Letters to the Editor
4 August 2025
Early Access
Challenges and evolution of the Italian National Health Service: between crisis and reform
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All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.
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Dear Editor,
The Italian National Health Service (Servizio Sanitario Nazionale), established in 1978, was designed to provide equitable access to comprehensive care for all citizens. Founded on universality, equity, and solidarity, and funded mainly through taxation, it has achieved major public health successes, such as hepatitis B vaccination campaigns and cancer screening initiatives...
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Citations
Ricciardi W, Tarricone R, Boccia S, et al. The evolution of the Italian National Health Service. Lancet 2021;398:2193-206. DOI: https://doi.org/10.1016/S0140-6736(21)01733-5
Piscitelli P, Prisco D, De Curtis A, et al. Recognizing the limits of the 21 different Italian healthcare regional systems: an opportunity for change? Lancet Reg Health Eur 2025;51:101250. DOI: https://doi.org/10.1016/j.lanepe.2025.101250
Maruotti A, Tanfani E, Rinaldi G, et al. Catastrophe and impoverishment in paying for health care: the Italian case. Lancet Reg Health Eur 2025;51:101251. DOI: https://doi.org/10.1016/j.lanepe.2025.101251
Lorusso S, Vitale A, Mancarella S, et al. Italian health data system: current data interconnection and digital health ecosystem evolution. Lancet Reg Health Eur 2025;51:101259. DOI: https://doi.org/10.1016/j.lanepe.2025.101259
The Lancet Regional Health – Europe. The Italian health data system is broken. Lancet Reg Health Eur 2025;48:101206. DOI: https://doi.org/10.1016/j.lanepe.2024.101206
How to Cite
Challenges and evolution of the Italian National Health Service: between crisis and reform. (2025). Italian Journal of Medicine. https://doi.org/10.4081/itjm.2025.2100
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