Inter-regional patient mobility in decentralised Spain: Explaining regional budget imbalances.

Autor: Cruz-Martinez G; Complutense University of Madrid, Madrid, Spain., Perna R; Institute of Public Goods and Policies, CSIC, Madrid, Spain., Moreno Fuentes FJ; Institute of Public Goods and Policies, CSIC, Madrid, Spain.
Jazyk: angličtina
Zdroj: The International journal of health planning and management [Int J Health Plann Manage] 2024 Sep; Vol. 39 (5), pp. 1202-1222. Date of Electronic Publication: 2024 Feb 23.
DOI: 10.1002/hpm.3794
Abstrakt: Inter-regional patient mobility represents both a resource and a challenge for the organization and financing of health systems, particularly in decentralised countries. We use cross-sectional time series regression analysis to test the determinants of imbalances in regional funds to finance inter-regional patient mobility for the 17 Spanish regions for the period 2014-2020. The findings indicate that highly specialised health centres and bilateral agreements partly explain the budget imbalance from inter-regional patient referrals, while local tourism partly explains the budget imbalance from non-referred patient mobility. Developing effective national schemes to compensate net patient recipient regions would be fundamental to addressing territorial imbalances.
(© 2024 The Authors. The International Journal of Health Planning and Management published by John Wiley & Sons Ltd.)
Databáze: MEDLINE
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