title: The negative effect of financial constraints on planning prevention activities: some evidence from the Italian experience.
abstract: This study was aimed to assess the association between regional financial deficits and Recovery Plans and the quality of the 702 projects developed by the Italian Regions within the National Prevention Plan 2010-13. Multivariate analyses showed significant associations between Recovery Plans and low quality of projects, possibly due to weak regional public health capacities. Regions with Recovery Plans are likely to focus mainly on short-term issues with a high impact on health care costs, leaving few resources available for prevention. A different approach to financial deficit focused on long-term strategies, including those for health promotion and disease prevention, is needed.
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
authors.forename: Annalisa
authors.initials: A
authors.lastname: Rosso
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
authors.forename: Corrado
authors.initials: C
authors.lastname: De Vito
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
authors.forename: Carolina
authors.initials: C
authors.lastname: Marzuillo
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
authors.forename: Azzurra
authors.initials: A
authors.lastname: Massimi
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy.
authors.forename: Elvira
authors.initials: E
authors.lastname: D'Andrea
authors.affiliation: Department of Public Health and Infectious Diseases, Sapienza University of Rome, Piazzale Aldo Moro, 5-00185 Rome, Italy paolo.villari@uniroma1.it.
authors.forename: Paolo
authors.initials: P
authors.lastname: Villari
mesh_terms: D015276:Health Care Rationing / Q000191:economics; D006801:Humans; D007558:Italy; D011322:Primary Prevention / Q000191:economics*; D011634:Public Health / Q000191:economics*; D011787:Quality of Health Care / Q000191:economics