IDEAS home Printed from https://ideas.repec.org/a/eee/soceps/v77y2021ics0038012120308417.html
   My bibliography  Save this article

Assessing the impact of tourist flows on emergency department treatment speed for residents and tourists. The case of Sorrento

Author

Listed:
  • Agovino, Massimiliano
  • Musella, Gaetano
  • Pisano, Sabrina
  • Scaletti, Alessandro

Abstract

Tourism is a fundamental lever of the economic and cultural development of a location. Large tourist flows can negatively impact the provision of public services, such as healthcare. This study aims to investigate emergency department (ED) treatment speed under increased demand caused by tourism. The analysis was conducted on data (covering March–October 2018) collected from the ED of a hospital in Sorrento, a renowned coastal tourist destination in Campania, Italy, by using a two-step strategy. First, we resort to the Kaplan-Meier method to compare treatment in the ED between residents and tourists. Second, through the Cox proportional hazards model, we study the impact of group-specific characteristics on the speed of treatment. The main empirical findings highlight that treatment speed is highly influenced by age and by the languages spoken by tourists. Foreign tourists are best served in off-peak periods, while in the peak arrival period, the healthcare system experiences difficulties, especially for those facing higher language barriers. What emerges is the necessity for a tourism destination to adopt measures to cope with the language heterogeneity of tourists. In a multi-cultural touristic context, healthcare providers and institutions should address the challenge of language barriers by using specialist interpreter services.

Suggested Citation

  • Agovino, Massimiliano & Musella, Gaetano & Pisano, Sabrina & Scaletti, Alessandro, 2021. "Assessing the impact of tourist flows on emergency department treatment speed for residents and tourists. The case of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).
    • Handle: RePEc:eee:soceps:v:77:y:2021:i:c:s0038012120308417
    DOI: 10.1016/j.seps.2020.101004
    as

    Download full text from publisher

    File URL: http://www.sciencedirect.com/science/article/pii/S0038012120308417
    Download Restriction: Full text for ScienceDirect subscribers only
    File URL: https://libkey.io/10.1016/j.seps.2020.101004?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Albalate, Daniel & Bel, Germà, 2010. "Tourism and urban public transport: Holding demand pressure under supply constraints," Tourism Management, Elsevier, vol. 31(3), pages 425-433.
    2. Maria Rosaria Carli, 2012. "New prospects for tourism: the case of the Sorrento peninsula," RIEDS - Rivista Italiana di Economia, Demografia e Statistica - The Italian Journal of Economic, Demographic and Statistical Studies, SIEDS Societa' Italiana di Economia Demografia e Statistica, vol. 66(2), pages 73-86.
    3. Van den Berg, Gerard J., 2001. "Duration models: specification, identification and multiple durations," Handbook of Econometrics, in: J.J. Heckman & E.E. Leamer (ed.), Handbook of Econometrics, edition 1, volume 5, chapter 55, pages 3381-3460, Elsevier.
    4. Ezza, Alberto & Marinò, Ludovico & Giovanelli, Lucia, 2019. "Assessing the impact of tourism on hospitals’ performance in a coastal destination," MPRA Paper 93999, University Library of Munich, Germany.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Agovino, Massimiliano & Musella, Gaetano & Scaletti, Alessandro, 2022. "Equilibrium and efficiency in the first aid services market: The case of the emergency department of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    2. Alonso-Almeida, María del Mar & Giglio, Carlo & Iazzolino, Gianpaolo, 2024. "A cross-country analysis of decision-making factors influencing tourists’ shift towards circular destinations in EU-27," Socio-Economic Planning Sciences, Elsevier, vol. 94(C).
    3. Robert, Taya & Renda, Ana Isabel & Pinto, Patrícia, 2022. "Residents' Perceptions on Tourism Impacts and Quality of Life: The Case of Faro," Journal of Tourism, Sustainability and Well-being, Cinturs - Research Centre for Tourism, Sustainability and Well-being, University of Algarve, vol. 10(1), pages 39-57.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Gautier, Pieter & van Vuuren, Aico & Siegmann, Arjen, 2007. "The Effect of the Theo van Gogh Murder on House Prices in Amsterdam," CEPR Discussion Papers 6175, C.E.P.R. Discussion Papers.
    2. Elena Casquel & Antoni Cunyat, "undated". "The Welfare Cost of Business Cycles in an Economy with Nonclearing Markets," Working Papers 2005-19, FEDEA.
    3. Andrén, Daniela, 2004. "Why Are The Sickness Absences So Long In Sweden," Working Papers in Economics 137, University of Gothenburg, Department of Economics.
    4. Kasy, Maximilian, 2011. "A nonparametric test for path dependence in discrete panel data," Economics Letters, Elsevier, vol. 113(2), pages 172-175.
    5. Kai Hong & Peter A. Savelyev & Kegon T. K. Tan, 2020. "Understanding the Mechanisms Linking College Education with Longevity," Journal of Human Capital, University of Chicago Press, vol. 14(3), pages 371-400.
    6. Brian Graversen & Brian Larsen, 2013. "Is there a threat effect of mandatory activation programmes for the long-term unemployed?," Empirical Economics, Springer, vol. 44(2), pages 1031-1051, April.
    7. Lamy, Laurent, 2012. "The econometrics of auctions with asymmetric anonymous bidders," Journal of Econometrics, Elsevier, vol. 167(1), pages 113-132.
    8. Stijn Baert & Bas van der Klaauw & Gijsbert van Lomwel, 2018. "The effectiveness of medical and vocational interventions for reducing sick leave of self‐employed workers," Health Economics, John Wiley & Sons, Ltd., vol. 27(2), pages 139-152, February.
    9. Damien Échevin & Bernard Fortin, 2011. "Physician Payment Mechanisms, Hospital Length of Stay and Risk of Readmission: a Natural Experiment," CIRANO Working Papers 2011s-44, CIRANO.
    10. van Ours, Jan C., 2002. "A pint a day raises a man's pay; but smoking blows that gain away," IZA Discussion Papers 473, Institute of Labor Economics (IZA).
    11. Massimiliano Bratti & Konstantinos Tatsiramos, 2012. "The effect of delaying motherhood on the second childbirth in Europe," Journal of Population Economics, Springer;European Society for Population Economics, vol. 25(1), pages 291-321, January.
    12. van den Berg, Gerard J. & van der Klaauw, Bas, 2001. "Combining micro and macro unemployment duration data," Journal of Econometrics, Elsevier, vol. 102(2), pages 271-309, June.
    13. J. Ignacio García‐Pérez & Fernando Muñoz‐Bullón, 2011. "Transitions into Permanent Employment in Spain: An Empirical Analysis for Young Workers," British Journal of Industrial Relations, London School of Economics, vol. 49(1), pages 103-143, March.
    14. Gerard J. van den Berg & Bas van der Klaauw & Jan C. van Ours, 2004. "Punitive Sanctions and the Transition Rate from Welfare to Work," Journal of Labor Economics, University of Chicago Press, vol. 22(1), pages 211-241, January.
    15. Ga?ecka-Burdziak, Ewa & Góra, Marek, 2017. "How Do Unemployed Workers Behave Prior to Retirement? A Multi-State Multiple-Spell Approach," IZA Discussion Papers 10680, Institute of Labor Economics (IZA).
    16. Guillaume Horny & Rute Mendes & Gerard J. Van den Berg, 2006. "Job mobility in Portugal: a Bayesian study with matched worker-firm data," Working Papers of BETA 2006-32, Bureau d'Economie Théorique et Appliquée, UDS, Strasbourg.
    17. Hujer, Reinhard & Zeiss, Christopher, 2007. "The effects of job creation schemes on the unemployment duration in Eastern Germany," Zeitschrift für ArbeitsmarktForschung - Journal for Labour Market Research, Institut für Arbeitsmarkt- und Berufsforschung (IAB), Nürnberg [Institute for Employment Research, Nuremberg, Germany], vol. 40(4), pages 383-398.
    18. Paul Frijters & Bas van der Klaauw, 2006. "Job Search with Nonparticipation," Economic Journal, Royal Economic Society, vol. 116(508), pages 45-83, January.
    19. NAGORE GARCIA Amparo, 2017. "Gender Differences in Unemployment Dynamics and Initial Wages over the Business Cycle," LISER Working Paper Series 2017-06, Luxembourg Institute of Socio-Economic Research (LISER).
    20. van Ours, Jan C. & Williams, Jenny, 2007. "Cannabis prices and dynamics of cannabis use," Journal of Health Economics, Elsevier, vol. 26(3), pages 578-596, May.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:eee:soceps:v:77:y:2021:i:c:s0038012120308417. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Catherine Liu (email available below). General contact details of provider: http://www.elsevier.com/locate/seps .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.