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La mobilità transfrontaliera dei pazienti: un’analisi del fenomeno in Italia
Journal Title: MECOSAN 
Author/s: Denita Cepiku, Benedetta Marchese, Federico Spandonaro 
Year:  2019 Issue: 112 Language: Italian 
Pages:  22 Pg. 61-82 FullText PDF:  525 KB
DOI:  10.3280/MESA2019-112004
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In a framework of increasing globalization, healthcare systems are facing new challenges for the governance of patient care. The study has a starting point the analysis of the literature on cross-border healthcare, addressing the issue from the point of view of European, national and regional policies, strategies of healthcare providers and determinants of patient’s behaviour. It aims at focusing attention on the dimensions that the phenomenon of cross-border healthcare has assumed in Italy, through the elaboration of data provided by the Ministry of Health. Finally, relevant implications to public policies are identified, leading to the definition of a multilevel model for the governance of European cross-border healthcare, and ideas for future research are suggested.
Keywords: Patient mobility, cross-border healthcare, Italy.

  1. Bobini M., Cinelli G., Gugiatti A., Petracca F. (2019). La struttura e le attivita del SSN. In: Cergas
  2. Bocconi (a cura di). Rapporto OASI 2019. Milano: Egea.
  3. Brouwer W., Van Exel J., Hermans B., Stoop A. (2003). Should I Stay or Should I Go? Waiting Lists and Cross-border Care in the Netherlands. Health Policy, 63: 289-298.
  4. Bustamante A.V. (2014). Globalization and medical tourism: The North American experience; comment on “Patient mobility in the global marketplace: A multidisciplinary perspective”. International Journal of Health Policy and Management, 3(1): 47-49.
  5. Commissione europea (2014). Patient safety and quality of care, Special Eurobarometer 411. -- https://ec.europa.eu/health/sites/health/files/patient_safety/docs/ebs_411_en.pdf.
  6. Commissione europea (2015). Patients’ rights in crossborder healthcare in the European Union, Special Eurobarometer 425. -- http://ec.europa.eu/commfrontoffice/publicopinion/archives/ebs/ebs_425_sum_en.pdf.
  7. Greer S.L. (2011). The weakness of strong policies and the strength of weak policies: Law, experimentalist governance, and supporting coalitions in European Union health care policy. Regulation &Governance, 5: 187-203. Groene O., Sunol R. (2010). Factors associated with the implementation of quality and safety requirements for cross-border care in acute myocardial infarction: Results from 315 hospitals in four countries. Health Policy, 98(2-3): 107-113.
  8. Horowitz M.D., Rosensweig J.A. (2008). Medical Tourism vs. Traditional International Medical Travel: A Tale of Two Models. IMTJ – International Medical Travel Journal, 3: 30-33.
  9. Horton S., Cole S. (2011). Medical Returns: Seeking Health Care in Mexico. Social Science &Medicine, 72(11): 1846-1852.
  10. ISTAT (2013). Aspetti della vita quotidiana.
  11. Jenkins R. (2004). Globalization, production, employment and poverty: debates and evidence. Journal of International Development, 16(1): 1-12.
  12. Lega F., Hiedemann A.M. (2014). Turismo della salute: definizione, driver e opportunita di business per l’Italia.
  13. In: Cergas Bocconi (a cura di). Rapporto OASI 2014. Milano: Egea.
  14. Legido-Quigley H., Glinos I.A., Baeten R., Mckee M., Busse R. (2012). Analysing arrangements for cross-border mobility of patients in the European Union: a proposal for a framework. Health Policy, 108(1): 27-36.
  15. Lunt N., Mannion R. (2014). Patient mobility in the global marketplace: A multidisciplinary perspective. International Journal of Health Policy and Management, 2(4): 155-7.
  16. Mainil T., Van Loon F., Dinnie K., Botterill D., Platenkamp V., Meulemans H. (2012). Transnational health care: from a global terminology towards transnational health region development. Health Policy, 108: 37-44.
  17. Ministero della Salute (2011). Relazione sullo Stato Sanitario del Paese 2009-2010.
  18. Nordeng Z., Veggeland F. (2018). The implementation of European Union (EU) rules on cross-border care: moving towards convergence?. Health Economics, Policy and Law, 1-19.
  19. Ormond M. (2013). Harnessing “Diasporic” Medical Mobilities. In: Thomas F. and Gideon J. (eds.). Migration, Health and Inequality, 150-162. London: Zed Books.
  20. Ormond M. (2015). Solidarity by Demand? Exit and Voice in International Medical Travel – The Case of Indonesia. Social Science & Medicine, 124: 305-312.
  21. Ormond M. (2016). Knowledge Transfer in the ‘Medical Tourism’ Industry: The Role of Transnational Migrant Patients and Health Workers. In: Felicity T. (edited by). Handbook of Migration and Health, pp. 498-514. London: Edward Elgar.
  22. Ormond M., Lunt N. (2019). Transnational medical travel: patient mobility, shifting health system entitlements and attachments. Journal of Ethnic and Migration Studies, 1-14.
  23. Patients Beyond Borders (2017). Medical Tourism Statistics & Facts. -- https://patientsbeyondborders.com/medical-tourism-statistics-facts.
  24. Peter C., Sauer K. (2011). A survey of medical tourism service providers. Journal of Marketing Development and Competitiveness, 5(3): 117-126.
  25. Pioggia A. (2018). Diritto sanitario e dei servizi sociali. Torino: G. Giappichelli Editore.
  26. Sciachi A. (2016). Aiop: “Il flop cure transfrontaliere”. Sanità24 – Il Sole 24 ore, 12 dicembre.
  27. Sime D. (2014). ‘I Think that Polish Doctors are Better’: Newly Arrived Migrant Children and Their Parents’ Experiences and Views of Health Services in Scotland. Health & Place, 30: 86-93.
  28. Snyder J., Crooks V.A., Adams K., Kingsbury P., Johnston R. (2011). The ‘patient’s physician onestep removed’: the evolving roles of medical tourism facilitators. Global Medical Ethics, 37(9): 530-534.
  29. Şekercan A., Lamkaddem M., Snijder M.B., Peters R.J.G., Essink-Bot M.L. (2015). Healthcare Consumption by Ethnic Minority People in their Country of Origin. The European Journal of Public Health, 25(3): 384-390.
  30. Şekercan A., Woudstra A.J., Peters R.J.G., Lamkaddem M., Akgun S., Essink-Bot M.L. (2018). Dutch Citizens of Turkish Origin Who Utilize Healthcare Services in Turkey: A Qualitative Study on Motives and Contextual Factors. BMC Health Services Research, 18(1): 289.
  31. Wismar M., Palm W., Van Ginneken E., Busse R., Ernst K., Figueras J. (2011). The Health Service Initiative: supporting the construction of a framework for cross-border health care. In: Wismar M., Palm W., Figueras J., Ernst K. and van Ginneken E. (eds.). Cross-border health care in the European Union. Mapping and analysing practices and policies. Copenhagen: WHO Regional Office for Europe.
  32. Commissione europea (2018). Relazione della Commissione al Parlamento europeo e al Consiglio sul funzionamento della Direttiva 2011/24/UE concernente l’applicazione dei diritti dei pazienti relativi all’assistenza sanitaria transfrontaliera, COM(2018)651 final. -- https://eur-lex.europa.eu/legal-content/IT/TXT/?uri=CELEX:52018DC0651.
  33. Commission Staff Working Document (2008).
  34. Accompanying document to the Proposal for a Directive of the European Parliament and of the Council on the application of patients’ rights in cross-border healthcare, Impact assessment SEC(2008) 2163. -- Testo disponibile al sito: https://ec.europa.eu/health/archive/ph_overview/co_operation/healthcare/docs/impact_assessment_en.pdf.
  35. Connell J. (2013). Contemporary medical tourism: Conceptualisation, culture and commodification. Tour Management, 34: 1-13.
  36. Dietrich V. (1999). Liberalization of health services in Europe: Who benefits from cross-border care?. IWH Discussion Papers, No. 107, Institut fur Wirtschaftsforschung Halle (IWH), Halle (Saale). -- http://nbn-resolving.de/urn:nbn:de:gbv:3:2-18064.
  37. Direzione Generale della Programmazione Sanitaria del Ministero della Salute (2017). Rapporto annuale sull’attività di ricovero ospedaliero (Dati SDO 2016). -- http://www.salute.gov.it/imgs/C_17_pubblicazioni_2651_allegato.pdf.
  38. Durham J., Blondell S.J. (2017). A realist synthesis of cross-border patient movement from low and middle income countries to similar or higher income countries. Globalization and Health, 13(1).
  39. ENPAM-EURISPES (2017). 1° Rapporto sul sistema sanitario italiano, Il termometro della salute.
  40. France G. (1997). Cross-border flows of Italian patients within the European Union. An international trade approach. European Journal of Public Health, 7(3): 18-25.
  41. Giacomelli G., Longo F. (2012). La mobilita internazionale dei pazienti nella Ue: determinanti, rilevanza, regole e tendenze. Mecosan, 81: 105-117.
  42. Gill H., Singh N. (2011). Exploring the Factors that Affect the Choice of Destination for Medical Tourism. Journal of Service Science and Management, 4(3): 315-324.
  43. Glinos I.A., Baeten R. (2006). A Literature Review of Cross-Border Patient mobility in the European Union. Observatoire social européen.
  44. Glinos I.A., Baeten R., Helble M., Maarse H. (2010). A typology of cross-border patient mobility. Health and Place, 16: 1145-55.
  45. Glinos I.A., Baeten R., Maarse H. (2010). Purchasing health services abroad: Practices of cross-border contracting and patient mobility in six European countries. Health Policy, 95(2-3): 103-12.
  46. Glinos I.A., Doering N., Maarse H. (2012). Travelling home for treatment and EU patients’ rights to care abroad: Results of a survey among German students at Maastricht University. Health Policy, 105(1): 38-45.
  47. Gobbi B. (2014). Cure all’estero, parte la Schengen sanitaria. Sanità24 – Il Sole 24 ore, 28 febbraio.
  48. Gobbi B., Magnano R. (2013). Cure transfrontaliere lumaca. I nodi: tariffe, database e autorizzazioni – Task force ministero-Regioni. Sanità24 – Il Sole 24 ore, 9-15 luglio.

Denita Cepiku, Benedetta Marchese, Federico Spandonaro, in "MECOSAN" 112/2019, pp. 61-82, DOI:10.3280/MESA2019-112004

   

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