CERGAS Seminar "Between Coverage and Confidence: How the Erosion of Trust Undermines Universal Health Systems. The Case of Italy at the Test of the Second People’s Voice Survey Wave"

The People’s Voice Survey (PVS) provides a longitudinal, population-based framework to analyze how people experience health systems and evaluate their perceived performance in terms of access, quality, and confidence. This seminar situates recent work on Italy within the broader PVS research agenda and focuses on new evidence from the second Italian survey wave (2025). Using nationally representative data, the paper examines how confidence in the Italian health system has evolved over time and how different dimensions of confidence have diverged. While a majority of respondents continue to express confidence in their ability to access and afford care, system endorsement has deteriorated sharply between waves. This decline is driven less by changes in health outcomes or formal entitlements than by unmet need, everyday service frictions, perceived responsiveness of institutions, and persistent territorial inequalities. The findings highlight a growing gap between protection and legitimacy in a mature universalistic health system. They suggest that confidence is increasingly shaped by lived experience and governance rather than by coverage alone, raising important questions about the sustainability of social solidarity and public support for universal health systems.

Speakers:

Patrizio Armeni is Associate Professor of Practice in Government, Health and Not for Profit at SDA Bocconi School of Management.
Patrizio’s collaboration with SDA Bocconi started in 2009. He has gradually widened the scope of his research and teaching which began with the Osservatorio Farmaci (Pharmaceutical Observatory) and went on to include, over time, other research areas related to public management, with a particular focus on the healthcare sector. His knowledge of healthcare organizations has awakened his interest in studying organizational behaviors of individuals and teams and led him to adopt an educational approach based on the daily practice of ethical principles in the workplace (leadership in practice).
He has directed various executive programs for employees of pharmaceutical and medical device companies and has coordinated several sponsored educational programs dedicated to physicians and other healthcare and public sector professionals. He supervises a category of open market courses including programs dedicated to the interaction between the national health service and technology providers (pharma, medical devices, services). He also teaches «Public Management» and «Innovation and competition in life science» at undergraduate level, and several courses on national and international master programs: «Economics of healthcare organizations», «Pharmaceutical policy», «Economic Evaluations - advanced» and «Evidence-based health policy evaluation», «Policy Evaluation».
His current research activity is focused on three themes: 1) economic evaluations of healthcare technologies (cost-effectiveness, cost-utility and budget impact analysis) and related methodological developments founded on the pillar of value-based healthcare; 2) analysis and support for policymakers for public policy design and implementation; 3) analysis of pharmaceutical and health technology markets in terms of performance, innovation and reaction to public policies. He has published several articles in international peer-reviewed journals and is the author of a number of chapters in monographic works. Since 2009 he has authored the chapter on healthcare expenditure in the OASI (Observatory on Healthcare Organizations and Policies in Italy) report, the leading annual Italian publication on issues relating to the healthcare system. He is member of the editorial board of the OASI report. Since 2020 he was appointed as director of operation of the newborn “LIFT” Lab dedicated to the convergence between digital innovation and life sciences.
Patrizio’s production and diffusion of knowledge is coupled with frequent participation as a speaker in international and national congresses and conferences. He serves as an expert on advisory boards for companies operating in the medical-pharmaceutical sector.

Rosanna Tarricone is Associate Dean of the SDA Bocconi School of Management - Government, Health and Non-Profit Division and Associate Professor at the Department of Social and Political Sciences, Università Bocconi. She graduated in Business Administration at Università Bocconi and continued her studies at the University of London - London School of Hygiene and Tropical Medicine, where she obtained an MSc in Health Services Management and a PhD in Public Health and Policy.
Rosanna has over 100 publications in the areas of health policy, health management, economic evaluation and Health Technology Assessment (HTA).
In the last 10 years Rosanna has won over 10 competitive research grants from international organisations such as the European Union, the Swiss Bridge Award and InHealth (USA). She is leader of HEU-EFS, a large, multi-year, international, EU-funded research project that aims to develop a programme of Early Feasibility Studies for the European Union.
Rosanna is among the experts collaborating with DG Research and DG Health of the European Commission. She facilitated the exchange of experience and harmonisation of methods and procedures between the HTA Agencies of the EU Member States that joined EUnetHTA (European network of HTA Agencies). Since 2022 Rosanna has been a member of the AGENAS Working Group on Telemedicine, is a member of the European Task Force on Digital Technologies and collaborates with the National Observatory on Antibiotic Resistance. She contributed to designing and developing the National HTA Programme of Medical Devices (PNHTA) for the Ministry of Health and since 2024, she is part of the Steering Committee of the PNHTA.
Between 2005 and 2010 Rosanna held the position of Director of Economic Affairs of Medtech Europe (the European association of medical technology companies) and helped develop research programmes and generate solid evidence on medical devices through the launch of the European Health Technology Institute for Socio-Economic Research, a partnership between European universities (Università Bocconi, London School of Economics and Technische Universität Berlin) and policy makers (European Commission, WHO).
Rosanna is an active member of ISPOR - International Society of Health Economics and Outcome Research (HEOR) and served on the Board of Directors during 2016-2018. She led the Publications Management Advisory Board (MAB) in 2018-2019 and developed the scientific programme for the international conference in New Orleans in 2019 "Rapid. Disruptive. Innovative: A New Era in HEOR".
 

Link zoom:

https://unibocconi-it.zoom.us/j/92057064973?pwd=s6I9aEpm1IESZMSb4ZaK0LuwSUqsJm.1

Meeting ID:

920 5706 4973

Passcode:

427264

Lunch at the end of the meeting: for those willing to participate in person, click here.