Inter-regional patient mobility in decentralised Spain: Explaining regional budget imbalances.
Int J Health Plann Manage
; 39(5): 1202-1222, 2024 Sep.
Article
in En
| MEDLINE
| ID: mdl-38393967
ABSTRACT
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.
Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Politics
/
Budgets
Limits:
Humans
Country/Region as subject:
Europa
Language:
En
Journal:
Int J Health Plann Manage
Journal subject:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Year:
2024
Document type:
Article
Affiliation country:
España
Country of publication:
Reino Unido