Driving time drives the hospital choice: choice models for pelvic organ prolapse surgery in Italy.

ABSTRACT:

Objective

The Italian healthcare jurisdiction promotes patient mobility, which is a major determinant of practice variation, thus being related to the equity of access to health services. We aimed to explore how travel times, waiting times, and other efficiency- and quality-related hospital attributes influenced the hospital choice of women needing pelvic organ prolapse (POP) surgery in Tuscany, Italy.

Methods

We obtained the study population from Hospital Discharge Records. We duplicated individual observations (n = 2533) for the number of Tuscan hospitals that provided more than 30 POP interventions from 2017 to 2019 (n = 22) and merged them with the hospitals' list. We generated the dichotomous variable "hospital choice" assuming the value one when hospitals where patient

SUBMITTER: Ferrari A 

PROVIDER: S-EPMC9833017 | biostudies-literature | 2023 Dec

REPOSITORIES: biostudies-literature