Inter-regional patient mobility in decentralised Spain: Explaining regional budget imbalances.
Int J Health Plann Manage
; 39(5): 1202-1222, 2024 Sep.
Article
en 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.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Política
/
Presupuestos
Límite:
Humans
País/Región como asunto:
Europa
Idioma:
En
Revista:
Int J Health Plann Manage
Asunto de la revista:
PESQUISA EM SERVICOS DE SAUDE
/
SERVICOS DE SAUDE
Año:
2024
Tipo del documento:
Article
País de afiliación:
España
Pais de publicación:
Reino Unido