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. 2012 Oct 23:38:58.
doi: 10.1186/1824-7288-38-58.

Characterization and burden of Campania children health migration across Italian regions during years 2006-2010: chance and/or necessity?

Pietro Vajro  1 , Giulia Paolella, Egidio Celentano, Giuseppe Longo, Tullia Saccheri, Claudio Pinto, Giuseppe Masullo, Virginia Scafarto, Attilio Montano Bianchi
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Characterization and burden of Campania children health migration across Italian regions during years 2006-2010: chance and/or necessity?

Pietro Vajro et al. Ital J Pediatr. .

Abstract

Background: To evaluate medical, economical and sociological variables underlying avoidable pediatric migration from Campania region.

Methods: Analysis of years 2006-2010 hospital discharge records, extracted from the archive of Regional Health Agency (ArSan), classified by Major Diagnostic Categories, Aggregate Clinical Codes, Discipline of dismissal, Local Health Authorities of residence, and age group 0-14 years (excluding those of healthy newborns). Sociological variables were evaluated by questionnaires.

Results: A total of 68,316 hospital discharge records were released by extra-regional structures. Major diagnostic categories and Discipline of dismissal indicated that the most implicated diseases (nervous system and mental disorders, hematology-oncology, and bone diseases) were not always of very high complexity. The total cost paid by the Campania Region was 124.700.000 Euros. The need for more specialized hospital pediatric units and/or with more pediatric subspecialties in the native region was pointed out by most of the self-administered questionnaires.

Conclusions: Pediatric migration is an important phenomenon with evident implications. The identification of the most concerned sub-specialties here reported can give useful information aiming to assist in the improvement of the existing pediatric resources in Campania region in the wider context of the national global child health advancement.

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Figures

Figure 1
Figure 1
Most frequent causes of health migration in Campania region children.
Figure 2
Figure 2
Most frequent causes of children migration subdivided for provinces.
Figure 3
Figure 3
Pediatric migratory flows from Campania region in years 2002–06 (panel A) and 2006–10 (panel B).
Figure 4
Figure 4
Results of self-administered questionnaires.
See this image and copyright information in PMC

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