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Monetary flows for health mobility: The Italian NHS from a network perspective

Author

Listed:
  • Giovanni Carnazza

    (University of Pisa)

  • Raffaele Lagravinese

    (University of Bari)

  • Paolo Liberati

    (Roma Tre University)

  • Irene Torrini

    (Bocconi University)

Abstract

This study investigates the dynamics of health care mobility in Italy, where citizens have the freedom to access medical treatment across regions. More than half a million patients, primarily from the Southern regions, engage in healthcare mobility, resulting in a total expenditure of €3.7 billion in 2019. Leveraging a unique dataset spanning from 2002 to 2019, this research examines financial transactions, utilizes network analysis, and identifies influencing factors through a gravity model. Socioeconomic disparities and the availability of specialized services are key drivers of this mobility. Regions with higher healthcare quality and the presence of private licensed hospitals attract a larger number of patients. This study offers valuable insights into the intricacies of interregional healthcare mobility, which can inform healthcare policy and promote regional equity considerations.

Suggested Citation

  • Giovanni Carnazza & Raffaele Lagravinese & Paolo Liberati & Irene Torrini, 2024. "Monetary flows for health mobility: The Italian NHS from a network perspective," SERIES 01-2024, Dipartimento di Economia e Finanza - Università degli Studi di Bari "Aldo Moro", revised Mar 2024.
    • Handle: RePEc:bai:series:series_wp_01-2024
    as

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    References listed on IDEAS

    as
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    More about this item

    Keywords

    Italian health system; network analysis; gravity model; decentralisation;
    All these keywords.

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I14 - Health, Education, and Welfare - - Health - - - Health and Inequality
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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