Modeling Public Health Care Expenditure Using Patient Level Data: Empirical Evidence from Italy

36 Pages Posted: 12 Feb 2016  

Vincenzo Atella

University of Rome, Tor Vergata - Centre for International Studies on Economic Growth (CEIS); Department of Economics and Finance; University of Rome, Tor Vergata - Faculty of Economics

Federico Belotti

University of Rome, Tor Vergata - Department of Economics and Finance; University of Rome, Tor Vergata - Centre for Economics and International Studies (CEIS)

Valentina Conti

University of Rome, Tor Vergata

Claudio Alberto Cricelli

Simg

Joanna Kopinska

University of Rome, Tor Vergata - Faculty of Economics; University of Rome, Tor Vergata - Centre for International Studies on Economic Growth (CEIS)

Andrea Piano Mortari

CEIS Tor Vergata

Date Written: February 10, 2016

Abstract

In this work we present some results obtained with a unique database of patient level data collected through GPs. The availability of such data opens new scenarios and paradigms for the planning and management of the health care system and for policy impact evaluation studies. The data set, representative of the Italian population, contains detailed information on prescribed drugs, laboratory tests, outpatient visits and hospitalizations of more than 2 millions patients, managed by 900 GPs overtime. This pool of registers has produced a stock of information on about 25 millions of medical diagnosis, 100 millions of laboratory and diagnostic tests, 10 millions of blood pressure measurements and 50 millions of drug prescriptions. Using this novel data set we analyze the expenditures of the Italian NHS over time, across age and geographical areas for the period from 2004 to 2011.

Keywords: cost analysis, big data, disease burden, Electronic Medical Records, primary care, cost sharing

JEL Classification: I18, C55, C81

Suggested Citation

Atella, Vincenzo and Belotti, Federico and Conti, Valentina and Cricelli, Claudio Alberto and Kopinska, Joanna and Piano Mortari, Andrea, Modeling Public Health Care Expenditure Using Patient Level Data: Empirical Evidence from Italy (February 10, 2016). CEIS Working Paper No. 367. Available at SSRN: https://ssrn.com/abstract=2730682 or http://dx.doi.org/10.2139/ssrn.2730682

Vincenzo Atella (Contact Author)

University of Rome, Tor Vergata - Centre for International Studies on Economic Growth (CEIS) ( email )

Via Columbia, 2
Rome, I-00133
Italy
+39 06 72595648 (Phone)

Department of Economics and Finance ( email )

Via Columbia 2
Roma, 00133
Italy

University of Rome, Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
I-00133 Rome, 00133
Italy
+39 06 72595635 (Phone)
+30 06 2020 500 (Fax)

HOME PAGE: http://www.economia.uniroma2.it/sefemeq/professori/atella/

Federico Belotti

University of Rome, Tor Vergata - Centre for Economics and International Studies (CEIS) ( email )

Via Columbia, 2
Rome, RM 00133
Italy

University of Rome, Tor Vergata - Department of Economics and Finance

Via Columbia 2
Rome, RM 00133
Italy

Valentina Conti

University of Rome, Tor Vergata ( email )

Via di Tor Vergata
Rome, Lazio 00133
Italy

Claudio Alberto Cricelli

Simg ( email )

Pignoncino11
Firenze, 50142
Italy

Joanna Kopinska

University of Rome, Tor Vergata - Faculty of Economics ( email )

Via Columbia n.2
Rome, rome 00100
Italy

University of Rome, Tor Vergata - Centre for International Studies on Economic Growth (CEIS) ( email )

Via Columbia, 2
Rome
Italy

Andrea Piano Mortari

CEIS Tor Vergata ( email )

via Columbia, 2
Rome, rome 00133
Italy

HOME PAGE: http://www.ceistorvergata.it/area.asp?a=539&oc=817&d=1128

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