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Gimbe report shows 18 Italian regions met 2024 healthcare targets while 5.8 million forewent care
The Gimbe Foundation reported that 18 of 21 Italian regions met essential healthcare assistance levels in 2024, even as nearly 5.8 million citizens skipped prescribed medical visits.
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In brief
A total of 18 out of 21 Italian regions and autonomous provinces achieved compliance in 2024 by scoring at least 60 points in prevention, district, and hospital care.
Valle d'Aosta added 48 points to reach 213 out of 300, while Liguria improved by 31 points to 250, moving both regions out of non-compliance.
Gimbe president Nino Cartabellotta cited Istat figures showing nearly 5.8 million people forewent prescribed doctor visits or diagnostic tests in 2024.
Puglia led the Mezzogiorno in 10th place with 242 points, while Calabria, Molise, and Sicilia occupied the lowest positions with scores between 189 and 196.
National evaluation and regional performance
The Gimbe Foundation released its 2024 assessment of Essential Levels of Care (LEA) across 21 Italian regions and autonomous provinces. The evaluation relies on 27 core indicators under the Nuovo Sistema di Garanzia across collective prevention and public health, district assistance, and hospital care. To achieve compliance, a regional health system must score at least 60 points out of 100 in each category, reaching a maximum combined score of 300 points. In 2024, 18 of the 21 territorial administrations met the compliance threshold set by the Ministry of Health. Piemonte ranked fourth nationally with 272 points, placing sixth in prevention, fourth in district care, and fifth in hospital care. Liguria achieved eighth place with 250 points, while Umbria placed seventh overall with 254 points.
- Piemonte
- 272 points
- Umbria
- 254 points
- Liguria
- 250 points
- Puglia
- 242 points
- Valle d'Aosta
- 213 points
- Sardegna
- 212 points
- Campania
- 209 points
- Bolzano
- 206 points
- Basilicata
- 205 points
- Sicilia
- 196 points
- Molise
- 192 points
- Calabria
- 189 points
Data from the article text
Regional recovery and shifting scores
Multiple regional administrations recorded score increases compared to 2023. Valle d'Aosta gained 48 points to reach 213 points, exiting non-compliance to rank 14th nationally despite placing 20th in hospital services. Liguria increased its total by 31 points after failing to meet requirements in 2023, and Sardegna improved by 20 points to reach 212 points. Basilicata joined the compliant group by adding 16 points for a total score of 205, ranking 18th overall. Regional councillor for health Cosimo Latronico described the improvement as evidence of administrative stabilization:
“This is a result that attests to the commitment and resilience of the regional health system and its personnel, despite a general context that still presents room for improvement.”
Conversely, Umbria recorded a three-point decline, while Campania added three points to reach 209 points.
- Valle d'Aosta
- 48 points
- Liguria
- 31 points
- Sardegna
- 20 points
- Basilicata
- 16 points
- Puglia
- 14 points
- Campania
- 3 points
- Piemonte
- 2 points
- Umbria
- -3 points
Data from the article text
North-South divide and access barriers
The monitoring showed continuous differences in service delivery between northern and southern territories. Puglia recorded the highest performance in the south, placing 10th with 242 points after improving by 14 points vs 2023. Other southern regions gathered in the lower tier of the rankings, including Campania at 209 points, Basilicata at 205, Sicilia at 196, Molise at 192, and Calabria at 189. In the ministerial assessment, Calabria, Sicilia, and the autonomous province of Bolzano (206 points) were categorized as partially non-compliant. Gimbe Foundation president Nino Cartabellotta addressed the geographical distribution of scores:
“With the exception of Puglia, all other southern regions are located in the lower part of the ranking or have at least one area barely above sufficiency. Formal promotions are therefore increasing, but the territorial divide remains clearly visible.”
Healthcare renunciation and assessment criteria
Independent health monitoring revealed divergence between administrative compliance ratings and actual patient access to care. Gimbe reported that nearly 5.8 million Italian citizens renounced at least one prescribed medical visit or diagnostic examination in 2024. In Sardegna, Istat survey data showed that 23.9% of individuals receiving certain treatments and 8.7% of other residents forewent needed medical care. Cartabellotta stated that the ministerial benchmarks fail to capture whether citizens can access their statutory rights to healthcare:
“If in 2024 almost all regions are promoted while private spending and waivers of healthcare services increase, we cannot conclude that healthcare has suddenly improved. Rather, it means that the ministerial report card has a very limited capacity to measure the actual accessibility of the LEAs by citizens.”
Regional administrations including Basilicata indicated plans to invest in district and local healthcare facilities to close remaining service gaps.
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Sources and context
- ANSA.itSanità Basilicata: Latronico, sui Lea siamo adempienti - Notizie
- ANSA.itSanità: Gimbe, Liguria ottava nei livelli essenziali d'assistenza - Notizie
- ANSA.itGimbe, nel 2024 la Puglia miglior regione al Sud per i Lea - Notizie
- ANSA.itLivelli essenziali di assistenza, Campania migliora ma ancora tra le peggiori - Notizie
- Nino Cartabellotta
- President of the Gimbe Foundation
- Cosimo Latronico
- Regional councillor for health in Basilicata
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