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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
    1. Daniele Fabbri & Silvana Robone, 2010. "The geography of hospital admission in a national health service with patient choice," Health Economics, John Wiley & Sons, Ltd., vol. 19(9), pages 1029-1047, September.
    2. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64(5), pages 416-416.
    3. Cristian Barra & Raffaele Lagravinese & Roberto Zotti, 2022. "Exploring hospital efficiency within and between Italian regions: new empirical evidence," Journal of Productivity Analysis, Springer, vol. 57(3), pages 269-284, June.
    4. Massimo Bordignon & Silvia Coretti & Massimiliano Piacenza & Gilberto Turati, 2020. "Hardening subnational budget constraints via administrative subordination: The Italian experience of recovery plans in regional health services," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1378-1399, November.
    5. Perna, Roberta & Cruz-Martínez, Gibrán & Moreno Fuentes, Francisco Javier, 2022. "Patient mobility within national borders. Drivers and politics of cross-border healthcare agreements in the Spanish decentralized system," Health Policy, Elsevier, vol. 126(11), pages 1187-1193.
    6. De Luca, Giacomo & Lisi, Domenico & Martorana, Marco & Siciliani, Luigi, 2021. "Does higher Institutional Quality improve the Appropriateness of Healthcare Provision?," Journal of Public Economics, Elsevier, vol. 194(C).
    7. Adolph, Christopher & Greer, Scott L. & Massard da Fonseca, Elize, 2012. "Allocation of authority in European health policy," Social Science & Medicine, Elsevier, vol. 75(9), pages 1595-1603.
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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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