Social capital and patients' mobility in Italy

Using a 10-year (2006-15) regional dataset on hospital discharges, we estimate the determinants of Italian regional outflow rates while also including three proxies for social capital: the quality of friendships, the involvement in social activities and the ratio of blood donors to the population. W...

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Bibliographic Details
Published in:Regional studies 2023-05, Vol.57 (5), p.907-919
Main Authors: Ciarrapico, Anna Micaela, Cosci, Stefania, Mirra, Loredana
Format: Article
Language:English
Subjects:
Blood
Blood donors
Cooperation
decentralized health systems
Donors
Friendship
interregional patient mobility
Mobility
Norms
panel model
Patients
Reciprocity
Regions
Social activities
Social capital
spatial spillovers
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Summary:Using a 10-year (2006-15) regional dataset on hospital discharges, we estimate the determinants of Italian regional outflow rates while also including three proxies for social capital: the quality of friendships, the involvement in social activities and the ratio of blood donors to the population. We find a significant push effect from the lack of social capital intended as generalized expectation of cooperative behaviour (proxied by blood donors); this does not hold true for the other two proxies of social capital. The lack of a cultural context where norms of reciprocity matter may reduce regions' ability to retain their patients.
ISSN:0034-3404
1360-0591
DOI:10.1080/00343404.2022.2110225