Table 4.
Overview of cost sources for Italy
| Item | Source | ||||
|---|---|---|---|---|---|
| Name | Publisher | Description | Access and update | Comment | |
| Physicians: consultations, visits, outpatient procedures | |||||
| Consultations (including home visits) and outpatient procedures for GPs and specialists | Nomenclatore tariffario regionale | Regional and provincial health authorities | Coding of and tariffs for outpatient procedures performed by physicians |
Free, online at respective websites, e.g. for Bolzano (provinz.bz.it/gesundheit-leben/gesundheit/downloads/1_Prestazioni_di_specialistica_ambulatoriale_ex_DM_22.07.1996.pdf) or Emilia-Romagna (salute.regione.emilia-romagna.it/documentazione/leggi/regionali/dgr-2127–2016/delibere-specialistica) Updated regularly but frequency dependent on respective region/province |
|
| Ambulance transport and emergency treatment | |||||
| EMS | Sanita24 | Sanita24 | Cost of land rescue |
Free, online at sanita24.ilsole24ore.com/art/regioni-e-aziende/2015–02-12/emergenza-fiaso-ecco-costi-113448.php?uuid = AbcvOTBL Last updated in 2015 |
Used in recent literature, e.g. Giorda et al. 2017, Nutr Metab Cardiovasc Dis |
| Ambulance transportation | Tariffario per trasporti socio-sanitari non urgenti | Croce Rossa Italiana (Italian Red Cross) | Tariffs (flat rates) for transports of different distances |
Free, online at cri-itri.it/wp-content/uploads/2016/09/Clicca-qui-per-scaricare-le-nostre-tariffe-2016.pdf Last updated in 2016 |
|
| Emergency department | Progetto Mattoni SSN: pronto soccorso e Sistema 118 | SSN | Assessment of emergency department costs |
Free, online at mattoni.salute.gov.it/mattoni/documenti/11_Valutazione_costi_dell_emergenza.pdf Last updated in 2007 |
Used in recent literature, e.g. Giorda et al. 2017, Nutr Metab Cardiovasc Dis |
| Hospitalization | |||||
| Hospital, including ICU | Tariffe DRG | Regional and provincial health authorities | Coding of and tariffs for inpatient procedures |
Free, online at respective websites, e.g. for Bolzano (provinz.bz.it/gesundheitswesen/download/delibera_228__13_02_2012.pdf) or Emilia-Romagna (salute.regione.emilia-romagna.it/siseps/sanita/sdo/files/allegato_3_TARIFFE_DRG.xls/view) Updated regularly but frequency dependent on respective region/province |
|
| Medication (drugs and consumables) | |||||
| Drugs | Liste di trasparenza e rimborsabilità | AIFA | List of drugs (with prices) reimbursed by SSN |
Free, online at www.agenziafarmaco.gov.it/content/liste-di-trasparenza-e-rimborsabilit%C3%A0 Update regularly |
Association of SSN-affiliated pharmacies (Federfarma) provides public prices (federfarma.it/Farmaci-e-farmacie/Cerca-un-farmaco.aspx) |
| Consumables | Costi unitari dispositivi medici | Regional and provincial health authorities | List of unit costs for consumables |
Free, online at respective websites, e.g. for ASST Garda (asst-garda.it/amministrazione-trasparente/costi-unitari-dei-dispositivi-medici/) or for ASST Bergamo Est (bolognini.bg.it/ITA/Default.aspx?SEZ = 1&PAG = 100) Updated regularly but frequency dependent on respective region/province |
List of medical devices available provided by the Ministry of Health (www.dati.salute.gov.it/dati/dettaglioDataset.jsp?menu=dati&idPag=1) |
| Intangible costs | |||||
| Wages | Average wage | OECD | Annual average wage and hours worked data |
Free, online at https://data.oecd.org/earnwage/average-wages.htm and https://data.oecd.org/emp/hours-worked.htm Updated regularly |
Data provided in US dollars for all countries, which increases comparability |
AIFA, Agenzia Italiana del Farmaco; ASST, Azienda Socio Sanitaria Territorial; DRG, Diagnosis-Related Group; EMS, Emergency Medical Services; GP, General Practitioner; ICU, Intensive Care Unit; Istat, Istituto Nazionale di Statistica; OECD, Organization for Economic Co-operation and Development; SSN, Servizio Sanitario Nazionale