Public health efficiency and well-being in Italian provinces

The main goal of this paper is to select a set of indicators suitable for evaluating public health efficiency and well-being in Italian provinces. A preliminary model is then proposed for this evaluation based on several relevant indicators, selected from a careful bibliographic review. Those indicators are divided into seven dimensions which then constitute the provincial index of well-being and a mix of input-output which determine the effectiveness and the efficiency of public health. The work begins with a critical review of the literature and analysis of known concepts, methods, tools, and models of measurement of public health efficiency and provincial index of well-being to extract relevant indicators. The most suitable indicators are then grouped to form the basis of a preliminary model for evaluating the impact of public health efficiency on well-being in Italian provinces. My findings will help public health service managers make sound decisions in their attempt to improve the efficiency of the entire national health service through public health, the implementation of competitiveness between public and private health service providers and, finally the well-being of individuals and their community.