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Italian Health Economics Association (AIES)

23rd Annual Conference

NATIONAL HEALTHCARE SYSTEMS AND UNIVERSAL COVERAGE:

ARE THEY STILL FEASIBLE? LESSONS LEARNED AND CHALLENGES AHEAD AFTER 70 YEARS

OF THE BRITISH NHS AND 40 YEARS OF THE ITALIAN NHS

Napoli, 27-29 September 2018

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TABLE OF CONTENT

PROGRAMME OVERVIEW 3

GENERAL INFORMATION 5

SOCIAL PROGRAMME 6

SCIENTIFIC COMMITTEE 7

LOCAL ORGANIZING COMMITTEE 7

DETAILED PROGRAMME 8

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PROGRAMME OVERVIEW

27th September 2018 Registration 9.00 - 10.00 Open ceremony 10.00 - 10-30 Parallel Sessions 10.30 - 12.00 Coffee break 12.00 - 12.15 Plenary Session 12.15 - 13.15 Lunch 13.15 - 14.30 Parallel Sessions 14.30 - 16.00 Coffee break 16.00 - 16.15 Parallel Sessions 16.15 - 17.45 AIES General Assembly 17.45 - 18.45 Social event 18.45 - 20.30 Social dinner 20.30 - 23.00 28th September 2018 Parallel Sessions 9.00 - 10.30 Parallel Sessions 10.30 - 12.00 Coffee break 12.00 - 12.15 Plenary Session 12.15 - 13.15 Lunch 13.15 - 14.15 Parallel sessions 14.15 - 15.45 Coffee break 15.45 - 16.00 Par. Sessions 16.00 - 17.30 Closing ceremony 17.30 - 18.00 Dinner (optional) 20.30 - 23.00 29th September 2018 Networking trip to Ischia 9.00 - 16.00

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GENERAL INFORMATION

Venue

Royal Continental Hotel, Via Partenope 38/44, Lungomare Caracciolo, 80121 Napoli, Italia

Registration desk

Participants can collect conference materials at the registration desk opening on Thursday 27 September at

8.30.

Internet access

You can access the WIFI line connecting to SSID: RG_MEETING, using the password “royalmeeting”.

Further information about Wi-Fi internet connection will be provided at conference registration desk.

Lunches and Coffee breaks

Lunches and coffee breaks will be provided at the Hotel Continental.

Guidelines for sessions

All sessions are “oral sessions” and last 1.5 hour. In sessions with 4 papers speakers will have about 17 min

to present and 5 min for general discussion. In sessions with three papers allocated speakers will have about

22 min to present and 8 min for general discussion. Session chairmen are requested to strictly manage the

allocation of time across speakers.

Conference rooms

All the conference rooms are located inside the conference venue in Royal Hotel and Continental Hotel. The

two hotels are connected by a corridor. Parallel sessions will be held in:

Sala Borbonica Mezzanine floor Continental Hotel Sala Giardino Ground floor Royal Hotel Sala Angioina 1° floor Royal Hotel Sala Capuana 1° floor Royal Hotel

Sala Mirabilis 1° floor Continental Hotel All plenary sessions will be held in Sala Mirabilis. A map of the hotel will be available at registration desk.

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SOCIAL PROGRAMME

Conference dinner

The conference dinner will be held on Thursday 27 September at “Club Nautico della Vela”, Piazzetta dei Marinari 12, 80142, Napoli. All useful information about dietary requirements should be provided at the conference registration desk. Here below is a map with the directions to follow from Hotel Continental to the restaurant Club della Vela.

Proceed in the northwest direction on Piazzetta Marinari towards Via Wagner Riccardo Turn left to stay on Piazzetta Marinari Turn right and take Passaggio Castel dell'Ovo Turn left and take Via Partenope. Your destination is on the right

Networking trip to Ischia Island

Information about networking trip to Ischia and last minute registration fees will be managed at the

conference registration desk.

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SCIENTIFIC COMMITTEE

Giacomo Pasini, University of Ca' Foscari Venezia

Elenka Brenna, University of Cattolica Sacro Cuore Milan

Fabio Amatucci, SDA Bocconi School of Management

Domenico Salvatore, University of Naples Parthenope

Anna Prenestini, SDA Bocconi chool of Management

Edoardo Di Porto, University of Naples Federico II

LOCAL ORGANIZING COMMITTEE

Edoardo Di Porto, University of Naples Federico II

Carla Guerriero, University of Naples Federico II

Imma Marino, University of Naples Federico II

Roberto Nisticò, University of Naples Federico II

Stefania Maddaluno, University of Naples Federico II

Jonathan Pratschke, University of Salerno

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DETAILED PROGRAMME

Thursday, September 27th

9:00 – 10:00– Registration and Welcome Coffee

10:00 - 10:30 – Opening Ceremony (Sala Mirabilis) WELCOME

PROF. GAETANO MANFREDI

CHANCELLOR OF THE UNIVERSITY FEDERICO II

PROF. TULLIO JAPPELLI

HEAD OF THE DEPARTMENT OF ECONOMICS AND STATISTICS, UNIVERSITY FEDERICO II

PROF. VINCENZO ATELLA

PRESIDENT OF THE ITALIAN ASSOCIATION OF HEALTH ECONOMICS

10:30 – 12:00 – Parallel Sessions 1

Session I: Health, labour and the social security system - (English) - Sala Mirabilis

Chair Lara Gitto

[1] A. Ancarani, C. Di Mauro and M.D. Giammanco, “Linking organizational climate to work engagement: a

study in the healthcare sector”.

[2] S. Capecchi, F. Di Iorio and N. Nappo, “Work-related stress within EU28: empirical evidence from the

European Working Conditions Survey”.

[3] V. Beretta, M. Tringali, C. Mazzali et al., “MCDA for Medical Devices evaluation in Lombardy Region”.

Session II Economics of ageing - (English) - Sala Borbonica

Chair Cristina Ugolini

[4] L. Carrino, K. Glaser , M. Avendano, “Later pension, poorer health? Evidence from the new State

Pension age in the UK”.

[5] F. Mazzonna and F. Peracchi, “Self-assessed cognitive abilities and financial wealth: Are people aware of

their cognitive decline?”.

[6] M. Lippi Bruni, C. Ugolini and R. Verzulli, “Do managerial incentives matter? The effect on hip fracture

surgery delays and outcomes”.

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Session III– Evaluation of policy 1 - (English) - Sala Giardino

Chair: Vincenzo Atella

[7] V. Cirulli and G. Marini, “Financial crisis, a usterity, and healthcare in Italy”.

[8] F. Principe and V. Carrieri, “Who and for how long? An empirical analysis of the consumers’ response to

red meat warning”.

[9] M. Bordignon, S. Coretti, M. Piacenza et al. “Hardening sub-national budget constraints via

administrative subordination: the Italian experience of regional Recovery Plans”.

Session IV – Quality and Efficiency - (English) - Sala Angioina

Chair: Anna Prenestini

[10] D. G. Lugo Palacios, B. Gannon, M. Gittins, et al., “Variations in hospital resource use across stroke

care teams in England, Wales and Northern Ireland”.

[11] O. Ciani, S. Walker, F.C. Warren et al., “Exercise Training Meta-Analysis of Trials for Chronic Heart

Failure (ExTraMATCH II): An individual participant data meta-analysis of randomised controlled trials”.

[12] F. Fusco, M. Marsilio and C. Guglielmetti, “Co-production in health care services: what we know, how

can we evaluate it”.

Session V Managed care - (English) - Sala Capuana

Chair: Fabio Amatucci

[13] L. Borsoi , G. Callea, R. Tarricone, “Determinants and pathways of rehabilitation after surgical aortic

valve replacement: a population-based, retrospective study with administrative data”.

[14] P.R. Boscolo, G. Callea, O. Ciani et al. “The emergence of value-based frameworks in healthcare: a

literature review”.

[15] P.R. Boscolo, “Revisiting the innovation journey. The case of home-based renal care”.

[16] C. Federici and G. Callea, “Quantitative methods for the early assessment of health technologies. A

review of the evidence and policy implications”.

12: 00 – 12:15 – Coffee Break

12:15 – 13:15 – Plenary Session: “Performance Measurement and the Limits of Provider Accountability” (Sala Mirabilis). Keynote Speakers: Professor Gary Young

13:15 – 14:30 – Lunch

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14:30 – 16:00 – Parallel Sessions 2

Session I – Applied Health Econometrics 1 - (English) - Sala Mirabilis

Chair: Federico Belotti

[17] T. Boeri, P. Naticchioni. and E. Di Porto, “The effect of “house call” on public employment evidence

from a randomized experiment”.

[18] G. Masiero, F. Mazzonna, O. Verbeek, “What drives the rise of antidepressant consumption? Evidence

from Switzerland”.

[19] M. Auteri, C. Guccio Pammolli F. et al., “Spatial heterogeneity in nonparametric efficiency: an

application to Italian hospitals”.

Session II – Evaluation of policy 2 - (English) - Sala Borbonica

Chair: Elenka Brenna

[20] V. Cirulli and M. Giannoni, “Socio-economic and health determinants of inequalities in diagnostic care

utilization in Italy”.

[21] S. Landi, E. Ivaldi and A. Testi, “Is belonging to a regional health system more important than individual

socioeconomic conditions in creating inequalities in waiting time for health care services? Evidence from

Italy”.

[22] E. Brenna and L. Gitto, “Adult education, the use of Information and Communication Technologies and

the impact on quality of life: a case study”.

Session III – Quality and Efficiency - (Italian) - Sala Giardino

Chair: Francesca Lecci

[23] A. Furnari, F. Lecci and F. Petracca, “Strumenti aziendali di governo clinico per la gestione delle

patologie croniche: grado di diffusione e principali caratteristiche”.

[24] A. Zazzera and F. Longo, “Modello di simulazione del fabbisogno professionale nelle Case della Salute”.

[25] M. Panella, C. Cavicchi, C. Castellucci et al., “L’attività Libero Professionale nelle strategie di value

creation: analisi di un caso studio”.

Session IV – PANEL SESSION - Centralizzazione acquisti di dispositivi medici - (Italian) - Sala Capuana

Chair: Giuditta Callea and Gianluca Postiglione

[26] F. Amatucci, “Procedure di affidamento e strumenti di negoziazione per l’acquisto di beni e servizi

sanitari in Italia”.

[27] L. Borsoi, “Metodologia per l’analisi comparativa dei capitolati di gara dei dispositivi medici”.

[28] S. Ghislandi, “Prezzi di riferimento per dispositivi medici: criticità, vantaggi e possibili approcci”.

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16:00 – 16:15 – Coffee Break

16:15 – 17:45 – Parallel sessions 3

Session I - Valutazione di impatto e HTA - (Italian) - Sala Mirabilis

Chair: Francesco Mennini

[29] C. Nardone, S. Russo, R. Migliorini et al. “La Depressione e le malattie mentali: i costi per il sistema

previdenziale in Italia”.

[30] S. Russo,C. Nardone,R. Migliorini et al. “Costi indiretti delle malattie infiammatorie croniche intestinali:

analisi di dati amministrativi per una valutazione economico sanitario per grado di disabilità”.

[31] M. Giachello: “Alcune considerazioni sulla impact evaluation in campo sanitario”.

[32] F. D’Ambrosio, C. Bini, A. Marcellusi et.al., “Analisi di Impatto di Budget dell’utilizzo di Lurasidone in

Pazienti con Schizofrenia in Italia”.

Session II - Health and environment - (English) - Sala Borbonica

Chair: Cinzia Di Novi

[33] M. Giaccherini, J. Kopinska, A. Palma, “The dangers of air pollution. Evidence on emergency respiratory

diseases in Italy”.

[34] L. Rocco, F. Marino, L. Nunziata, “Radioactivity in the cradle: the effect of Chernobyl fallout on fertility.

Evidence from the Swiss census”.

[35] C. Di Novi, A. Marenzi, “The Smoking Epidemic across Generations, Gender and Educational Groups: A

Matter of Diffusion of Innovations”.

Session III – Applied health econometrics 2 - (English) - Sala Giardino

Chair: Andrea Piano Mortari

[36] C. Pastore, S. Schurer and A. Tymula: “Do economic preferences predict obesity severity? Evidence

from a randomised controlled trial with medically at-risk patients”.

[37] C. Guerriero, “Do Children influence their household choices? Preliminary results from the CHIDLROLE

study”.

[38] V. Atella, F. Belotti, A. Piano Mortari et al., “The role of obesity in disability trends in older European

adults”.

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Session IV - Health care and technologies funding - (Italian) - Sala Angioina

Chair: Edoardo Bevini

[39] E. Perobelli, F. Longo, G. Cinelli et al., “La riallocazione (in)consapevole delle risorse e il tasso di

copertura dei bisogni – il caso del Welfare in un Comune italiano di grandi dimensioni”.

[40] E. Bevini and A. Bonadies, “Reti cliniche e meccanismi di finanziamento: un’analisi del sistema

tariffario. Il caso dell’endoscopia toracica”.

[41] M. Moretti, L. Paleari, E. Ponti et al., “Appropriatezza prescrittiva nell'ipovitaminosi D: analisi farmaco-

economica e percorsi per la Regione Liguria”.

[42] A. Bonadies and C. Gibertoni, “Lean Sei Sigma in area oculistica: analisi e riprogettazione del patient

flow per la minimizzazione del lead time”.

17:30 – 18:30 – Plenary Session (Room magna) General Assembly of AIES Members

20:30 – Conference Social Event

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Friday, September 28th

9:00-10:30 – Parallel Sessions 4

Session I - Determinants of quality and efficiency of health care services - (English) - Sala Mirabilis

Chair: Matteo Lippi Bruni

[43] D. Fiorillo, G. Lubrano Lavadera and N. Nappo, “Psychological health and structural social capital in UK:

A panel analysis”.

[44] S. Bhalotra, A. Menezes and R. Rocha, “Welfare Dependency and Poverty Traps: Evaluating the

contribution of health policy using administrative data”.

[45] G. Crea and V. Beretta, “Socioeconomic status and health behaviours as determinants of wellbeing of chronic patients: an analysis of their trends in Italy”.

Session II - Equity in the healthcare systems - (English) - Sala Borbonica

Chair: Francesca Ferrè

[46] E. Barzan, F. Longo and A. Ricci, “How to Identify the Drivers of Patient Mobility? Critical Review and

Proposal for a Diagnostic Model”.

[47] F. Ferrè, S. Nuti and C. Seghieri, “Determinants of patient choice for breast cancer surgery in Tuscany:

quality and equity services”.

[48] C. Oppi and E. Vagnoni, “Organizational structure in the healthcare system: some evidences from the

Italian strategies on mergers and integrations”.

Session III: Evaluation of healthcare policies - (English) - Sala Giardino

Chair: Francesco Longo

[49] S. Pau, “One Plus One Makes Less than Two? Consolidation Process in Italian Local Health Authorities

and Population Mortality”.

[50] M.Otto, C. Jommy, P. Armeni, et al., “Competition and efficiency in public procurement: a study on the

Italian pharmaceutical market”.

[51] F. Longo, G. Cinelli and F. Petracca, “Long Term Care: pitfalls and economic sustainability of a highly

fragmented system. Comparison between the Italian and the German schemes”.

Session IV – Applied Health Econometrics 2 - (English) - Sala Angioina

Chair: Paolo Naticchioni

[52] V. Atella, F. Belotti, J. Bhattacharya and D. Depalo, “Technological Advance in Cholesterol Medication

Meets Physician Learning: A Non-Parametric Bounding Approach”.

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[53] M. Meregaglia, O. Ciani, H. Banks, et al., “Identification and quality assessment of core outcome sets in

prostate cancer and their ‘mapping’ into real world data sources”.

[54] M. S. Katsaiti, V. Atella, M. Angrisani et al., “Trends in happiness distribution around the world and across population groups: implications for health”.

Session V - Health Care Systems - (English) - Sala Capuana

Chair: Elenka Brenna

[55] V. Mapelli, “How many National Health Services are in the world?”.

[56] V. Cirulli and G. Marini, “Hospital mergers in the English NHS: new results on service mix offer”.

[57] L. Fiestas Navarrete, S. Ghislandi, F. Tediosi, “Impact of universal health coverage on medical care

utilization: Evidence from Ghana”.

[58] I. Ochoa, “Assessing universal healthcare coverage in Mexico”.

10:30 – 12:00 – Parallel Sessions 5

Session I - Administrative data - (English) - Sala Mirabilis

Chair: Silvia Balia

[59] M. Lippi Bruni, I. Mammi and C. Ugolini, “Migrants' access to welfare services: evidence from

emergency care”.

[60] S. Balia, R. Brau and D. Moro, “Hospital choice with high long-distance mobility“.

[61] J. Maystadt and G. Migali, “The transmission of health across 7 generations in China, 1789-1906”.

Session II – PANEL SESSION: Topics in Applied Health Microeconometrics - (English) - Sala Borbonica

Chair: Roberto Nisticò

[62] M. Bertoni, L. Corazzini and S. Robone, “The good outcomes of bad news. A randomized field

experiment on formatting breast cancer screening invitations”.

[63] E. Lucchese, “Ambulances Get Lost: the Problem of Patient Location in Emergency Care”.

[64] C. Deiana, L. Giua and R. Nisticò, “The Economics Behind the Epidemic: Afghan Opium Price and

Prescription Opioids in the US”.

Session III - Evaluation of policy 3 - (English) - Sala Giardino

Chair: Vincenzo Carrieri

[65] V. Atella and F. Decarolis, “Procuring Medical Devices: Evidence from European Public Tenders”.

[66] V. Carrieri, L. Madio and F. Principe, “Light cannabis and organized crime. Evidence from (unintended)

liberalization in Italy”.

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[67] C. Lucifora, A. Russo and D. Vigani, “Does prescriptive appropriateness reduce health expenditure?

Main effects and some unintended outcomes”.

Session IV – Valutazione d’impatto e politiche sanitarie (Italian) - Sala Angioina

Chair: Lara Gitto

[68] R. Viti, A. Marcellusi, C. Bini et al., “Budget Impact Analysis nella gestione dell'agitazione psicomotoria

con loxapina”.

[69] F. Cerza, P. Sciattella, F. Mennini, “Stime di costo delle calcolosi renale. Un’analisi su dati clinico-

amministrativi nazionali e regionali per misurare il burden delle calcolosi renali in Italia”.

[70] G. Fosti, E. Notarnicola, E. Perobelli et al., “L’introduzione di innovazioni tecnologiche nella ‘Ageing

Society’: la prospettiva dei gestori”.

Session V - Health, Labour and the social security system - (English) - Sala Capuana

Chair: Giacomo Pasini

[71] D. Cavapozzi, S. Fiore and G. Pasini, “Divorce and well-being in the short and long-run”.

[72] I. Simonetti, M. Belloni and F. Zantomio, “Acute health shocks and long-term effects on labour market

outcomes”.

[73] N. Nappo, “Working conditions and anxiety. An analysis on Sixth European Working Conditions Survey

data”.

12:00 – 12:15 – Coffee Break

12:15 – 13:15 – Plenary Session: “Efficiency Aspects of Disability Insurance Programs” (Sala Mirabilis). Keynote Speakers: Professor Luigi Pistaferri, Stanford University

13:15 – 14:15 - Lunch

14:15 – 15:45 - Parallel sessions 6

Session I - HTA - (Italian) - Sala Mirabilis

Chair: Andrea Marcellusi

[74] C. Bini, A. Marcellusi, A. Rinaldi et al., “La vaccinazione anti-influenzale con vaccino quadrivalente in

Italia: una analisi di costo-utilità nella popolazione pediatrica”

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[75] C. Rognoni, A. Bertolani and C. Jommi, “Analisi di Impatto sul Budget dei Biosimilari di Rituximab in

Italia: Prospettiva Ospedaliera e del SSN”.

[76] D. Rossi, A. Marcellusi, D’Ambrosio et al., “HTA dei dispositivi di controllo urinario artificiale per il

trattamento dell’incontinenza urinaria maschile grave post-prostatectomia in Italia”.

[77] P. Sciattella and F. Mennini: “Valutazione degli outcome e definizione della popolazione in

prevenzione secondaria per evento aterosclerotico-cardiovascolare mediante real world data”.

Session II – Cost utility analysis - (English) - Sala Borbonica

Chair: Michela Meregaglia

[78] M. Meregaglia, “Mapping EORTC QLQ-C30 and QLQ-H&N35 scores onto EQ-5D-5L utility values in head

and neck cancer”.

[79] E. Pizzo, M. Dumba and K. Lobotesis, “Cost-utility analysis of endovascular thrombectomy between 6

and 24 hours in acute ischemic stroke”.

[80] E. Pizzo, S. Morris, J. Wenborn, et al., “Cost-utility analysis of community occupational therapy in

dementia (COTiD-UK) versus usual care: results from VALID, a multi-site randomized controlled trial in the

UK”.

Session III – The economics of Ageing using SHARE - (English) - Sala Giardino

Chair: Enrica Croda

[81] F. Garbuglia, “Does the Shape of the Utility Function Vary with Health Status? Evidence from SHARE”.

[82] E. Bassoli, A. Brugiavini and I. Mammi, “Changing Preferences at Older Ages”.

[83] E. Croda, J. Skinner and L. Yasaitis, “The Health of Disability Insurance Enrolees: An International

Comparison”.

Session IV – Theoretical issues - (English) - Sala Angioina

Chair: Rosella Levaggi

[84] K. Lamiraud and P. Stadelmann, “Strategic pricing behaviours in the presence of consumer inertia: the

case of health insurance”.

[85] F. Barigozzi, R. Levaggi, and F. Menoncin, “Optimal consumption, portfolio, and long term insurance in

a dynamic framework”.

[86] D. Dragone and D. Raggi, “Testing Rational Addiction: When Lifetime is Uncertain, One Lag is Enough”.

15:45 – 16:00 – Coffee Break

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16:00 – 17:30 - Parallel sessions 7

Session I – PANEL SESSION - Consumi sanitari privati - (Italian) - Sala Mirabilis

Chair: Mario Del Vecchio

[87] M. Del Vecchio, L. Giudice and V. Rappini, “Componenti standard e plus: un modello innovativo di

lettura della spesa sanitaria privata”

[88] M. Cavazza, R. Sigismondo, N. Belluati et al., “Private consumptions in the experience of a collective

private medical insurance in Italy”.

[89] A. Burgio, L. Fenech, L. Iannucci et al., “Determinanti del ricorso alle prestazioni a pagamento in Italia:

visite specialistiche evs accertamenti specialistici”.

Session II – PANEL SESSSION – VISITINPS - (English) - Sala Borbonica

Chair: Vincenzo Atella

[90] V. Atella, E. Di Porto and J. Kopinska, “The long-run impact of WWII on labour outcomes: evidence

from a natural experiment”.

[91] C. Ardito, R. Leombruni, D. Blane et al., “To work or not to work? The effects of higher pension age on

cardiovascular health”.

[92] E. Di Porto and A. Palma, “The Effect of Air Pollution on Labour Supply – evidence from Italian

administrative data”.

Session III – HTA 2 - (English) - Sala Giardino

Chair: Alexandra Torbica

[93] N. Navone, S. Ghislandi, E. Vanni et al.,“To screen or not to screen? Incremental cost-effectiveness

ratio for lung cancer screening among smokers”.

[94] A. Torbica, P. Armeni, R. Taricone et al., “Diffusion without evidence: a study on high-risk medical

devices”.

[95] A. Marcellusi, R. Viti, L. Kondili et al., “Economic consequences of anti-HCV antiviral treatment

investment from the NHS perspective: a real world-based analysis from PITER data”.

Session IV – Evaluation of policies - (English) - Sala Angioina

Chair: Martina Garau

[96] C. Milcent and S. Zbiri, “Cesarean delivery: After a pro-competitive reform”.

[97] G. Bijwaard, G. Conti, S. Poupakis et al., “Health effects of in utero exposure to the Dutch Hunger

Winter”.

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[98] M. Berdud, M. Garau, M. Neri et al., “R&D, Competition and Diffusion of Innovation in EU: the case of

Hepatitis C”.

17:30 – 18:00 – Plenary Session: Closing Ceremony - (Sala Mirabilis) - AIES - Young Researchers Award Ceremony; - Fondazione Farmafactoring Award Ceremony; - Announcement of organizer and location for AIES 2019