignored if the student wish at deepening its comprehension of  Europe. Health services could be regarded as locally provided public goods and a full European integration requires a set of rules accepted at any government level. The course will offer students with a full, theoretical and practical, comprehension of the way a European health integration could be realized
Tematiche di ricerca
Bando
Collegio Docenti
Piano Formativo
Seminari
Altre attività didattiche
Sbocchi professionali
Requisiti richiesti per l'ammissione
2. European Health Care Systems (lectures and seminars)
Description: Analysis of the principal characteristics of European Health Care Systems from the point of view of: a) funding b) organisation c) income redistribution at personal and regional level. Examples of the most relevant European health care systems from the point of view of funding and organisation. Undergoing reforms in European Health care Systems with particular reference with the organisation of health care, patients mobility across Europe and regionalisation of health care.
Impact: A broad overview of problems facing the European Health market will be provided to students and civil servants interested in this part. The course aims to give a broad overview of problems facing the management of health care services, including the National Health Service. Moreover key topics such as the management of information, capital and nursing resources, and resource allocation by formula, will be analysed in details. Emphasis will be placed on the application of the principles of economic analysis and financial management to problems of health care management.
3. Quantitative Methods for Health Data Analysis (lectures, seminars and training courses)
Description:The course will cover the following topics:
Data sources: routinely available data, administrative data, Register data, survey data, aggregate data and individual data, quality problems
Study designs: case control studies , follow-up (cohort) studies
Measures of association: rates and odds ratios
Direct and indirect standardisation
Regression models: linear model, logistic model, Poisson model
Impact: Students will be introduced to the most important tools for analysing data of European health market. This part provides both a theoretical and practical approach. The ability to manage data is a necessary condition to a full, high level, understanding of the topics at stake. By the training provided by this course attendants will be able to manage, interpret and analyse a wide range of health data strictly related to the European market. Quantitative methods for research will be presented in order to help students to get along with their preferred fields of research in self-sufficiency. Applied empirical examples and case study will be provided.
4. The market for health care. Public/private competition among providers at a European level. European Health care integration. (lectures)
Description: General introduction to the module. Basic Economic concepts, market and welfare economics. Introduction to Health Economics: the determinants of health, providers and patients incentives, risk and insurance, equity and access in health care system. Health care: the supply and the demand side. Costing, measuring and valuing the outcome Overview of health care systems with particular reference to the European ones. Funding health care services. Purchase of health care services at the European level. European integration and heath services. The economics of health care systems. Comparing European health care systems. Private / public (providers) competition for patients. Mobility of patients inside the national borders and within Europe: the economic and funding implications.
Impact:The aim is to provide students with the principles and tools of health economics by a broad overview of problems facing the European health market. The course includes the study of several key topics of great concern with reference to health market and European integration. Funding and resource allocation play a fundamental role in the comprehension of Health integration at a European level. To this extent they will be analysed in great details.  Moreover the course will focus on public/private competition (pros and cons) in the health market and the opportunities/undesirable effects of patients mobility within the European border.
The course seeks to train students in using economic analysis in all aspects related to health economics in its connections with the Europeans health national systems and their full integration. This part also examines the economic evaluation of health care technologies and the measurement and valuation of health.