ArticleInternational journal of health policy and management2015
Regional incentives and patient cross-border mobility: evidence from the Italian experience.
Article in International journal of health policy and management, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Patient Mobility in the Digital Era: How Online Service Information from Internet Hospitals Shapes Patients' Cross-Regional Healthcare Choices.Healthcare (Basel, Switzerland) · 2025Article
- Is cooperation better than competition? Evidence from patient mobility before and after the COVID-19 pandemic in Tuscany, Italy.Frontiers in public health · 2025Article
- Gene therapy for Duchenne Muscular Dystrophy: assessing the readiness of Italian centres of expertise.Acta myologica : myopathies and cardiomyopathies : official journal of the Mediterranean Society of Myology · 2024Article
- Analysing the intra and interregional components of spatial accessibility gravity model to capture the level of equity in the distribution of hospital services in Italy: do they influence patient mobility?BMC health services research · 2024Article
- A hub and spoke model to supply the Sicilian neurorehabilitation demand: effects on hospitalization rates and patient mobility.Frontiers in public health · 2024Article
- Identifying the Drivers of Inter-Regional Patients' Mobility: An Analysis on Hospital Beds Endowment.Healthcare (Basel, Switzerland) · 2023Article
- Making Sense of the Complexity of Decentralised Governance Comment on "The Effects of Health Sector Fiscal Decentralisation on Availability, Accessibility, and Utilisation of Healthcare Services: A Panel Data Analysis".International journal of health policy and management · 2023Article
- Factors associated with patients' mobility rates within the provinces of Iran.BMC health services research · 2022Article
- The Effects of Health Sector Fiscal Decentralisation on Availability, Accessibility, and Utilisation of Healthcare Services: A Panel Data Analysis.International journal of health policy and management · 2022Article
- Inter-Regional Patients' Migration for Hospital Orthopedic Intensive Rehabilitation: The Italian Experience.International journal of environmental research and public health · 2022Article
- The influence of cross-regional medical treatment on total medical expenses, medical insurance payments, and out-of-pocket expenses of patients with malignant tumors in Chinese low-income areas.Cost effectiveness and resource allocation : C/E · 2022Article
- Inter-Regional Hospital Patients' Mobility in Italy.Healthcare (Basel, Switzerland) · 2021Article
- Are performance measurement systems useful? Perceptions from health care.BMC health services research · 2017Article
- Is It More Important to Address the Issue of Patient Mobility or to Guarantee Universal Health Coverage in Europe?: Comment on "Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience".International journal of health policy and management · 2015Article
- Interregional Patient Mobility in the Italian NHS: A Case of Badly-Managed Decentralization Comment on "Regional Incentives and Patient Cross-Border Mobility: Evidence From the Italian Experience".International journal of health policy and management · 2015Article
- The Health Mobility Is All True Mobility? Comment on "Regional Incentives and Patient Cross-border Mobility: Evidence From the Italian Experience".International journal of health policy and management · 2015Article
- Analysis of Patients' Mobility Patterns: Insights From a Process Mining-Based Longitudinal Study.Inquiry : a journal of medical care organization, provision and financingArticle
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2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, accreditation of private hospitals followed by decentralisation of the Italian National Health Service (NHS) into 21 regional health systems has provided a good empirical ground for investigating the Tiebout principle of "voting with their feet". We examine the infra-regional trade-off between greater patient choice (due to an increase in hospital services supply) and financial equilibrium, and we relate it to the significant phenomenon of Cross-Border Mobility (CBM) between Italian regions. Focusing on the rules supervising the financial agreements between regional authorities and providers of hospital care, we find incentives for private accredited providers in attracting patient inflows.
methodsThe analysis is undertaken from an institutional, regulatory and empirical perspective. We select a sample of five regions with higher positive CBM balance and we examine regional regulations governing the contractual agreements between purchasers and providers of hospital care. According to this sample, we provide a statistical analysis of CBM and apply a Regional Attraction Ability Index (RAAI), aimed at testing patient preferences for private/public accredited providers.
resultsWe find that this index is systematically higher for private providers, both in the case of distance/boundary patients and of excellence/general hospitals.
conclusionConclusions address both financial issues regarding the coverage of regional healthcare systems and equity issues on patient healthcare access. They also raise concerns on the new European Union (EU) directive inherent to patient mobility across Europe.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.