Crocetti E, Geddes da Filicaia M, Crotti N, Dell'Olio E, Spigai R
U.O. Epidemiologia SMPO USL 10, Firenze.
Epidemiol Prev. 1997 Apr-Jun;21(2):100-5.
In the present issue, the report "L'assistenza sanitaria all'estero-rapporti economici nei confronti dei Paesi CEE" by the Italian Health Ministry has been examined. The frequency and the cost of the health migration among Italy and other countries of the European Community during 1990-1993 has been presented. The migration of foreign patients to Italy was in agreement with tourism. About 35-40% of the Italian patients cured in the European Community were tourists. The others were patients migrated to obtain specialised treatments not available in Italy. The most frequent causes of migration were cancer, emathological diseases and radiotherapy, followed by transplants, neurological, cardiovascular and orthopaedic diseases. France was the most frequent destination. The overall cost of Italian health migration was 229 Pounds miliard in 1990, 300 Pounds miliard in 1991, and 264 and 216 Pounds miliard in 1992-1993. In the period analysed in the ministerial report, migration seemed to reduce. Migration however was still important especially from the South of Italy. The effect of the new regulations on the decreasing trend in migration was analysed.
在本期中,对意大利卫生部的报告《国外医疗援助——与中东欧国家的经济关系》进行了审视。文中呈现了1990 - 1993年期间意大利与欧洲共同体其他国家之间医疗移民的频率和成本。外国患者前往意大利就医与旅游情况相符。在欧洲共同体治愈的意大利患者中,约35% - 40%是游客。其他患者则是为了获得意大利没有的专科治疗而移民。最常见的移民原因是癌症、血液疾病和放疗,其次是移植、神经、心血管和骨科疾病。法国是最常去的目的地。1990年意大利医疗移民的总成本为2290亿英镑,1991年为3000亿英镑,1992 - 1993年分别为2640亿英镑和2160亿英镑。在部长级报告所分析的时期内,移民似乎有所减少。然而,移民仍然很重要,尤其是来自意大利南部的移民。分析了新规定对移民减少趋势的影响。