Abstract
Introduction or preface
(33)
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The outbreak of Covid-19 pandemic highlighted the existence of a hospital bed shortage in Italy, as a result of a longstanding
trend. The article analyses this process by an international comparison with other Western European countries, highlighting
the intensity of hospital bed reduction in Italy, as a fundamental component of NHS rationalisation. Although it was based
on solid grounds, international data suggest that hospital bed reduction was probably excessive, depriving the NHS of organisational
slack. Moreover, de-hospitalisation would have been matched with a stronger development of primary and community care. The
relative shortage of these services, along with the lack of integrated networks between hospital and non-hospital care, explains
many difficulties experienced by hospitals in tackling Covid patients. Beyond investments in health care, these elements call
to re-think the organisation of health care provision at local level, questioning the purchaser-provider split.
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Account Management
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