Preprint Article Version 1 Preserved in Portico This version is not peer-reviewed

The Hospital Emigration to Another Region in the Light of the Environmental, Social and Governance Model in Italy During the Period 2004-2021

Version 1 : Received: 30 December 2023 / Approved: 2 January 2024 / Online: 3 January 2024 (02:01:44 CET)

How to cite: Resta, E.; Resta, O.; Costantiello, A.; Leogrande, A. The Hospital Emigration to Another Region in the Light of the Environmental, Social and Governance Model in Italy During the Period 2004-2021. Preprints 2024, 2024010034. https://doi.org/10.20944/preprints202401.0034.v1 Resta, E.; Resta, O.; Costantiello, A.; Leogrande, A. The Hospital Emigration to Another Region in the Light of the Environmental, Social and Governance Model in Italy During the Period 2004-2021. Preprints 2024, 2024010034. https://doi.org/10.20944/preprints202401.0034.v1

Abstract

The following article presents an analysis of the impact of the Environmental, Social and Governance-ESG determinants on Hospital Emigration to Another Region-HEAR in the Italian regions in the period 2004-2021. The data are analysed using Panel Data with Random Effects, Panel Data with Fixed Effects, Pooled Ordinary Least Squares-OLS, Weighted Least Squares-WLS, and Dynamic Panel at 1 Stage. Results show that HEAR is negatively associated to E, positively to S and negatively associated to the G within the ESG model. The data were subjected to clustering with a k-Means algorithm optimized with the Silhouette coefficient. The optimal clustering with k=2 is compared to the sub-optimal cluster with k=3. The results suggest a negative relationship between the resident population and hospital emigration at regional level. Finally, a prediction is proposed with machine learning algorithms classified based on statistical performance. The results show that the Artificial Neural Network-ANN algorithm is the best predictor. The ANN predictions are critically analyzed in light of health economic policy directions.

Keywords

Analysis of Health Care Markets; Health Behaviors; Health Insurance; Public and Private; Health and Inequality; Health and Economic Development; Government Policy; Regulation; Public Health

Subject

Business, Economics and Management, Econometrics and Statistics

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