Perceived quality and formation of inter-regional networks of health care migration
In the paper we test the hypothesis if the perceived quality of the hospital servicesÂ (medical, assistance and hygienic) can be considered a drive factor of theÂ interregional health migration in the sense that it influence the predictedÂ probability of a ties formation between two regional healthcare systems. At thisÂ end several exponential random graph model are estimated introducing theÂ perceived quality as a node-level characteristic. The analysis show that theÂ perceived quality factor in the hospitals services is statistically significant andÂ positively related to the probability to observe ties between two Regions. ThatÂ homophily effect do not exist between Regions with the same regional healthcareÂ system but the effect appear at level of geographical area. Finally the access factorÂ do not influence this predicted probability, on the contrary, in some case theÂ estimated parameter of the access factor is negatively related to it. Yet, theÂ estimated parameter of the equipment factor is statistically significant andÂ positively related to the predicted probability to observe ties between two RegionsÂ in four type of networks on five considered. So, we can conclude that theÂ perceived quality factor in the hospital services is not the only drive factor forÂ the travel for health motivation between two Regions, but also the technologicalÂ level have a role, meanwhile the access is often negatively related at the predictÂ probability to observe a tie.JEL classification numbers: H75,I30,C15,D71Keywords: health migration, aggregate choices, network formation, perceivedÂ quality.
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