Patient Cross-Border Mobility: New Findings and Implications in Spanish Regions

Blázquez‐Fernández, Carla; Cantarero, David; Pascual-Sáez, Marta

doi:10.14254/2071-789x.2017/10-1/1

Cited by 9 publications

(9 citation statements)

References 33 publications

(27 reference statements)

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“…Those affected should take care to relieve symptoms. People with serious illnesses are hospitalized (Blázquez-Fernández et al, 2017;Dapas et al, 2019;Dumitrescu et al, 2014;Zavadil et al, 2020). Most patients recover from the care they receive in the early stages (Malaspina et al, 2019).…”

Section: Literature Reviewmentioning

confidence: 99%

Major structural changes in the EU policies due to the problems and risks caused by COVID-19

Androniceanu

2020

RAMP

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The COVID-19 pandemic has a major effect on the world economy and the world's population. Statistics show worryingly, at the beginning of May there were almost 4 million diseases and almost 250,000 deaths in the world. More than 1 million diseases are registered in the USA, Italy, Great Britain, Spain, France, and Russia. This extremely difficult context has led us to make a comparative analysis of the measures that the governments of the states of the European Union have taken to manage it. Our paper analyses the cooperation between the European Union and the states in the context of the COVID-19 pandemic. The paper contains some recommendations for the governments of the Member States to solve the problems of their health systems and to relaunch the economy in the European space. The results of the research are useful and interesting for the governments of the EU member states, which should have a unitary and coherent strategy to avoid economic and social imbalances. The recommendations contained in this paper can be a reference and source of inspiration for the EU institutions to develop a coherent strategy for a rapid social and economic recovery.

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Section: Literature Reviewmentioning

confidence: 99%

Major structural changes in the EU policies due to the problems and risks caused by COVID-19

Androniceanu

2020

RAMP

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“…Patients who do not receive care, concerning either the quantity or the type of the assistance, are forced to choose between long waiting times and migration. Intuitively, but also according to evidence from Italy 20 and Spain, 4 a low endowment of beds is the key determinant of patient outflows. Indeed, other relevant proxies of availability, such as human resources or per capita expenditure for healthcare 4 are related to the number of beds.…”

Section: Mobility Drivers: Developing a New Assessment Modelmentioning

confidence: 99%

“…Intuitively, but also according to evidence from Italy 20 and Spain, 4 a low endowment of beds is the key determinant of patient outflows. Indeed, other relevant proxies of availability, such as human resources or per capita expenditure for healthcare 4 are related to the number of beds. It is true that many countries (including Italy) have decreased the hospital supply.…”

Section: Mobility Drivers: Developing a New Assessment Modelmentioning

confidence: 99%

“…22 and Blázquez-Fernández et al. 4 consider perceived quality of utmost importance. According to Nante et al., 20 patient inflows “are the gold indicators of quality in health planning” (p. 334).…”

Section: Mobility Drivers: Developing a New Assessment Modelmentioning

confidence: 99%

“…Since 20 years, these countries have registered relevant patient flows towards regions with higher levels of socio-economic status and service quality. 3,4 Such trends let patients living in less developed areas access high-quality services without additional charges. However, mobility has drawbacks.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

How to identify the drivers of patient inter-regional mobility in beveridgean systems? Critical review and assessment matrix for policy design & managerial interventions

Rícci

Barzan

Longo

2020

Health Serv Manage Res

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Decentralized, tax-funded health systems like Italian and Spanish ones reveal relevant internal patient flows, raising concerns in terms of equity, budget imbalances, and unexploited economies of scale at the regional and organizational level. However, policymakers lack effective tools to rapidly identify the causes of patient outflows in Beveridgean healthcare systems. We address the gap by conducting a critical review of the drivers of patient mobility. Elaborating on existing knowledge, we propose a concise, versatile assessment matrix to help policymakers in understanding the most relevant causes of mobility. Specifically, we identify three main categories of drivers: insufficient service availability, poor (perceived) quality, and regulatory issues. We include appropriate indicators to identify each driver, or mix of drivers. For each of them, we also propose specific policy and organizational responses. The applicability of the model is proven by an empirical test using the Italian national hospital discharge database for all inter-regional inpatient mobility flows. In addition to adding to previous contributions on mobility drivers by creating a model that informs policymakers’ understanding and actions, the paper provides an innovative approach to patient mobility by proposing a model that, for the first time, primarily focuses on the clinical discipline of the flows.

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Austerity, healthcare provision, and health outcomes in Spain

2019

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The recession that started in the United States in December 2007 has had a significant impact on the Spanish economy through a large increase in the unemployment rate and a long recession which led to tough austerity measures imposed on public finances. Taking advantage of this quasi-natural experiment, we use data from the Spanish Ministry of Health from 1997 to 2014 to provide novel causal evidence on the short-term impact of health care provision on health outcomes. The fact that regional governments have discretionary powers in deciding health care budgets and that austerity measures have not been implemented uniformly across Spain helps isolate the impact of these policy changes on health indicators of the Spanish population. Using Ruhm's (2000) fixed effects model, we find that staff or hospital bed reductions account for a significant increase in mortality rates from cardiovascular disease and external causes, for 25-34 and 65-74 year-old groups, and in the late foetal mortality rate. Mortality rates, however, do not seem to be robustly affected by the 2012 changes in retirees' pharmaceutical co-payments. Contrary to expectations, we find some evidence of reduced mortality rates for cancer and female cancer as a result of the 2012 changes in migrants' access restrictions to the Spanish NHS. Overall, our analyses suggest that short-term impacts of decreases in health care provision on mortality are significant but small. However, impacts prove to be economically and quantitatively significant in the case of fatalities due to external causes, especially accidental deaths.

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Patient Cross-Border Mobility: New Findings and Implications in Spanish Regions

Cited by 9 publications

References 33 publications

Major structural changes in the EU policies due to the problems and risks caused by COVID-19

Major structural changes in the EU policies due to the problems and risks caused by COVID-19

How to identify the drivers of patient inter-regional mobility in beveridgean systems? Critical review and assessment matrix for policy design & managerial interventions

Austerity, healthcare provision, and health outcomes in Spain

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