LA MOBILITÀ EXTRA-REGIONALE. I DIVERSI TIPI DI MOBILITÀ E ANALISI DELLE SPESE PER TIPOLOGIA DI PRESTAZIONE IN SICILIA ATTRAVERSO L’USO DELLA BASE DATI

Research output: Other contribution

Abstract

[automatically translated] Introduction. It is known as a phenomenon that often faaumentare healthcare costs without affecting the quality of care is the health mobility. On the other hand, the health mobility is a right of citizens that they can turn to qualsiasistruttura, without territorial restrictions, to seek an answer to their needs. Aims. This paper aims to examine some of the main features of the extra-regional mobility, or passive mobility, defined by those living in the region who benefit from health care in regions other than one's own. Through the use of the BDA - developed as part of the Operational Plan of Technical Assistance to the regions of the Convergence Objective (POAT) presented by the Ministry of Health, from 2007 to 2013, where the regional government is actively involved - you want to distinguish and analyze different types of mobility: true mobility and false mobility. Methods. With the BDA was possible to distinguish different set of subjects in relation to some characteristics. subjects who receive no benefits were distinguished: - only in Sicily (permanent); - Both in the region and outside the region, but with a general practitioner (GP) in the region (Vera Mobility); - Both in the region and outside the region macon general practitioner (GP) outside the region (False Mobility); - Only outside the region, with or without a doctor outside the region (False Mobility). Results. Mobility in Sicily, in 2011, affected 3.5% of subjects, while spending on mobility, for the three types of tested performance (hospital, specialist outpatient and pharmaceutical), it amounts to approximately 237 million euro (5% of the total). True mobility absorbs much of the spending (over 80%), while the false mobility spending is around 19.4%. The composition of expenditure in relation to the three streams is rather different between true and false mobility and sedentary. This is because anyone who goes outside the region specifically to take advantage of health benefits (true mobility) has health problems that require very expensive hospital treatment (eg. Tumors). On the contrary, the subjects in the false feature of mobility very similar to those of sedentary subjects consumption, since their being out of the region is not determined by the nature of health aspects, but from other reasons (eg. Of work). Conclusions. The mobility study is of particular importance, and because it involves aspects of an economic nature of transfers from one region to another, and because, in some respects, it can serve as an indicator of quality of care provided by the different regions. Importantly in relation to the reasons determining the health mobility actions will be necessary different programmers. Set by this perspective, the BDA is a valuable, if not indispensable, to support health planning tool. Importantly in relation to the reasons determining the health mobility actions will be necessary different programmers. Set by this perspective, the BDA is a valuable, if not indispensable, to support health planning tool. Importantly in relation to the reasons determining the health mobility actions will be necessary different programmers. Set by this perspective, the BDA is a valuable, if not indispensable, to support health planning tool.
Original languageItalian
Publication statusPublished - 2013

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