Cross-border flows of Italian patients within the European Union: An international trade approach

France, George

doi:10.1093/eurpub/7.suppl_3.18

Cited by 21 publications

(22 citation statements)

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“…However, as previously mentioned, the quality and the quantity of the services offered may differ among regions because only a minimum level of care must be guaranteed. We link quality/quantity and patient mobility assuming that patients will travel to hospitals in other regions because of higher quality of care (Levaggi and Zanola, ; France, ). To include patient mobility in our regression analysis, we introduce the variables of interregional patient inflow and outflow , which describe patient mobility among provinces in different regions.…”

Section: Data and Variablessupporting

confidence: 77%

“…In this framework, low per‐capita income regions may not able to maintain or fund an adequate standard of the health services in terms of quality and quantity. The direct consequence of different levels of healthcare expenditures led to an increase of patient mobility and the connected payment flows, between low and high‐income regions (Levaggi and Zanola, ; France, ). The above factors are directly taken into consideration in the second stage of the analysis.…”

Section: Data and Variablesmentioning

confidence: 99%

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Healthcare reform in Italy: an analysis of efficiency based on nonparametric methods

Nicola

Gitto

Mancuso

et al. 2013

Health Planning & Management

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Over the past twenty years, important changes in the Italian health system have led to different approaches in organizing, delivering and financing health services throughout the regions of the country. This study aims to examine the impact these factors have had on efficiency. The methodology adopted is based on the developments in bootstrapping Data Envelopment Analysis (DEA). In particular, employing a two-stage procedure, we analyzed the impact that political interventions have produced on healthcare efficiency. The data, which were at the local health unit level for the period 2004-2005, were aggregated to the provincial level in order to take into account patient mobility. The study reveals that the organizational model adopted by the Lombardia region allows for the best results in healthcare efficiency. Second, administrative decentralization from the regional governments to local health units is a source of inefficiency.Third, adjusting the cost of delivering care, by taking into consideration regional health characteristics, improves efficiency. Finally, future policy interventions should make careful valuations of the impacts of patient mobility on healthcare efficiency.

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Section: Data and Variablessupporting

confidence: 77%

Section: Data and Variablesmentioning

confidence: 99%

Healthcare reform in Italy: an analysis of efficiency based on nonparametric methods

Nicola

Gitto

Mancuso

et al. 2013

Health Planning & Management

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“…Some patients also go abroad for more mainstream care because they believe the care is of higher quality. 17 Some of this movement is well establishedfor example, from Italy to France-but movement of citizens of the new member states is more recent. The volume is not well documented, and official data on mobility are clearly a substantial underestimate.…”

Section: People In Border Regionsmentioning

confidence: 99%

Patient mobility in the European Union

Legido‐Quigley

Glinos

Baeten

et al. 2007

BMJ

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“…Hence, a network of developed countries could also be necessary, e.g. within systems as EU, NAFTA or others due to their integrated character and the instruments used in bilateral agreements (Calnan et al (1997), France (1997), Starmans et al (1997)). Such cross-border agreements support the integration of markets and reduce the inefficiencies discussed above, especially in regions with neighbourly relations.…”

Section: Discussionmentioning

confidence: 99%

Efficiency Effects of Cross-Border Medical Demand

Lukas

2009

SSRN Journal

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Standard-Nutzungsbedingungen:Die Dokumente auf EconStor dürfen zu eigenen wissenschaftlichen Zwecken und zum Privatgebrauch gespeichert und kopiert werden.Sie dürfen die Dokumente nicht für öffentliche oder kommerzielle Zwecke vervielfältigen, öffentlich ausstellen, öffentlich zugänglich machen, vertreiben oder anderweitig nutzen.Sofern die Verfasser die Dokumente unter Open-Content-Lizenzen (insbesondere CC-Lizenzen) zur Verfügung gestellt haben sollten, gelten abweichend von diesen Nutzungsbedingungen die in der dort genannten Lizenz gewährten Nutzungsrechte. There is a growing interest in cross-border medical care and its comparative advantages. In addition, medical care can be defined as a local assurance good. Little research is being carried out in this field. This paper discusses the individual considerations for medical treatment offered at home and abroad within a micro-economical framework. Specific assumptions as mistrust, monetary and non-monetary transaction-costs, a price and cost gradient, illness severity as well as a lump-sum insurance are discussed. We show that a demand abroad can be utility maximizing, however, only second best. There are inefficiencies in the dimensions of ex-post demand and income risk either on the side of gross-income or of costs. Furthermore, the foreign demand is restricted for low health stages driven by mistrust and restrictions in quality. Higher stages are more capable if fixed costs are low. To demand abroad the marginal treatment costs abroad must fall short of a threshold level. Finally, an out-of-pocket payment can reduce the moral hazard when treatment takes place abroad. JEL-Classification: I19 , F1, D01, D80, R23 Terms of use: Documents in

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Cross-border flows of Italian patients within the European Union: An international trade approach

Cited by 21 publications

References 0 publications

Healthcare reform in Italy: an analysis of efficiency based on nonparametric methods

Healthcare reform in Italy: an analysis of efficiency based on nonparametric methods

Patient mobility in the European Union

Efficiency Effects of Cross-Border Medical Demand

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