2026-06-29T08:09:29Zhttps://docta.ucm.es/rest/oai/request

oai:docta.ucm.es:20.500.14352/1017422025-03-18T12:47:12Zcom_20.500.14352_14col_20.500.14352_15

Inter-regional patient mobility in decentralised Spain: explaining regional budget imbalances Cruz Martínez, Gibrán Alberto Perna, Roberta Moreno Fuentes, Francisco Javier Balance of payments Bilateral agreements Cross-border patient mobility Decentralization Healthcare National health system España Sistema Nacional de Salud Política Economía pública 3212 Salud Publica 59 Ciencia Política 5309 Organización Industrial y Políticas Gubernamentales Inter-regional patient mobility represents both a resource and a challenge for the organization and financing of health systems, particularly in decentralised countries. We use cross-sectional time series regression analysis to test the determinants of imbalances in regional funds to finance inter-regional patient mobility for the 17 Spanish regions for the period 2014–2020. The findings indicate that highly specialised health centres and bilateral agreements partly explain the budget imbalance from inter-regional patient referrals, while local tourism partly explains the budget imbalance from non-referred patient mobility. Developing effective national schemes to compensate net patient recipient regions would be fundamental to addressing territorial imbalances. INAP Ministerio de Ciencia e Innovación Depto. de Ciencia Política y de la Administración Fac. de Ciencias Políticas y Sociología TRUE pub 2024-02-26T18:24:41Z 2024-02-26T18:24:41Z 2024-02 journal article VoR https://hdl.handle.net/20.500.14352/101742 0749-6753 10.1002/hpm.3794 1099-1751 eng PID2019‐109650RB‐I00 Cruz-Martínez, G., R. Perna y FJ Moreno Fuentes (2024) Inter-regional patient mobility in decentralized Spain: Explaining regional budget imbalances. International Journal of Health Planning and Management. https://doi.org/10.1002/hpm.3794 Attribution-NonCommercial-ShareAlike 4.0 International http://creativecommons.org/licenses/by-nc-sa/4.0/ open access application/pdf Wiley