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Open Access Research

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

Pietro Vajro1*, Giulia Paolella1, Egidio Celentano2, Giuseppe Longo2, Tullia Saccheri3, Claudio Pinto4, Giuseppe Masullo3, Virginia Scafarto5 and Attilio Montano Bianchi5

Author Affiliations

1 Chair of Pediatrics, Medical School of the University of Salerno, Salerno, Italy

2 ArSan, Regional Health Agency of Campania Region, Naples, Italy

3 Department of Human Science, Philosophy and Education (DISUFF), University of Salerno, Salerno, Italy

4 Department of Economics and Statistics Science, University of Salerno, Salerno, Italy

5 University Hospital “San Giovanni di Dio e Ruggi d’Aragona”, Salerno, Italy

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Italian Journal of Pediatrics 2012, 38:58  doi:10.1186/1824-7288-38-58

Published: 23 October 2012

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.

Keywords:
Campania region; Southern Italy; Children; Health migration; Interregional mobility