Statistical analysis of service
demand
Federica Arnone - DISPEA, Politecnico di Torino - luglio 2010
1. Demand for ambulatory care services



Healthcare services required
Clinical laboratory analysis and diagnostic imaging
Population mobility
2. Offer of healthcare services





Provider localization
Ambulatory care providers
Hospitals
Emergency arrivals at the hospitals
Family doctor offices
2
1. Demand for ambulatory care
services
3
1.1. Medical specialties required
Medical specialties
nephrology
cardiology
ophthalmology
rehabilitation
obstetrics and gynecology
psychiatry
neurology
oncology
child neuropsichiatry
dietetics
pneumology
radiation treatment
otolaryngology
gastroenterology
dermatology
general surgery
odontostomatology
orthopedics and traumatology
urology
allergology
cardiovascular surgery
plastic surgery
anesthesia
neurosurgery
endocrinolgy
N° of ambulatory
care services
56431
44034
35704
27667
24119
20087
12905
12873
9615
8776
8460
8029
6241
6139
6041
5927
5601
4823
2913
2159
1766
1345
162
51
9
18%
Demand for ambulatoty care services: main medical
specialties required
14%
11%
9%
nephrology
cardiology
ophthalmology
Medical branches
rehabilitation
8%
obstetrics and
gynecology
4
1.2. Main typologies of elementary
healthcare services required
Main typologies of healthcare services required
11%
7%
electrocardiogram
physical examination
(1)
6%
physical examination
(2)
6%
physical examination
(3)
Elementary healthcare services
5
1.3. Clinical laboratory analysis and
diagnostic imaging (1)
 About the 34% of the total demand refers to laboratory analysis tests
 Elementary services are recorded in the database with the center
identification code where the specimens have been tested (and not where
they have been taken from patients)
 About the 3% of the total demand refers to diagnostic imaging tests
Medical specialties
Clinical laboratory analysis (98)
Diagnostic imaging (69)
Diagnostic imaging (61)
Total (all medical specialties)
Total (98,69,61)
N° of healthcare services per year
2549350
2101952: provided by the LHA of Asti to residents
352723: provided by other LHAs to residents
94675: required by non-residents
197920
145467: provided by the LHA of Asti to residents
43429: provided by other LHAs to residents
9024: required by non-residents
3645
3: provided by the LHA of Asti to residents
3642: provided by other LHAs to residents
0: required by non-residents
4811300
2750915
%
100%
82%
14%
4%
100%
73%
22%
5%
100%
0%
100%
0%
100%
57%
6
1.3. Clinical laboratory analysis and
diagnostic imaging (2)
Percentage of laboratory analysis and diagnostic imaging tests referred
to the total of healthcare services supplied
Clinical laboratory analysis (98)
Diagnostic imaging (61)
Diagnostic imaging (69)
Total (other medical specialties)
7
1.4. Population mobility
Demand from the territory: percentage of supplied
services depending on the provider
87%
13%
Healthcare services supplied
by the LHA of Asti
Healthcare services supplied
by other LHAs
Demand from inside/outside the territory: percentage
of services supplied by the LHA of Asti
94%
6%
Healthcare services supplied
to residents
Healthcare services supplied
to non-residents
8
1.5. Medical specialties required
(external providers)
Main healthcare services demanded to external providers
16%
15%
13%
10%
6%
cardiology
rehabilitation
ophthalmology
obstetrics and
gynecology
neurology
Medical specialties
9
1.6. External healthcare service
providers
Main external providers: percentage of healthcare services demanded by residents
20%
15%
12%
11%
7%
Novi Luigure (LHA
122)
SS. Antonio e
Biagio - C. Arrigo
hospital
(Alessandria)
Alba-Bra (LHA
118)
Giovanni Battista
hospital (Turin)
O.I.R.M./S. Anna
pediatric hospital
(Turin)
6%
Chieri (LHA 108)
5%
Torino (LHA 1o1)
Providers
10
1.7. Demand for ambulatory care
services
10%
Demand for ambulatory care services: contributions of
individual demand centers
8%
Asti (excluded) = 43%
6%
5%
5%
4%
4%
3%
3%
3%
3%
2%
1%
cp07
cp13
cp03
cp10
cp11
cp06
cp05
cp02
cp09
cp08
cp12
cp04
cp01
Demand centers
11
1.8. Hospitalizations
Hospitalizations: contributions of individual demand centers
12%
Asti (excluded) = 37%
10%
6%
6%
5%
4%
3%
3%
3%
3%
3%
3%
1%
cp07
cp13
cp03
cp10
cp06
cp11
cp05
cp02
cp04
cp09
cp08
cp12
cp01
Demand centers
12
1.9. Emergency admissions
10%
9%
Emergency admissions: contributions of individual
demand centers
6%
Asti (excluded) = 43%
6%
5%
4%
cp07
cp13
cp10
cp03
cp11
cp05
3%
cp02
3%
cp06
3%
cp12
3%
cp09
3%
cp08
1%
1%
cp04
cp01
Demand centers
13
2. Offer of healthcare services
14
2.1. Localization of healthcare service
providers
15
2.2. Healthcare service providers:
ambulatory cares
N° of HS
HS providers
Typology
N° of
specialties
156303
000670-Cardinal G. Massaia Hospital-ASTI
Medical office
23
25520
001125-Centro dialisi, via baracca-ASTI
Dialysis center
1
21171
500077-Centro diagnostico Cernaia-ASTI
Medical office
5
19653
000672- Ospedale-NIZZA MONFERRATO
Medical office
16
16596
000359-via Orfanotrofio-ASTI
Medical office
16
9904
040916-Centro dialisi-CANELLI
Dialysis center
1
7819
500075-San Giuseppe-ASTI
Medical office
4
6693
041254-Dip. Salute mentale-ASTI
Mental health center
1
5280
000815-S.O.C. Psicologia clinica della
salute-ASTI
Clinical psychology center
2
5126
040489-S.O.C. Patologia da dipendenzeASTI
Dependence pathology center
2
3987
040491-Centro di salute mentale
Vallebelbo-NIZZA MONFERRATO
Mental health center
1
3339
001130-Ambulatorio territoriale-ASTI
Medical office
13
2897
040487-Consultorio Asti Centro-ASTI
Consulting room
2
2086
041028-Consultorio-VILLANOVA
Consulting room
1
2038
040498-Consultorio Asti Sud-ASTI
Consulting room
2
1231
040493-S.O.C. patologie da dipendenza
Vallebelbo-NIZZA MONFERRATO
Dependence pathology center
2
431
000365-Ambulatorio-SAN DAMIANO
Medical office
5
16
2.3. Percentage of healthcare services
supplied per provider
Main healthcare centers of the LHA of Asti: percentage of services supplied
54%
9%
000670-Cardinal G.
Massaia HospitalASTI
001125-Dyalisis
center, via baraccaASTI
7%
500077-Diagnostic
center Cernaia-ASTI
7%
000672- HospitalNIZZA MONFERRATO
6%
000359-via
Orfanotrofio-ASTI
Healthcare centers
17
2.4. Number of specialties supplied
per medical office
23
Healthcare centers of the LHA of Asti: number of medical specialties supplied
20
16
13
5
000670-Cardinal
G. Massaia
Hospital-ASTI
000359-via
Orfanotrofio-ASTI
000672- HospitalNIZZA
MONFERRATO
001130-Territorial 500077-Diagnostic
Medical officecenter CernaiaASTI
ASTI
5
000365-Medical
office-SAN
DAMIANO
4
500075-San
Giuseppe-ASTI
Ambulatory care clinics
18
2.5. Hospital admissions
N° of hospital
admissions
78%
Localization
Typology
19222
1000801-Pres. Osp.
Cardinal G. Massaia
Asti
Hospital
2381
1063800-S. Giuseppe
Asti
Nursing home
1999
1000802-Pres. Osp. di
Nizza Canelli
Nizza Monferrato
Hospital
692
1065400- Guttuari
surgery center
Asti
Surgery center
484
1063900-S. Anna
Asti
Nursing home
Healthcare centers of the LHA of Asti: percentage of hospital admissions
10%
1000801-Pres. Osp.
Cardinal G. Massaia
HS providers
1063800-S. Giuseppe
8%
1000802-Pres. Osp. di
Nizza Canelli
3%
1065400- Guttuari
surgery center
2%
1063900-S. Anna
Healthcare centers
19
2.6. Arrivals at the emergency
department
Admissions
HS providers
55586
10048
01000801- Pres.
Osp. Cardinal G.
Massaia Hospital
01000802-Pres.
Osp. Of Nizza
Canelli
Localization
Typology
Emergency department
Nizza Monferrato
Emergency department
Healthcare centers of the LHA of Asti: percentage of arrivals at
the emergency department
85%
15%
1000801-Pres. Osp. Cardinal G. Massaia
1000802-Pres. Osp. di Nizza Canelli
Emergency departments
20
2.7. Admissions at the emergency
department: triage codes
Admissions at the emergency department : triage codes
69%
17%
13%
1%
1 - white
2 - green
3 - yellow
4 - red
Codes
21
2.8. Percentage of ambulance arrivals
per hospital
Percentage of ambulance arrivals at the
emergency department
26%
18%
Asti
Nizza Monferrato
Hospitals
22
2.9. Municipalities with family doctor
offices
N° of municipalities
with family doctor offices with pediatrician offices
N° of medical offices
none
11
95
1
47
11
from 2 to 3
34
none
from 4 to 6
10
1
from 7 to 10
3
none
more than 10
2
none
Municipalities with family doctor offices
50
45
N°of municipalities
40
35
30
47
25
20
34
15
10
5
11
10
3
0
none
1
from 2 to 3
from 4 to 6
from 7 to 10
2
more than 10
N°of family doctor offices
23