Abstract
BackgroundTo evaluate medical, economical and sociological variables underlying avoidable pediatric migration from Campania region.MethodsAnalysis of years 2006–2010 hospital discharge records, extracted from the archive of Regional Health Agency (ArSan), classified by Major Diagnostic Categories, Aggregate Clinical Codes, Discipline of dismissal, Local Health Authorities of residence, and age group 0–14 years (excluding those of healthy newborns). Sociological variables were evaluated by questionnaires.ResultsA total of 68,316 hospital discharge records were released by extra-regional structures. Major diagnostic categories and Discipline of dismissal indicated that the most implicated diseases (nervous system and mental disorders, hematology-oncology, and bone diseases) were not always of very high complexity. The total cost paid by the Campania Region was 124.700.000 Euros. The need for more specialized hospital pediatric units and/or with more pediatric subspecialties in the native region was pointed out by most of the self-administered questionnaires.ConclusionsPediatric migration is an important phenomenon with evident implications. The identification of the most concerned sub-specialties here reported can give useful information aiming to assist in the improvement of the existing pediatric resources in Campania region in the wider context of the national global child health advancement.
Highlights
Italian health system is based on regional economic resources, most of them being chronically deficient in Southern Italy
The existing ones have shown that pediatric migration in search of better quality health care assistance is a relevant phenomenon in Southern Italy regions, including Campania region [18]
The multidisciplinary research group consisted of the Chair of Pediatrics of the University of Salerno's School of Medicine and Surgery, the Departments of Sociology, and of Economics and Statistics of the University of Salerno, the “San Giovanni di Dio and Ruggi d’Aragona” Regional Teaching Hospital of Salerno, and ArSan (Regional Health Agency) of Campania Region
Summary
Italian health system is based on regional economic resources, most of them being chronically deficient in Southern Italy. When a region is indebted, this determines a frequent reduction in adult and pediatric medical quality of care, One of the natural consequences is patients’ crossborder mobility [2,3,4,5] This phenomenon is Italian [6,7,8,9,10,11,12,13,14,15,16,17], and it has been correlated to important aspects in terms such as quality of services, and economic aspects, and of waiting times, patient’s free choice of hospital, and doctor-patient relationships. Economical and sociological variables underlying avoidable pediatric migration from Campania region
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