Exploring health outcomes by stochastic multi-objective acceptability analysis: an application to Italian regions
This paper introduces the Stochastic Multi-Objective Acceptability Analysis (SMAA) in order to investigate the evolution of mortality rates in the Italian regions over the period 1990-2013. We propose to explore the overall outcome of health care by a Composite Index (CI) of mortality based on the combination of standardized mortality rates for seventeen different diseases. From a methodological standpoint, we propose to overcome the arbitrary of the weighting process, by using the SMAA, which is a methodology that allows to rank regions considering the whole set of possible vectors of weights. Moreover, we explore the spatial segregation in health using the multidimensional generalization of the Gini index, and introducing the multidimensional generalization of ANOGI. The unprecedented use of SMAA in health sector allows to explore regional multidimensional paths beyond the order of importance given to the single dimensions. Our analysis shows that in the 24 years considered there has been no convergence path in terms of health care outcome in Italy, neither between nor within regions.
|Date of creation:||Jul 2017|
|Contact details of provider:|| Postal: Campus Universitario As Lagoas s/n , 32004 Ourense|
Phone: (+34) 988 368 725
Web page: http://infogen.webs.uvigo.es
More information through EDIRC
References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64, pages 416-416.
- Carinci, Fabrizio & Caracci, Gianni & Di Stanislao, Francesco & Moirano, Fulvio, 2012. "Performance measurement in response to the Tallinn Charter: Experiences from the decentralized Italian framework," Health Policy, Elsevier, vol. 108(1), pages 60-66.
- Chang, Virginia W. & Christakis, Nicholas A., 2005. "Income inequality and weight status in US metropolitan areas," Social Science & Medicine, Elsevier, vol. 61(1), pages 83-96, July.
- Cappellaro, Giulia & Fattore, Giovanni & Torbica, Aleksandra, 2009. "Funding health technologies in decentralized systems: A comparison between Italy and Spain," Health Policy, Elsevier, vol. 92(2-3), pages 313-321, October.
- Ferrè, Francesca & Cuccurullo, Corrado & Lega, Federico, 2012. "The challenge and the future of health care turnaround plans: Evidence from the Italian experience," Health Policy, Elsevier, vol. 106(1), pages 3-9.
- Paolo Liberati, 2015.
"The World Distribution of Income And Its Inequality, 1970–2009,"
Review of Income and Wealth,
International Association for Research in Income and Wealth, vol. 61(2), pages 248-273, 06.
- Paolo Liberati, 2012. "The world distribution of income and its inequality, 1970 - 2009," Departmental Working Papers of Economics - University 'Roma Tre' 0163, Department of Economics - University Roma Tre.
- Deaton, Angus & Lubotsky, Darren, 2003. "Mortality, inequality and race in American cities and states," Social Science & Medicine, Elsevier, vol. 56(6), pages 1139-1153, March.
- Angus Deaton & Darren Lubotsky, 2001. "Mortality, Inequality and Race in American Cities and States," NBER Working Papers 8370, National Bureau of Economic Research, Inc.
- Angus Deaton & Darren Lubotsky, 2002. "Mortality, inequality and race in American cities and states," Working Papers 204, Princeton University, Woodrow Wilson School of Public and International Affairs, Research Program in Development Studies..
- Angus Deaton & Darren Lubotsky, 2002. "Mortality, inequality and race in American cities and states," Working Papers 263, Princeton University, Woodrow Wilson School of Public and International Affairs, Center for Health and Wellbeing..
- Tervonen, Tommi & Lahdelma, Risto, 2007. "Implementing stochastic multicriteria acceptability analysis," European Journal of Operational Research, Elsevier, vol. 178(2), pages 500-513, April.
- Iñaki Permanyer, 2011. "Assessing The Robustness Of Composite Indices Rankings," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(2), pages 306-326, 06.
- Yitzhaki, Shlomo & Lerman, Robert I, 1991. "Income Stratification and Income Inequality," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 37(3), pages 313-329, September.
- Floridi, Matteo & Pagni, Simone & Falorni, Simone & Luzzati, Tommaso, 2011. "An exercise in composite indicators construction: Assessing the sustainability of Italian regions," Ecological Economics, Elsevier, vol. 70(8), pages 1440-1447, June.
- Lahdelma, Risto & Hokkanen, Joonas & Salminen, Pekka, 1998. "SMAA - Stochastic multiobjective acceptability analysis," European Journal of Operational Research, Elsevier, vol. 106(1), pages 137-143, April.
- Ferrario, Caterina & Zanardi, Alberto, 2011. "Fiscal decentralization in the Italian NHS: What happens to interregional redistribution?," Health Policy, Elsevier, vol. 100(1), pages 71-80, April.
- Risto Lahdelma & Pekka Salminen, 2001. "SMAA-2: Stochastic Multicriteria Acceptability Analysis for Group Decision Making," Operations Research, INFORMS, vol. 49(3), pages 444-454, June.
- M. Saisana & A. Saltelli & S. Tarantola, 2005. "Uncertainty and sensitivity analysis techniques as tools for the quality assessment of composite indicators," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 168(2), pages 307-323.
- Jeroen Klomp & Jakob Haan, 2010. "Measuring Health: A Multivariate Approach," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 96(3), pages 433-457, May.
- Vincenzo Patrizii & Giuliano Resce, 2015. "Public Sector Contribution To Competitiveness," Italian Economic Journal: A Continuation of Rivista Italiana degli Economisti and Giornale degli Economisti, Springer;Società Italiana degli Economisti (Italian Economic Association), vol. 1(3), pages 401-443, November.
- Yitzhaki, Shlomo, 1994. "Economic distance and overlapping of distributions," Journal of Econometrics, Elsevier, vol. 61(1), pages 147-159, March.
- Tediosi, Fabrizio & Gabriele, Stefania & Longo, Francesco, 2009. "Governing decentralization in health care under tough budget constraint: What can we learn from the Italian experience?," Health Policy, Elsevier, vol. 90(2-3), pages 303-312, May.
- Emma Medin & Fanny Goude & Hans Olav Melberg & Fabrizio Tediosi & Eva Belicza & Mikko Peltola, 2015. "European Regional Differences in All‐Cause Mortality and Length of Stay for Patients with Hip Fracture," Health Economics, John Wiley & Sons, Ltd., vol. 24, pages 53-64, December.
- Shi, Leiyu & Macinko, James & Starfield, Barbara & Politzer, Robert & Xu, Jiahong, 2005. "Primary care, race, and mortality in US states," Social Science & Medicine, Elsevier, vol. 61(1), pages 65-75, July. Full references (including those not matched with items on IDEAS)
When requesting a correction, please mention this item's handle: RePEc:gov:wpregi:1703. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Patricio Sanchez-Fernandez)
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 references are entirely missing, you can add them using this form.
If the full references list an item that is present in RePEc, but the system did not link 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 profile, as there may be some citations waiting for confirmation.
Please note that corrections may take a couple of weeks to filter through the various RePEc services.