Evidence map›Paper›PMID 34705129›Full record

ArticleThe European journal of health economics : HEPAC : health economics in prevention and care2022

The residential healthcare for the elderly in Italy: some considerations for post-COVID-19 policies.

Alessandra Cepparulo, Luisa Giuriato

Abstract read
In one paragraph

Article in The European journal of health economics : HEPAC : health economics in prevention and care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
12citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

12 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Impact of Long COVID on productivity and informal caregiving.The European journal of health economics : HEPAC : health economics in prevention and care · 2024
    Article
  6. Article
  7. "Frontiers in public health · 2023
    Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Comorbidity patterns in institutionalized older adults affected by dementia.Alzheimer's & dementia (Amsterdam, Netherlands) · 2022
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Alessandra CepparuloDepartment of Economics and Law, Sapienza-University of Rome, Via del Castro Laurenziano 9, 00161, Rome, Italy.ORCID http://orcid.org/0000-0001-7706-3868
Luisa GiuriatoDepartment of Economics and Law, Sapienza-University of Rome, Via del Castro Laurenziano 9, 00161, Rome, Italy. luisa.giuriato@uniroma1.it.ORCID http://orcid.org/0000-0003-2265-6556

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In Italy, the COVID-19 pandemic and the death of many elderly people have put in evidence the uneven territorial distribution of nursing homes, which have amplified the spread and severity of the pandemic. By applying a pooled OLS model to the Italian regions, over the 2010-18 period, we investigate the demand factors, market forces and institutional drivers of the spatial distribution of residential healthcare for the elderly. Using a fine-grained approach that considers specific regional and age-related elements and the market environment, which can reduce or increase the pressure on regional governments to provide formal assistance, we find that the financial resources and the availability of unemployed women as potential caregivers explain the distribution of expenditure better than the health needs of the elderly. As a result, the expenditure is concentrated in richer and more financially autonomous regions and it is not congruent with the distribution of chronicity, health and frailty factors or income among the elderly. These critical issues of the care services for frail elderly people, related to a highly decentralized governance and resulting in fragmented, market-driven provision, could be attacked only by a national reform.

Indexed as

COVID-19AgedDelivery of Health CareFemaleFrail ElderlyHumansItalyPandemicsPolicyElderly careHealthcare decentralizationInformal careLong-term care facilitiesNursing homesRegional divergence

Identifiers

PMID34705129
PMCPMC8549427

What OpenQuestion holds

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Registered trials

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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.