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Exploring regionalism in public management reforms: the case of the Italian hospital sector

Research output: Contribution to journalArticle

Original languageEnglish
Pages (from-to)525-545
Number of pages21
JournalPolicy and Politics
Issue number4
Early online date23 Jul 2015
DateAccepted/In press - 1 Apr 2015
DateE-pub ahead of print - 23 Jul 2015
DatePublished (current) - 1 Oct 2016


Although comparative research on new public management reforms has identified variable pathways of change between countries, less is known about variations within countries where there has been significant political and administrative decentralisation to regional tiers of government. In this paper we address this concern, focusing on public hospital management reforms in the Italian Servizio Sanitario Nazionale (SSN) as an illustrative case. Drawing on a range of publicly available administrative data sources we find that there is a significant regional dimension, with more autonomous regional governments with centre-right political majorities being more likely to adopt corporate-style management practices at hospital level.

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    Rights statement: This is the accepted author manuscript (AAM). The final published version (version of record) is available online via Policy Press at DOI: 10.1332/030557315X14375501589913. Please refer to any applicable terms of use of the publisher.

    Accepted author manuscript, 601 KB, PDF document


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