𝔖 Bobbio Scriptorium
✦   LIBER   ✦

The geography of hospital admission in a national health service with patient choice

✍ Scribed by Daniele Fabbri; Silvana Robone

Publisher
John Wiley and Sons
Year
2010
Tongue
English
Weight
181 KB
Volume
19
Category
Article
ISSN
1057-9230

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Each year about 20% of the 10 million hospital inpatients in Italy get admitted to hospitals outside the Local Health Authority of residence. In this paper we carefully explore this phenomenon and estimate gravity equations for ‘trade’ in hospital care using a Poisson pseudo‐maximum likelihood method. Consistency of the PPML estimator is guaranteed under the null of independence provided that the conditional mean is correctly specified. In our case we find that patients' flows are affected by network autocorrelation. We correct for it by relying upon spatial filtering. Our results suggest that the gravity model is a good framework for explaining patient mobility in most of the examined diagnostic groups. We find that the ability to restrain patients' outflows increases with the size of the pool of enrollees. Moreover, the ability to attract patients' inflows is reduced by the size of pool of enroless for all LHAs except for the very big LHAs. For LHAs in the top quintile of size of enrollees, the ability to attract inflows increases with the size of the pool. Copyright © 2010 John Wiley & Sons, Ltd.

📜 SIMILAR VOLUMES

Crossing the public–private sector divid
Crossing the public–private sector divide with reproductive health in Cambodia: out-patient services in a local NGO and the national MCH clinic
✍ Maggie Huff-Rousselle; Helen Pickering 📂 Article 📅 2001 🏛 John Wiley and Sons 🌐 English ⚖ 108 KB

## Abstract Set within the context of recent literature on the private–public divide in the health sector of developing countries generally and Asia specifically, this study considers the major government and the major indigenous non‐government clinics offering out‐patient reproductive health servi

Racial disparities in the management of
Racial disparities in the management of hospitalized patients with cirrhosis and complications of portal hypertension: A national study
✍ Geoffrey C. Nguyen; Dorry L. Segev; Paul J. Thuluvath 📂 Article 📅 2007 🏛 John Wiley and Sons 🌐 English ⚖ 299 KB 👁 2 views

Having complications of portal hypertension is a harbinger of decompensated cirrhosis and warrants consideration for liver transplantation (LT). Racial disparities in LT have been reported. We sought to characterize disparities in the performing of surgical and endoscopic procedures among hospitaliz

CANDID—counselling and diagnosis in deme
CANDID—counselling and diagnosis in dementia: a national telemedicine service supporting the care of younger patients with dementia
✍ Richard J. Harvey; Penelope K. Roques; Nicholas C. Fox; Martin N. Rossor 📂 Article 📅 1998 🏛 John Wiley and Sons 🌐 English ⚖ 147 KB 👁 2 views

Objectives. To audit and evaluate the introduction of a novel support service for younger people with dementia, their families and the professionals caring for them. Design. A retrospective review of all calls received by a telephone helpline over a 2-year period. Setting. CANDID (Counselling and

Underutilization of health services amon
Underutilization of health services among patients with urinary symptoms: Results of a population-based survey in Israel
✍ Mozes, Benjamin; Shmueli, Amir 📂 Article 📅 1997 🏛 John Wiley and Sons 🌐 English ⚖ 129 KB

## Background: Although there is firm evidence concerning the relatively-high rates of overutilization of prostate surgery among elderly men, only minimal efforts have been made to evaluate the existence and extent of underutilization. this assessment, accomplished by our study, may have a signific

Hospital or health centre? a comparison
Hospital or health centre? a comparison of the costs and quality of urban outpatient services in Maseru, Lesotho
✍ J. Pepperall; P. Garner; J. Fox-Rushby; N. Moji; T. Harpham 📂 Article 📅 1995 🏛 John Wiley and Sons 🌐 English ⚖ 754 KB

Urban hospital outpatient clinics in developing countries are said to be overburdened and some policy experts are proposing a new intermediate tier of advanced health centres between hospitals and health centres to solve this problem (termed 'reference centres' by the World Health Organization). In