Atti del 52° Congresso Nazionale: Società Italiana di Igiene, Medicina Preventiva e Sanità Pubblica (SItI)

The analysis used administrative data, obtained from regional routine flows, such as hospital discharge records related to 2013-2018 period. The data were extracted from administrative healthcare data routinely collect data about ED accesses, hospitalizations, outpatient visits, diagnostic tests, treatments and medical fee exemptions financed by public health funding. They are transmitted by the Ligurian Local Health Agencies (LHAs) and hospitals to A.Li.Sa, where the completeness and quality of data is verified, and then sent to the national Ministry of Health. Healthcare data routinely collected by the public funded LHAs and hospitals were used to assess the impact, in terms of health demand, production and passive mobility, for the pre and post institution period of the Breast Unit. An ad hoc analysis was carried out in order to assess if the adoption of a centralized model leads to significant improvements for the regional health system.