Suchergebnisse

This PhD thesis investigates the role of the reduction of fiscal autonomy and uncertainty in the allocation of resources in driving the behaviour of Italian municipalities in non-autonomous regions and of the central government. Focusing on the uncertainty of grants to compensate the abolition of the property tax on main dwellings, we construct a regression discontinuity (RD) and regression kink (RK) design to test how the behaviour of municipalities changes depending on whether they are in a "bad" state (when they manage fewer resources after property tax reform) or in a "good" state (when they manage more resources after property tax reform), and also in light of the "partisan effect" (the mechanism that allows central governments to allocate more resources to the lower layer of government politically aligned with it). An empirical analysis of Italian municipalities suggests that: 1. Municipalities acted differently in terms of waste tax implementation. Their behaviour depended on the benefits or costs they assumed af- ter the abolition of the property tax on main dwellings: in particular municipalities that suffered a loss of resources increased the waste tax more; 2. Property tax reform led to an imperfect substitution between the prop- erty tax on the main dwelling and the waste tax, with a consequent loss in equality; 3. Despite the weakness of the ex-post control and the absence of pun- ishment for lying municipalities concerning the definition of a compen- satory grant may allow the presence of a weak "partisan effect", the reform of the main dwelling property tax was transparent in resources allocation.

The COVID-19 pandemic constitutes an unprecedented challenge with very severe socio-economic consequences. We are committed to do everything necessary to meet this challenge in a spirit of solidarity. A coordinated and comprehensive strategy is necessary to deal with health emergency needs, to support economic activity and to prepare the ground for the recovery. This strategy should combine short, medium and long-term initiatives, taking account of the spill overs and interlinkages between our economies and the need to preserve confidence and stability. Several measures have already been taken at the national and EU levels, as set out in the statement of the Eurogroup in inclusive format of 16 March. A subsequent letter of the President of the Eurogroup of 24 March outlined further elements of policy response under consideration. The European Council, in its statement of 26 March, invited the Eurogroup to present proposals on the economic response to the COVID-19 pandemic within two weeks. Replying to the Leaders' mandate, this report takes stock of actions taken thus far and outlines a comprehensive and coordinated economic response. ; The COVID-19 pandemic constitutes an unprecedented challenge with very severe socio-economic consequences. We are committed to do everything necessary to meet this challenge in a spirit of solidarity. A coordinated and comprehensive strategy is necessary to deal with health emergency needs, to support economic activity and to prepare the ground for the recovery. This strategy should combine short, medium and long-term initiatives, taking account of the spill overs and interlinkages between our economies and the need to preserve confidence and stability. Several measures have already been taken at the national and EU levels, as set out in the statement of the Eurogroup in inclusive format of 16 March. A subsequent letter of the President of the Eurogroup of 24 March outlined further elements of policy response under consideration. The European Council, in its statement of 26 March, invited the Eurogroup to present proposals on the economic response to the COVID-19 pandemic within two weeks. Replying to the Leaders' mandate, this report takes stock of actions taken thus far and outlines a comprehensive and coordinated economic response.

Aircraft silhouettes on front and back covers. Table of aircraft silhouettes on p. [23]. ; Issued also in French, Portuguese and Spanish. ; Label on cover: Restricted . Not for distribution in the United States or to American . personnel overseas. ; "Pubblicato dall'Ufficio informazioni di guerra degli Stati Uniti d'America." ; Mode of access: Internet.

The Monetary Policy and The Exchange Rate Policy in China Index 1.The People's Bank of China 1.1 The history of The People's Bank of China 1.2 The role of The People's Bank of China 1.3 Internal departments 2.The Fiscal policy of china 3. The monetary policy of China 3.1 monetary policy 3.2 The Crisis over the last 10 years 3.3 independence of PBC 3.4 Taylor's rule in China 4. Comparison 4.1 Fed Reserve and ECB 4.2 Comparison of EU, US and China central banks and economies 5 The exchange rate policy of China 5.1 fixed exchange rate and floating exchange rate 5.2balance of international payments and capital mobility 5.3The policy ofChina 6 The future of CNY in the world arena 7.Can the CNY become a currency of international rank?

The dissertation investigates the process of anti-corruption policy implementation in Italian local health agencies from a public management perspective. In detail, it is aimed at empirically investigating the implementation of the anti-corruption policy in Italian Local Health Agencies by following a nested research design, which ends up with a controlled comparison of two Local Health Agencies in order to shed light on the process of implementation of a new anti- corruption regulation issued by the Italian Government in November 2012 after several recommendations coming from international bodies such as the Council of Europe's anti-corruption monitoring body (GRECO). The perspective embraced by the author during the investigation is a public management perspective, that focusing on the achievement of the desired outputs of the implementation process in Italian Local Health Agencies aims at testing a "managerial quality hypothesis" as a tentative framework to investigate the ultimate role that public managers exert on the successful achievement of policy implementation and management. Various factors are controlled during the investigation, including relevant regional healthcare features and critical agencies' features- e.g. the levels of healthcare spending per inhabitant, important regional Quality of Government indicators like the regional levels of perceived impartiality and corruption of healthcare, as well as particular agencies' features like human resource and financial capacities. Finally, the results and conclusion sections are aimed to trace the process of implementation in the particular agencies and to provide insights for the improvement of anti-corruption policy implementation and management at a sub-national level of government in Italy. The results of the study show that the complex system of accountability and punishment introduced by the law, however claiming a bottom-up approach to the problem, still seems to result in practice as a typical top-down implementation with several implications on the successful achievement of the desired goals of the implementation process in Italian Local Health Agencies.

Medication non-adherence is an important public health concern, affecting health outcomes and overall health care costs. Adherence is becoming a priority included in the political agenda of health care system. In 2012 was launched from EC the European Innovation Partnership on Active and Healthy Ageing (EIP-AHA). The EIP-AHA A1 Action Group is focused on prescription and adherence. Part of the results of this thesis have been made available to A1 Action Group as preliminary data that might be useful for the further focused interventions. This thesis aims to provide more evidence on relation between poor adherence and adverse outcomes and to define reason of poor adherence, by using drug-utilization approaches using different sources of health-related automated databases. The scope of the study is also to evaluate economic impact of enhancing adherence by using real-life approach. The case study is population exposure to anti-osteoporotic drugs: with ageing populations, the burden of osteoporotic fractures on society will increase in the coming years and the prevention of osteoporotic fractures is therefore a major public health issue. The results showed sub optimal level of persistence and drug regimen is one of the strong predictors of non-adherence. Gender influences adherence to therapy and this is an issue that could be taken in strong consideration in tailor intervention to improve adherence. Another aspect is comorbidity this highlighted that an approach centered on comorbidity/multimorbidity, could be more pertinent, in particular when address health issues concerning older people. The ICER , expressed in terms of cost/fracture avoided equals € 821. This value indicates the cost that the NHS should support each fracture avoided This thesis demonstrated the potential of the use of existing data sources to evaluate appropriateness of drug use. Drugs cost money to buy, but if we use them in an appropriate way we can also save costs in other areas. In particular enhancing adherence to medication may lead to reductions in the number of patients requiring hospitalization. This research only explored cost effectiveness of improve adherence in drug use for osteoporosis, but clearly many different pattern of drugs for chronic conditions could be assessed in a similar way.