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

Giovanni Carnazza (giovanni.carnazza@unipi.it), Raffaele Lagravinese, Paolo Liberati and Irene Torrini (irene.torrini@unibocconi.it)
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Giovanni Carnazza: University of Pisa
Irene Torrini: Bocconi University

No 01-2024, SERIES from Dipartimento di Economia e Finanza - Università degli Studi di Bari "Aldo Moro"

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.

Keywords: Italian health system; network analysis; gravity model; decentralisation (search for similar items in EconPapers)
JEL-codes: H75 I14 I18 (search for similar items in EconPapers)
Pages: 277
Date: 2024-03, Revised 2024-03
New Economics Papers: this item is included in nep-ure
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