Interregional patient mobility in a decentralized healthcare system

被引：40

作者：

Balia, Silvia ^{[1
]}

Brau, Rinaldo ^{[1
]}

Marrocu, Emanuela ^{[1
]}

机构：

[1] Univ Cagliari, Ctr Ric Econ Nord Sud CRENoS, Dept Econ & Business, Cagliari, Italy

来源：

REGIONAL STUDIES | 2018年 / 52卷 / 03期

关键词：

interregional patient mobility; hospital admissions; decentralized health systems; spatial spillovers; non-linear panel-data methods; Italy; QUALITY; COMPETITION; SERVICE; REGIONS;

D O I：

10.1080/00343404.2017.1307954

中图分类号：

F [经济];

学科分类号：

02 ;

摘要：

Interregional patient mobility in a decentralized healthcare system. Regional Studies. Interregional patient mobility, measured as origin-destination patient flows between any two regions, is analysed within a dynamic spatial panel data framework using 2001-10 data on Italian hospital discharges. The aim is to assess the effects of the main determinants of patient flows, distinguishing between the impacts of regional health policies and those exerted by exogenous factors (geography, size, neighbouring regions, national policies). Empirical results indicate that the main drivers of mobility are regional income, hospital capacity, organizational structure, performance and technology. Moreover, neighbouring regions' supply factors, specialization and performance largely affect mobility by generating significant local externalities.

引用

页码：388 / 402

页数：15

共 41 条

[1] Allocation of authority in European health policy [J].

Adolph, Christopher ;

Greer, Scott L. ;

da Fonseca, Elize Massard .

SOCIAL SCIENCE & MEDICINE, 2012, 75 (09) :1595-1603

[2] Fixed-effects negative binomial regression models [J].

Allison, PD ;

Waterman, RP .

SOCIOLOGICAL METHODOLOGY 2002, VOL 32, 2002, 32 :247-265

[3] The impact of centralization on pharmaceutical procurement prices: the role of institutional quality and corruption [J].

Baldi, Simona ;

Vannoni, Davide .

REGIONAL STUDIES, 2017, 51 (03) :426-438

[4] Choice of NHS-funded Hospital Services in England* [J].

Beckert, Walter ;

Christensen, Mette ;

Collyer, Kate .

ECONOMIC JOURNAL, 2012, 122 (560) :400-417

[5]

BESLEY T, 1995, AM ECON REV, V85, P25

[6] The Impact of Competition on Management Quality: Evidence from Public Hospitals [J].

Bloom, Nicholas ;

Propper, Carol ;

Seiler, Stephan ;

Van Reenen, John .

REVIEW OF ECONOMIC STUDIES, 2015, 82 (02) :457-489

[7] Patient mobility and health care quality when regions and patients differ in income [J].

Brekke, Kurt R. ;

Levaggi, Rosella ;

Siciliani, Luigi ;

Straume, Odd Rune .

JOURNAL OF HEALTH ECONOMICS, 2016, 50 :372-387

[8]

Brekke Kurt R, 2014, Dev Health Econ Public Policy, V12, P1

[9] Patient mobility, health care quality and welfare [J].

Brekke, Kurt R. ;

Levaggi, Rosella ;

Siciliani, Luigi ;

Straume, Odd Rune .

JOURNAL OF ECONOMIC BEHAVIOR & ORGANIZATION, 2014, 105 :140-157

[10] Competition in Regulated Markets with Sluggish Beliefs about Quality [J].

Brekke, Kurt R. ;

Cellini, Roberto ;

Siciliani, Luigi ;

Straume, Odd Rune .

JOURNAL OF ECONOMICS & MANAGEMENT STRATEGY, 2012, 21 (01) :131-178

← 1 2 3 4 5 →