We investigate the relationship between the regional configuration of health systems and the geographical mobility of patients over time. We use data derived from the Hospital Discharge Records (2009-2019), including detailed information on hospital stays of cancer patients. We analyse both intra- and inter-regional mobility according to the characteristics of the health facilities, so as to identify the structural properties which may encourage patients to travel for care. We also explore whether the flows are directed towards health providers high-specialized in the delivery of cancer-specific treatments, looking at their structural characteristics and at the volume of clinical activities, possibly associated with waiting lists. The study suggests ways to reallocate public expenditure in such a way as to reduce inter-regional flows of patients, with positive effects on disparities in access to care.
LOOKING FOR ADEQUATE CANCER TREATMENTS: AN ANALYSIS OF PATIENT MOBILITY WITHIN THE ITALIAN NATIONAL HEALTH SYSTEM / Beraldo, Sergio. - (2023). (Intervento presentato al convegno AISRe Associazione Italiana di Scienze Regionali XLIV Conferenza Scientifica Annuale Europa e Mediterraneo tra transizioni e conflitti Opportunità e rischi per regioni e territori tenutosi a Università degli Sudi di Napoli Parthenope Palazzo Pacanowski Via Generale Parisi, 13, 80132 Napoli nel 06/09/2023-08/09/2023).
LOOKING FOR ADEQUATE CANCER TREATMENTS: AN ANALYSIS OF PATIENT MOBILITY WITHIN THE ITALIAN NATIONAL HEALTH SYSTEM
Sergio Beraldo
2023
Abstract
We investigate the relationship between the regional configuration of health systems and the geographical mobility of patients over time. We use data derived from the Hospital Discharge Records (2009-2019), including detailed information on hospital stays of cancer patients. We analyse both intra- and inter-regional mobility according to the characteristics of the health facilities, so as to identify the structural properties which may encourage patients to travel for care. We also explore whether the flows are directed towards health providers high-specialized in the delivery of cancer-specific treatments, looking at their structural characteristics and at the volume of clinical activities, possibly associated with waiting lists. The study suggests ways to reallocate public expenditure in such a way as to reduce inter-regional flows of patients, with positive effects on disparities in access to care.| File | Dimensione | Formato | |
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