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Interregional patient mobility in a decentralized healthcare system


  • Silvia Balia
  • Rinaldo Brau
  • Emanuela Marrocu


Interregional patient mobility in a decentralized healthcare system. Regional Studies. Interregional patient mobility, measured as origin–destination patient flows between any two regions, is analysed within a dynamic spatial panel data framework using 2001–10 data on Italian hospital discharges. The aim is to assess the effects of the main determinants of patient flows, distinguishing between the impacts of regional health policies and those exerted by exogenous factors (geography, size, neighbouring regions, national policies). Empirical results indicate that the main drivers of mobility are regional income, hospital capacity, organizational structure, performance and technology. Moreover, neighbouring regions’ supply factors, specialization and performance largely affect mobility by generating significant local externalities.

Suggested Citation

  • Silvia Balia & Rinaldo Brau & Emanuela Marrocu, 2018. "Interregional patient mobility in a decentralized healthcare system," Regional Studies, Taylor & Francis Journals, vol. 52(3), pages 388-402, March.
  • Handle: RePEc:taf:regstd:v:52:y:2018:i:3:p:388-402
    DOI: 10.1080/00343404.2017.1307954

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    Cited by:

    1. Xiang Yan & Dong Dong & Shenjing He & Chris Webster, 2020. "Examining Trans-Provincial Diagnosis of Rare Diseases in China: The Importance of Healthcare Resource Distribution and Patient Mobility," Sustainability, MDPI, Open Access Journal, vol. 12(13), pages 1-11, July.
    2. Paolo Berta & Carla Guerriero & Rosella Levaggi, 2020. "Hospitals' Strategic Behaviours and Patient Mobility: Evidence from Italy," CSEF Working Papers 555, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    3. Anna-Theresa Renner & Dieter Pennerstorfer, 2020. "Modeling inter-regional patient mobility: Does distance go far enough?," Economics working papers 2020-04, Department of Economics, Johannes Kepler University Linz, Austria.
    4. Balia, Silvia & Brau, Rinaldo & Moro, Daniela, 2020. "Choice of hospital and long-distances: Evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 81(C).
    5. Paolo Berta & Carla Guerriero & Rosella Levaggi, 2018. "The dark side of fiscal federalism:evidence from hospital care in Italy," Working papers 72, Società Italiana di Economia Pubblica.

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