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Highlights We analyse accesses to ED of a large university hospital during COVID19 pandemic. Accesses have sharply decreased since the onset, for any triage code. ED was responsive to the crisis: median waiting time increased only marginally. Fear of contamination delayed accesses; patients may have suffered health loss. Patients ignored appeals not to use ED as first-contact for COVID related problems.

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Internet and e-commerce have deeply changed society, the economy, and the world of health care.

This article analyses patient mobility across Italian regions. A modified gravity model of patient migration is specified and estimated using panel observations covering mobility and other main regional quality indicators over the period 1994-1997. Despite the high level of aggregation due to data constraints, the empirical findings show that in Italy there is wide scope for quality-driven mobility while income determines the quality of the service offered.