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The Third Age in the National Health System: A Proposal for Increasing the Spending Effectiveness in Health Care for the Elderly

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Ambient Assisted Living

Abstract

The allocation among Institutional Sectors of Health Care Expenditure for the Elderly can be designed in a way that new processes can be activated that stimulate total output and overall employment. The impacts of these processes as they emerge from several policy scenarios in all phases of income circular flow within the economic system, can be determined with reference to the model of computable general equilibrium (CGE) calibrated on the Social Accounting Matrix (SAM) data set. The HCEE is placed within the economic flows of a bi-regional SAM for Italian economy which provides the data set for a CGE model where the hypothesis of involuntary unemployment is also considered. Two policy scenarios are then simulated to evaluate the impact of the policy reform in HCEE on total output and unemployment. Under the first scenario the Regional Government reduces the expenditure in integrated home care assistance (ADI) in order to directly increase the demand of private residential health care (ARA) services; under the second scenario the Regional Government transfers the resources saved by reducing ADI to the Households in order to stimulate their demand of ARA.

Paragraphs 1 and 2 have been authored by M. De Angelis

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Notes

  1. 1.

    According to a John Fitzgerald Kennedy’s aphorism ‘the word crisis’, if written in Chinese, is composed of two characters. One represents danger and the other represents opportunity. In fact, in Chinese, the word opportunity is translated ‘ji hui’ whereas the word crisis is translated ‘wei ji’. We can note that the same symbol ‘ji’ is being used: the word ‘crisis’ is composed of two characters which mean respectively danger and opportunity. The underlying rationale is that the crisis is to take a very deep meaning, because sometimes a situation can be an opportunity (so something positive), or, in the opposite case, a risk, a danger (meaning something negative).

  2. 2.

    On the subject, please consult the national and international bibliography on the website http://www.osservatorioair.it/air/letteratura-air/valutazione-economica-ed-air/.

  3. 3.

    1. Products of agriculture, 2. Energy products, 3. Metal and non metal ore, 4. Non metallic mineral products, 5. Chemical products, 6. Mechanics, 7. Transport equipment, 8. Food products and beverages, 9. Textile, 10. Other manufacturing products, 11. Construction work, 12. Trade, 13. Transport, 14. Financial services and Insurance, 15. Private services, 16. Government services.

  4. 4.

    The municipal Government is disaggregate in 5 classes according to the official statistics on population. In particular we consider: (i) Municipality 1, less than 5,000 inhabitants; (ii) Municipality 2, inhabitants included between 5,001 and 15,000; (iii) Municipality 3, inhabitants between 15,001 and 30,000; (iv) Municipality 4, inhabitants between 30,001 and 60,000; (v) Municipality 5, more than 60,000 inhabitants.

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Author information

Authors and Affiliations

  1. Department of Economics and Law, University of Macerata, P.za Strambi 1, 62100, Macerata, Italy

    Maurizio Ciaschini, Rosita Pretaroli, Francesca Severini & Claudio Socci

  2. Department of Management, University Polytechnic of Marche, P.le Martelli 1, 60121, Ancona, Italy

    Monica De Angelis

Authors
  1. Maurizio Ciaschini
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  2. Monica De Angelis
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  3. Rosita Pretaroli
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  4. Francesca Severini
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  5. Claudio Socci
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Corresponding author

Correspondence to Monica De Angelis .

Editor information

Editors and Affiliations

  1. Università Politecnica delle Marche, Ancona, Italy

    Sauro Longhi

  2. Inst for Microelectronics & Microsystems IMM-CNR, Lecce, Lecce, Italy

    Pietro Siciliano

  3. Industrial Engineering, Università Politecnica delle Marche, Ancona, Italy

    Michele Germani

  4. Information Engineering, Università Politecnica delle Marche, Ancona, Italy

    Andrea Monteriù

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Ciaschini, M., De Angelis, M., Pretaroli, R., Severini, F., Socci, C. (2014). The Third Age in the National Health System: A Proposal for Increasing the Spending Effectiveness in Health Care for the Elderly. In: Longhi, S., Siciliano, P., Germani, M., Monteriù, A. (eds) Ambient Assisted Living. Springer, Cham. https://doi.org/10.1007/978-3-319-01119-6_35

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  • DOI: https://doi.org/10.1007/978-3-319-01119-6_35

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  • Publisher Name: Springer, Cham

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  • Online ISBN: 978-3-319-01119-6

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