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Spatial inequality in access to healthcare: evidence from an Italian Alpine region

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  • Giovanni Perucca
  • Massimiliano Piacenza
  • Gilberto Turati

Abstract

Potential access to healthcare facilities is one of the main determinants of health. This study investigates the extent of spatial inequalities in potential access to care, and the relationship between potential access and patients’ behaviour. Taking Piedmont, an Italian Alpine region, as a case study, the analysis emphasizes that potential access is not uniform within the region and lower potential access is associated with other important indicators of socioeconomic deprivation. Moreover, people living in places characterized by poor access tend to use healthcare services less often than other citizens, and to be less mobile than the rest of the population.

Suggested Citation

  • Giovanni Perucca & Massimiliano Piacenza & Gilberto Turati, 2019. "Spatial inequality in access to healthcare: evidence from an Italian Alpine region," Regional Studies, Taylor & Francis Journals, vol. 53(4), pages 478-489, April.
    • Handle: RePEc:taf:regstd:v:53:y:2019:i:4:p:478-489
    DOI: 10.1080/00343404.2018.1462481
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    Cited by:

    1. Camilla Lenzi & Giovanni Perucca, 2021. "Not too close, not too far: Urbanisation and life satisfaction along the urban hierarchy," Urban Studies, Urban Studies Journal Limited, vol. 58(13), pages 2742-2757, October.
    2. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Michela Collaro, 2023. "Measuring Access and Inequality of Access to Health Care: a Policy-Oriented Decomposition," CSEF Working Papers 666, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    3. Sergio Beraldo & Michela Collaro & Immacolata Marino, 2020. "Do Harder Local Budget Constraints Affect Patient Mobility?," CSEF Working Papers 580, Centre for Studies in Economics and Finance (CSEF), University of Naples, Italy.
    4. Vidoli, Francesco & Auteri, Monica, 2022. "Health-care demand and supply at municipal level: A spatial disaggregation approach," Socio-Economic Planning Sciences, Elsevier, vol. 84(C).
    5. Massimo Bordignon & Silvia Coretti & Massimiliano Piacenza & Gilberto Turati, 2020. "Hardening subnational budget constraints via administrative subordination: The Italian experience of recovery plans in regional health services," Health Economics, John Wiley & Sons, Ltd., vol. 29(11), pages 1378-1399, November.
    6. 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).
    7. Maria Gunko & Benoit Conti & Alexander Sheludkov & Sophie Baudet-Michel & Anastasia Novkunskaya, 2024. "Lost in transformation: comparative analysis of healthcare provision dynamics within urban systems of European Russia and France," Post-Print hal-03771480, HAL.
    8. Giuseppe Arbia & Paolo Berta & Carrie B. Dolan, 2022. "Locational error in the estimation of regional discrete choice models using distance as a regressor," The Annals of Regional Science, Springer;Western Regional Science Association, vol. 69(1), pages 223-238, August.
    9. Antonio Abatemarco & Massimo Aria & Sergio Beraldo & Francesca Stroffolini, 2020. "Measuring Disparities in Access to Health Care: A Proposal Based on an Ex-ante Perspective," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 150(2), pages 549-568, July.
    10. Ali Hosseini & Ebrahim Farhadi & Fatema Hussaini & Ahmad Pourahmad & Nooshin Seraj Akbari, 2022. "Analysis of spatial (in)equality of urban facilities in Tehran: an integration of spatial accessibility," Environment, Development and Sustainability: A Multidisciplinary Approach to the Theory and Practice of Sustainable Development, Springer, vol. 24(5), pages 6527-6555, May.

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