an assessment of effects of socioeconomic status, employment type, and employee benefits on italian...
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![Page 1: An Assessment of Effects of Socioeconomic Status, Employment Type, and Employee Benefits on Italian Healthcare Access and Delivery in Milan](https://reader036.vdocuments.us/reader036/viewer/2022062806/5697bfe21a28abf838cb43fd/html5/thumbnails/1.jpg)
An Assessment of Effects of Socioeconomic Status, Employment
Type, and Employee Benefits on Italian Healthcare Access and Delivery in Milan
![Page 2: An Assessment of Effects of Socioeconomic Status, Employment Type, and Employee Benefits on Italian Healthcare Access and Delivery in Milan](https://reader036.vdocuments.us/reader036/viewer/2022062806/5697bfe21a28abf838cb43fd/html5/thumbnails/2.jpg)
Survey
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Italian Translation
![Page 4: An Assessment of Effects of Socioeconomic Status, Employment Type, and Employee Benefits on Italian Healthcare Access and Delivery in Milan](https://reader036.vdocuments.us/reader036/viewer/2022062806/5697bfe21a28abf838cb43fd/html5/thumbnails/4.jpg)
14
16FM
Survey Sample
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20-30 30-40 40-50 50-60 60-700
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Sample Pool by Age Group
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Government Private Sector Self Employed0
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4
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20
7
19
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Survey Sample Pool
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a. Less than 500
b. 500-1000
c. 1000-1500
d. 1500-2000
e. 2000-2500
f. 2500-3000
g. 3000-3500
h. 3500-4000
i. Over 4000
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Sample Pool by Income Level
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a. Less than 500
b. 500-1000 c. 1000-1500
d. 1500-2000
e. 2000-2500
f. 2500-3000 g. 3000-3500
h. 3500-4000
i. Over 40000
0.5
1
1.5
2
2.5
3
3.5
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2
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1 11 1
2 2
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Income vs. EducationAssociate's
Bachelor's
Doctorate
High School
High School
Master's
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Research Results
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Quality of Care
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0
5
10
15
20
25
30
6
9
13
7
24
21
16
23
1
Quality of CareNo
Yes
No Answer
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Satisfied with Primary Care Physician Choices?
Satisfied with Specialists Choices?
Broad Range of Services Offered?
Time Spent Adequate?0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
20%
30%
43%
23%
80%
70%
53%
77%
Quality of Care
No Yes
![Page 13: An Assessment of Effects of Socioeconomic Status, Employment Type, and Employee Benefits on Italian Healthcare Access and Delivery in Milan](https://reader036.vdocuments.us/reader036/viewer/2022062806/5697bfe21a28abf838cb43fd/html5/thumbnails/13.jpg)
Access to Care
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Primary Physician Care Specialist Care Diagnostic Tests0
5
10
15
20
25
23
2120
7
9
10
Access to CareChallenges Faced While Seeking?
No Yes
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Primary Physician Care Specialist Care Diagnostic Tests0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
77%
70%67%
23%
30%33%
Access to CareChallenges Faced While Seeking:
No Yes
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Wait Period for Physician Appointment: Average: 11.94 days Max: 90 days Min: 0 days
Wait Period in Physician’s Clinic: Average: 2.52 hours Max: 12 hours Min: 30 minutes
Access to Care
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Cost of Care
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Out of Pocket Pay? Out of Pocket Pay Significant?0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
41%
76%
59%
24%
Cost of CareNo Yes
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Opinions on Insurance Systems
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Satisfied with Public Insurance? Purchase Private if More Options?0%
10%
20%
30%
40%
50%
60%
70%
80%
27%
53%
73%
47%
Insurance OptionsNo Yes
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Major Observations:In Conjunction with Income
Levels
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A greater number of individuals with monthly incomes lower than €2000 thought that public health insurance did not provide a broad range of services than did individuals with monthly incomes higher than €2000 (29.17% vs. 15.56%)
Quality of Care
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A greater number of individuals with monthly incomes lower than €2000 faced challenges in seeking primary physician care than did individuals with monthly incomes higher than €2000 (13.33% vs. 8.89%)
A greater number of individuals with monthly incomes lower than €2000 faced challenges in seeking specialist care than did individuals with monthly incomes higher than €2000 (21.67% vs. 8.89%)
A greater number of individuals with monthly incomes lower than €2000 faced challenges in seeking diagnostic tests than did individuals with monthly incomes higher than €2000 (25% vs. 10%)
Access to Care
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Individuals with monthly incomes lower than €2000 spent SIGNIFICANTLY more time on an average waiting for a physician’s appointment than did individuals with monthly incomes higher than €2000 (10.9 days vs. 1.43 days)
Individuals with monthly incomes lower than €2000 spent SIGNIFICANTLY more time on an average waiting their appointment at the doctor’s clinic than did individuals with monthly incomes higher than €2000 (2.23 vs 0.44 hours or 134 vs. 27 minutes)
Access to Care
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A greater number of individuals with monthly incomes lower than €2000 made out of pocket contributions to healthcare than did individuals with monthly incomes higher than €2000 (45.85% vs. 13.33%)
These out of pocket contributions were more likely to represent a significant portion of the take-home income for individuals with monthly incomes lower than €2000 than for individuals with monthly incomes higher than €2000 (16.67% vs. 0%)
Cost of Care
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A greater number of individuals with monthly incomes lower than €2000 were satisfied with the public health insurance system than were individuals with monthly incomes higher than €2000 (50% vs. 24.44%)
A greater number of individuals with monthly incomes lower than €2000 were open to purchasing private insurance if it translated to more coverage options and more efficient care than were individuals with monthly incomes higher than €2000 (26.67% vs. 17.78%)
Opinions on Health Insurance Systems
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“We don’t have insurance here.”
“I would be willing to buy [private] health insurance only if I wouldn't deposit [more] money to the state, as the taxes that I pay are much more than enough. Unfortunately, [not purchasing one] affects our [healthcare options].”
“[Our system] doesn't [allow you to see the same] professional doctor for specialist care. [Therefore, there is] discomfort with the continuity of care.”
Additional Comments
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Regional Disparity High quality service within public healthcare
framework in the North Not the same story in the South, hence push for
private coverage
Non-emergency care wait times long across the nation Example: cataract surgery wait times around 9-12
months
Interview w/ Dr. Stefano Rusconi
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Some Pictures