Health services after COVID-19 emergency: toward a multilevel system?

Abstract

The paper aims to analyze how the administrative organization has affected the retention of the guarantee levels of social rights (i.e., health, education and local social services) following the impact of coronavirus on the various systems. In particular, the analysis aims to understand how the organizational structures deriving from different balances (public/private; center/periphery; entity of the cost/minimum levels of services; quality “excellence” in the service/quantitative enlargement of the service) have impacted on some section of the population, affecting freedoms in general. The analysis will draw useful information for the post-emergency which must be based on a new interpretation of the principles of efficiency and effectiveness to understand the space of social and territorial cohesion in the reorganization of services and to make this reorganization structurally efficient in relation to rights and freedoms.