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Assessing the impact of tourist flows on emergency department treatment speed for residents and tourists. The case of Sorrento

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  • Agovino, Massimiliano
  • Musella, Gaetano
  • Pisano, Sabrina
  • Scaletti, Alessandro

Abstract

Tourism is a fundamental lever of the economic and cultural development of a location. Large tourist flows can negatively impact the provision of public services, such as healthcare. This study aims to investigate emergency department (ED) treatment speed under increased demand caused by tourism. The analysis was conducted on data (covering March–October 2018) collected from the ED of a hospital in Sorrento, a renowned coastal tourist destination in Campania, Italy, by using a two-step strategy. First, we resort to the Kaplan-Meier method to compare treatment in the ED between residents and tourists. Second, through the Cox proportional hazards model, we study the impact of group-specific characteristics on the speed of treatment. The main empirical findings highlight that treatment speed is highly influenced by age and by the languages spoken by tourists. Foreign tourists are best served in off-peak periods, while in the peak arrival period, the healthcare system experiences difficulties, especially for those facing higher language barriers. What emerges is the necessity for a tourism destination to adopt measures to cope with the language heterogeneity of tourists. In a multi-cultural touristic context, healthcare providers and institutions should address the challenge of language barriers by using specialist interpreter services.

Suggested Citation

  • Agovino, Massimiliano & Musella, Gaetano & Pisano, Sabrina & Scaletti, Alessandro, 2021. "Assessing the impact of tourist flows on emergency department treatment speed for residents and tourists. The case of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 77(C).
    • Handle: RePEc:eee:soceps:v:77:y:2021:i:c:s0038012120308417
    DOI: 10.1016/j.seps.2020.101004
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    References listed on IDEAS

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    1. Albalate, Daniel & Bel, Germà, 2010. "Tourism and urban public transport: Holding demand pressure under supply constraints," Tourism Management, Elsevier, vol. 31(3), pages 425-433.
    2. Maria Rosaria Carli, 2012. "New prospects for tourism: the case of the Sorrento peninsula," RIEDS - Rivista Italiana di Economia, Demografia e Statistica - The Italian Journal of Economic, Demographic and Statistical Studies, SIEDS Societa' Italiana di Economia Demografia e Statistica, vol. 66(2), pages 73-86.
    3. Van den Berg, Gerard J., 2001. "Duration models: specification, identification and multiple durations," Handbook of Econometrics, in: J.J. Heckman & E.E. Leamer (ed.), Handbook of Econometrics, edition 1, volume 5, chapter 55, pages 3381-3460, Elsevier.
    4. Ezza, Alberto & Marinò, Ludovico & Giovanelli, Lucia, 2019. "Assessing the impact of tourism on hospitals’ performance in a coastal destination," MPRA Paper 93999, University Library of Munich, Germany.
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    1. Agovino, Massimiliano & Musella, Gaetano & Scaletti, Alessandro, 2022. "Equilibrium and efficiency in the first aid services market: The case of the emergency department of Sorrento," Socio-Economic Planning Sciences, Elsevier, vol. 82(PB).
    2. Alonso-Almeida, María del Mar & Giglio, Carlo & Iazzolino, Gianpaolo, 2024. "A cross-country analysis of decision-making factors influencing tourists’ shift towards circular destinations in EU-27," Socio-Economic Planning Sciences, Elsevier, vol. 94(C).
    3. Robert, Taya & Renda, Ana Isabel & Pinto, Patrícia, 2022. "Residents' Perceptions on Tourism Impacts and Quality of Life: The Case of Faro," Journal of Tourism, Sustainability and Well-being, Cinturs - Research Centre for Tourism, Sustainability and Well-being, University of Algarve, vol. 10(1), pages 39-57.

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