How do hospital-specialty characteristics influence health system responsiveness? An empirical evaluation of in-patient care in the Italian Region of Emilia-Romagna

Fiorentini, Gianluca ; Robone, Silvana ; Verzulli, Rossella (2016) How do hospital-specialty characteristics influence health system responsiveness? An empirical evaluation of in-patient care in the Italian Region of Emilia-Romagna. Bologna: Dipartimento di Scienze economiche DSE, p. 34. DOI 10.6092/unibo/amsacta/5414. In: Quaderni - Working Paper DSE (1077). ISSN 2282-6483.
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Abstract

Several studies of health system responsiveness focus on the demand-side by investigating the association between socio-demographic characteristics of patients and their reported level of responsiveness. However, little is known about the influence of supply-side factors. This paper addresses that research gap by analysing the role of hospital-specialty characteristics in explaining variations in patients’ evaluation of responsiveness from a sample of about 38,700 in-patients treated in public hospitals within the Italian Region of Emilia-Romagna. The analysis is carried out by adopting a two-step procedure. First, we use patients’ self-reported data to derive five measures of responsiveness at the hospital-specialty level. By estimating a generalised ordered probit model, we are able to correct for variations in individual reporting behaviour due to the health status of patients and their experience of being in pain. Secondly, we run cross-sectional regressions in order to investigate the association between patients’ responsiveness and potential supply-side drivers, including waiting times, staff workload, the level of spending on non-clinical facilities, the level of spending on staff education and training, and the proportion of staff expenditure between nursing and administrative staff. Results suggest that responsiveness is to some extent influenced by the supply-side drivers considered.

Abstract
Document type
Monograph (Working Paper)
Creators
CreatorsAffiliationORCID
Fiorentini, GianlucaUniversità di Bologna0000-0003-4197-9924
Robone, SilvanaUniversità dell’Insubria0000-0003-1293-6511
Verzulli, RossellaUniversità di Bologna0000-0001-5944-4421
Keywords
Health systems’ responsiveness, health system performance, ordered response data, reporting heterogeneity, supply-side drivers, Italy
Subjects
ISSN
2282-6483
DOI
Deposit date
16 Sep 2016 10:06
Last modified
08 May 2017 14:21
URI

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