IDEAS home Printed from https://ideas.repec.org/a/fan/mesame/vhtml10.3280-mesa2022-123oa15593.html
   My bibliography  Save this article

I dati amministrativi per la governance dei tempi di attesa delle prestazioni ambulatoriali: l?esperienza dell?Azienda Sanitaria dell?Alto Adige

Author

Listed:
  • Luca Armanaschi
  • Elisabetta Barzan
  • Magda Cavallucci
  • Carlo Federici
  • Marco Sartirana
  • Florian Zerzer

Abstract

Per governare i tempi di attesa delle prestazioni è imprescindibile utilizzare i dati amministrativi nella pianificazione dell?offerta e nel governo della domanda di servizi. L?articolo illustra l?esperienza della ricerca-intervento realizzata dall?Azienda Sanitaria dell?Alto Adige per la stima dei fabbisogni futuri e l?analisi retrospettiva dei consumi della specialistica ambulatoriale. Viene presentato il modello quantitativo predittivo sviluppato dall?azienda per la definizione del fabbisogno di prestazioni con dettaglio per singola prestazione, e vengono esposte le scelte strategiche aziendali per ridurre i tempi di attesa. Rispetto ad alcune prestazioni di particolare rilevanza sono invece proposte analisi retrospettive per verificare l?appropriatezza dei consumi, con particolare riferimento agli indici di consumo per area di residenza, MMG, o fasce di età; alla mobilità intraprovinciale; alle modalità di accesso alle prestazioni; ai codici di priorità. Tale approccio si presta a esser facilmente applicabile ad altre aziende sul territorio italiano data la semplicità dello strumento e la crescente disponibilità e granularità di dati sul consumo di prestazioni sanitarie a disposizione delle aziende.

Suggested Citation

  • Luca Armanaschi & Elisabetta Barzan & Magda Cavallucci & Carlo Federici & Marco Sartirana & Florian Zerzer, 2022. "I dati amministrativi per la governance dei tempi di attesa delle prestazioni ambulatoriali: l?esperienza dell?Azienda Sanitaria dell?Alto Adige," MECOSAN, FrancoAngeli Editore, vol. 2022(123), pages 53-75.
    • Handle: RePEc:fan:mesame:v:html10.3280/mesa2022-123oa15593
    as

    Download full text from publisher

    File URL: http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=73071&Tipo=ArticoloPDF
    Download Restriction: Single articles can be downloaded buying download credits, for info: https://www.francoangeli.it/DownloadCredit
    ---><---

    As the access to this document is restricted, you may want to search for a different version of it.

    References listed on IDEAS

    as
    1. Anika Reichert & Rowena Jacobs, 2018. "The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1772-1787, November.
    2. Siciliani, Luigi & Moran, Valerie & Borowitz, Michael, 2014. "Measuring and comparing health care waiting times in OECD countries," Health Policy, Elsevier, vol. 118(3), pages 292-303.
    3. Moscelli, Giuseppe & Siciliani, Luigi & Gutacker, Nils & Cookson, Richard, 2018. "Socioeconomic inequality of access to healthcare: Does choice explain the gradient?," Journal of Health Economics, Elsevier, vol. 57(C), pages 290-314.
    4. Mohammad Hajizadeh, 2018. "Does socioeconomic status affect lengthy wait time in Canada? Evidence from Canadian Community Health Surveys," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 19(3), pages 369-383, April.
    5. Andrea Riganti & Luigi Siciliani & Carlo V. Fiorio, 2017. "The effect of waiting times on demand and supply for elective surgery: Evidence from Italy," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 92-105, September.
    6. Gravelle, Hugh & Dusheiko, Mark & Sutton, Matthew, 2002. "The demand for elective surgery in a public system: time and money prices in the UK National Health Service," Journal of Health Economics, Elsevier, vol. 21(3), pages 423-449, May.
    7. Frank Windmeijer & Hugh Gravelle & Pierre Hoonhout, 2005. "Waiting lists, waiting times and admissions: an empirical analysis at hospital and general practice level," Health Economics, John Wiley & Sons, Ltd., vol. 14(9), pages 971-985, September.
    8. Cristiana Bettelli & Milena Vainieri & Bruna Vinci, 2016. "Dieci anni di studi nella gestione dei tempi di attesa nella diagnostica per immagine. Quali prospettive per un governo di sistema?," MECOSAN, FrancoAngeli Editore, vol. 2016(100), pages 7-25.
    9. Stephen Martin & Peter C. Smith, 2003. "Using panel methods to model waiting times for National Health Service surgery," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 166(3), pages 369-387, October.
    10. Muhammed Ordu & Eren Demir & Chris Tofallis, 2019. "A comprehensive modelling framework to forecast the demand for all hospital services," International Journal of Health Planning and Management, Wiley Blackwell, vol. 34(2), pages 1257-1271, April.
    11. Mariotti, Giuliano & Siciliani, Luigi & Rebba, Vincenzo & Fellini, Rita & Gentilini, Maria & Benea, Giorgio & Bertoli, Pierpaolo & Bistolfi, Lorenzo & Brugaletta, Salvatore & Camboa, Pierluigi & Casuc, 2014. "Waiting time prioritisation for specialist services in Italy: The homogeneous waiting time groups approach," Health Policy, Elsevier, vol. 117(1), pages 54-63.
    12. Claudio Lucifora & Antonio Russo & Daria Vigani, 2021. "Does prescribing appropriateness reduce health expenditures? Main effects and unintended outcomes," DISCE - Working Papers del Dipartimento di Economia e Finanza def103, Università Cattolica del Sacro Cuore, Dipartimenti e Istituti di Scienze Economiche (DISCE).
    13. Siciliani, Luigi & Stanciole, Anderson & Jacobs, Rowena, 2009. "Do waiting times reduce hospital costs?," Journal of Health Economics, Elsevier, vol. 28(4), pages 771-780, July.
    14. Moscelli, Giuseppe & Siciliani, Luigi & Tonei, Valentina, 2016. "Do waiting times affect health outcomes? Evidence from coronary bypass," Social Science & Medicine, Elsevier, vol. 161(C), pages 151-159.
    15. repec:wly:hlthec:v:26:y:2017:i::p:92-105 is not listed on IDEAS
    16. Landi, Stefano & Ivaldi, Enrico & Testi, Angela, 2018. "Socioeconomic status and waiting times for health services: An international literature review and evidence from the Italian National Health System," Health Policy, Elsevier, vol. 122(4), pages 334-351.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Lippi Bruni, Matteo & Ugolini, Cristina & Verzulli, Rossella, 2021. "Should I wait or should I go? Travelling versus waiting for better healthcare," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    2. Andrea Riganti & Luigi Siciliani & Carlo V. Fiorio, 2017. "The effect of waiting times on demand and supply for elective surgery: Evidence from Italy," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 92-105, September.
    3. Callum Brindley & James Lomas & Luigi Siciliani, 2023. "The effect of hospital spending on waiting times," Health Economics, John Wiley & Sons, Ltd., vol. 32(11), pages 2427-2445, November.
    4. Christine A. Yee & Kyle Barr & Taeko Minegishi & Austin Frakt & Steven D. Pizer, 2022. "Provider supply and access to primary care," Health Economics, John Wiley & Sons, Ltd., vol. 31(7), pages 1296-1316, July.
    5. Gravelle, Hugh & Schroyen, Fred, 2020. "Optimal hospital payment rules under rationing by waiting," Journal of Health Economics, Elsevier, vol. 70(C).
    6. Frank Windmeijer & Hugh Gravelle & Pierre Hoonhout, 2005. "Waiting lists, waiting times and admissions: an empirical analysis at hospital and general practice level," Health Economics, John Wiley & Sons, Ltd., vol. 14(9), pages 971-985, September.
    7. Fabrizio Iacone & Steve Martin & Luigi Siciliani & Peter C. Smith, 2012. "Modelling the dynamics of a public health care system: evidence from time-series data," Applied Economics, Taylor & Francis Journals, vol. 44(23), pages 2955-2968, August.
    8. Martin, Steve & Siciliani, Luigi & Smith, Peter, 2020. "Socioeconomic inequalities in waiting times for primary care across ten OECD countries," Social Science & Medicine, Elsevier, vol. 263(C).
    9. Gutacker, Nils & Siciliani, Luigi & Moscelli, Giuseppe & Gravelle, Hugh, 2016. "Choice of hospital: Which type of quality matters?," Journal of Health Economics, Elsevier, vol. 50(C), pages 230-246.
    10. Martin, Stephen & Rice, Nigel & Jacobs, Rowena & Smith, Peter, 2007. "The market for elective surgery: Joint estimation of supply and demand," Journal of Health Economics, Elsevier, vol. 26(2), pages 263-285, March.
    11. M. Lippi Bruni & C. Ugolini & R. Verzulli, 2018. "Disentangling the effect of waiting times on hospital choice: Evidence from a panel data analysis," Working Papers wp1118, Dipartimento Scienze Economiche, Universita' di Bologna.
    12. Wilf - Miron, Rachel & Novikov, Ilya & Ziv, Arnona & Mandelbaum, Avishai & Ritov, Yaacov & Luxenburg, Osnat, 2020. "A novel methodology to measure waiting times for community-based specialist care in a public healthcare system," Health Policy, Elsevier, vol. 124(8), pages 805-811.
    13. Anika Reichert & Rowena Jacobs, 2018. "The impact of waiting time on patient outcomes: Evidence from early intervention in psychosis services in England," Health Economics, John Wiley & Sons, Ltd., vol. 27(11), pages 1772-1787, November.
    14. Nicolai Fink Simonsen & Anne Sophie Oxholm & Søren Rud Kristensen & Luigi Siciliani, 2020. "What explains differences in waiting times for health care across socioeconomic status?," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1764-1785, December.
    15. Peter Sivey, 2012. "The effect of waiting time and distance on hospital choice for English cataract patients," Health Economics, John Wiley & Sons, Ltd., vol. 21(4), pages 444-456, April.
    16. Breton, Mylaine & Smithman, Mélanie Ann & Sasseville, Martin & Kreindler, Sara A. & Sutherland, Jason M. & Beauséjour, Marie & Green, Michael & Marshall, Emily Gard & Jbilou, Jalila & Shaw, Jay & Brou, 2020. "How the design and implementation of centralized waiting lists influence their use and effect on access to healthcare - A realist review," Health Policy, Elsevier, vol. 124(8), pages 787-795.
    17. Gutacker, Nils & Siciliani, Luigi & Cookson, Richard, 2016. "Waiting time prioritisation: Evidence from England," Social Science & Medicine, Elsevier, vol. 159(C), pages 140-151.
    18. Bruno Martins & Luís Filipe, 2020. "Doctors' response to queues: Evidence from a Portuguese emergency department," Health Economics, John Wiley & Sons, Ltd., vol. 29(2), pages 123-137, February.
    19. Mariotti, Giuliano & Siciliani, Luigi & Rebba, Vincenzo & Coretti, Silvia & Gentilini, Maria, 2022. "Consensus among clinicians on referrals’ priority and use of digital decision-making support systems," Health Policy, Elsevier, vol. 126(9), pages 906-914.
    20. Meliyanni Johar & Elizabeth Savage, 2010. "Do Private Patients have Shorter Waiting Times for Elective Surgery? Evidence from New South Wales Public Hospitals," Economic Papers, The Economic Society of Australia, vol. 29(2), pages 128-142, June.

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:fan:mesame:v:html10.3280/mesa2022-123oa15593. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Stefania Rosato (email available below). General contact details of provider: http://www.francoangeli.it/riviste/sommario.aspx?IDRivista=180 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.