地区间医疗流动的货币流：意大利案例

IF 2.4 3区经济学 Q2 ECONOMICS

Papers in Regional Science Pub Date : 2024-11-15 DOI:10.1016/j.pirs.2024.100063

Giovanni Carnazza , Raffaele Lagravinese , Paolo Liberati , Irene Torrini

{"title":"地区间医疗流动的货币流：意大利案例","authors":"Giovanni Carnazza , Raffaele Lagravinese , Paolo Liberati , Irene Torrini","doi":"10.1016/j.pirs.2024.100063","DOIUrl":null,"url":null,"abstract":"<div><div>This study investigates the dynamics of healthcare 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 inter-regional transfer of resources amounting to about €3.7 billion in 2019. Leveraging a unique dataset spanning from 2002 to 2019, this research examines financial flows among regions using a network analysis, and identifies the factors influencing monetary flows through a gravity model. Socioeconomic disparities and the availability of specialized services in some regions are the key drivers. Regions with higher healthcare quality and the presence of private licensed hospitals attract more funds. This study offers valuable insights into the intricacies of interregional monetary flows, and finds further evidence of the persistent Italian territorial dualism, which can inform healthcare policy and promote regional equity considerations.</div></div>","PeriodicalId":51458,"journal":{"name":"Papers in Regional Science","volume":"104 1","pages":"Article 100063"},"PeriodicalIF":2.4000,"publicationDate":"2024-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Monetary flows for inter-regional health mobility: The case of Italy\",\"authors\":\"Giovanni Carnazza , Raffaele Lagravinese , Paolo Liberati , Irene Torrini\",\"doi\":\"10.1016/j.pirs.2024.100063\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>This study investigates the dynamics of healthcare 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 inter-regional transfer of resources amounting to about €3.7 billion in 2019. Leveraging a unique dataset spanning from 2002 to 2019, this research examines financial flows among regions using a network analysis, and identifies the factors influencing monetary flows through a gravity model. Socioeconomic disparities and the availability of specialized services in some regions are the key drivers. Regions with higher healthcare quality and the presence of private licensed hospitals attract more funds. This study offers valuable insights into the intricacies of interregional monetary flows, and finds further evidence of the persistent Italian territorial dualism, which can inform healthcare policy and promote regional equity considerations.</div></div>\",\"PeriodicalId\":51458,\"journal\":{\"name\":\"Papers in Regional Science\",\"volume\":\"104 1\",\"pages\":\"Article 100063\"},\"PeriodicalIF\":2.4000,\"publicationDate\":\"2024-11-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Papers in Regional Science\",\"FirstCategoryId\":\"96\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1056819024000836\",\"RegionNum\":3,\"RegionCategory\":\"经济学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"ECONOMICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Papers in Regional Science","FirstCategoryId":"96","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1056819024000836","RegionNum":3,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"ECONOMICS","Score":null,"Total":0}

引用次数: 0

摘要

本研究调查了意大利医疗保健流动性的动态，意大利公民可以自由地跨地区就医。超过 50 万名患者（主要来自南部大区）参与了医疗保健流动，导致 2019 年地区间资源转移总额达到约 37 亿欧元。本研究利用跨越 2002 年至 2019 年的独特数据集，通过网络分析对地区间的资金流动进行了研究，并通过引力模型确定了影响资金流动的因素。一些地区的社会经济差距和专业服务的可用性是主要驱动因素。医疗质量较高和拥有私立执照医院的地区吸引了更多资金。这项研究为了解地区间资金流动的复杂性提供了有价值的见解，并进一步证明了意大利持续存在的地区二元论，这可以为医疗政策提供参考，并促进地区公平考虑。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Monetary flows for inter-regional health mobility: The case of Italy

This study investigates the dynamics of healthcare 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 inter-regional transfer of resources amounting to about €3.7 billion in 2019. Leveraging a unique dataset spanning from 2002 to 2019, this research examines financial flows among regions using a network analysis, and identifies the factors influencing monetary flows through a gravity model. Socioeconomic disparities and the availability of specialized services in some regions are the key drivers. Regions with higher healthcare quality and the presence of private licensed hospitals attract more funds. This study offers valuable insights into the intricacies of interregional monetary flows, and finds further evidence of the persistent Italian territorial dualism, which can inform healthcare policy and promote regional equity considerations.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Papers in Regional Science Multiple-

CiteScore

4.40

自引率

4.80%

发文量

期刊介绍： Regional Science is the official journal of the Regional Science Association International. It encourages high quality scholarship on a broad range of topics in the field of regional science. These topics include, but are not limited to, behavioral modeling of location, transportation, and migration decisions, land use and urban development, interindustry analysis, environmental and ecological analysis, resource management, urban and regional policy analysis, geographical information systems, and spatial statistics. The journal publishes papers that make a new contribution to the theory, methods and models related to urban and regional (or spatial) matters.