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Analisi socio-economica degli accessi ripetuti al pronto soccorso pediatrico: il caso dell?Istituto G. Gaslini di Genova

Author

Listed:
  • Enrico Di Bella
  • Lucia Fontana
  • Lucia Leporatti
  • Marcello Montefiori
  • Paolo Petralia

Abstract

The use of Emergency Departments (EDs) is continuously increasing and the challenge of guaranteeing an efficient and effective service is threatened by the phenomena of inappropriate and frequent use. Most of the literature on the topic focuses on adult population; in this study we analyse the issue of frequent use of ED among paediatric patients, with the aim of detecting the most significant socio-demographic and clinical predictors of frequent use of emergency services. Results, based on data collected from the ED of one of the most important paediatric Italian Hospital, show that children aged less than 12 months, foreign and chronic patients (particularly those suffering from mental illness, respiratory diseases and circulatory system problems) have a higher risk of becoming frequent and highly frequent ED users. It emerges that frequent users, although they only represent the 8% of total number of accesses, they account for 19% of total costs.

Suggested Citation

  • Enrico Di Bella & Lucia Fontana & Lucia Leporatti & Marcello Montefiori & Paolo Petralia, 2016. "Analisi socio-economica degli accessi ripetuti al pronto soccorso pediatrico: il caso dell?Istituto G. Gaslini di Genova," STUDI ECONOMICI, FrancoAngeli Editore, vol. 2016(118-119-1), pages 312-327.
    • Handle: RePEc:fan:steste:v:html10.3280/ste2016-118017
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    References listed on IDEAS

    as
    1. Hilbe,Joseph M., 2014. "Modeling Count Data," Cambridge Books, Cambridge University Press, number 9781107611252.
    2. Enrico di Bella & Luca Gandullia & Lucia Leporatti & Marcello Montefiori & Patrizia Orcamo, 2018. "Ranking and Prioritization of Emergency Departments Based on Multi-indicator Systems," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 136(3), pages 1089-1107, April.
    3. Leporatti, Lucia & Ameri, Marta & Trinchero, Chiara & Orcamo, Patrizia & Montefiori, Marcello, 2016. "Targeting frequent users of emergency departments: Prominent risk factors and policy implications," Health Policy, Elsevier, vol. 120(5), pages 462-470.
    4. Paolo Cremonesi & Enrico Bella & Marcello Montefiori & Luca Persico, 2015. "The Robustness and Effectiveness of the Triage System at Times of Overcrowding and the Extra Costs due to Inappropriate Use of Emergency Departments," Applied Health Economics and Health Policy, Springer, vol. 13(5), pages 507-514, October.
    Full references (including those not matched with items on IDEAS)

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    More about this item

    JEL classification:

    • H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I12 - Health, Education, and Welfare - - Health - - - Health Behavior
    • C50 - Mathematical and Quantitative Methods - - Econometric Modeling - - - General

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