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What is Patients’ Mobility

Handbook of Research on Modernization and Accountability in Public Sector Management
The movements of patients outside their residential area. The phenomenon refers to patients entitled to access healthcare services by the affiliation to public health systems or private health insurers in privately funded systems.
Published in Chapter:
Governing Patients' Mobility to Pursue Public Value: A System Dynamic Approach to Improve Healthcare Performance Management
Francesca Costanza (University LUMSA, Palermo, Italy)
DOI: 10.4018/978-1-5225-3731-1.ch013
This chapter combines traditional performance management and system dynamics simulation modelling to address patients' mobility issues and pursue public value. The Italian case study is a first illustration of travelling flows' causal structure; however, the perspective is to introduce such methodological approach also at European level. After a literature review about the main factors inducing healthcare mobility, the phenomenon is explored in light of public management theories. Then, a model portrays the causal structure of the phenomenon in terms of system dynamics and performance management items. There follows a discussion of theoretical and managerial implications of the study, as well as ideas and issues for next research steps.
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