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1.
BMC Public Health ; 24(1): 1880, 2024 Jul 15.
Article in English | MEDLINE | ID: mdl-39009998

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. Furthermore, to control endogeneity we also created instrumental variable models for each component of the ESG model. Results show that HEAR is negatively associated to the E, S and G component 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.


Subject(s)
Hospitals , Italy , Humans , Hospitals/statistics & numerical data , Neural Networks, Computer , Emigration and Immigration/statistics & numerical data , Algorithms , Environment , Cluster Analysis
2.
Environ Pollut ; 348: 123807, 2024 May 01.
Article in English | MEDLINE | ID: mdl-38522606

ABSTRACT

This article contributes to the scant literature exploring the determinants of methane emissions. A lot is explored considering CO2 emissions, but fewer studies concentrate on the other most long-lived greenhouse gas (GHG), methane which contributes largely to climate change. For the empirical analysis, a large dataset is used considering 192 countries with data ranging from 1960 up to 2022 and considering a wide set of determinants (total central government debt, domestic credit to the private sector, exports of goods and services, GDP per capita, total unemployment, renewable energy consumption, urban population, Gini Index, and Voice and Accountability). Panel Quantile Regression (PQR) estimates show a non-negligible statistical effect of all the selected variables (except for the Gini Index) over the distribution's quantiles. Moreover, the Simple Regression Tree (SRT) model allows us to observe that the losing countries, located in the poorest world regions, abundant in natural resources, are those expected to curb methane emissions. For that, public interventions like digitalization, green education, green financing, ensuring the increase in Voice and Accountability, and green jobs, would lead losers to be positioned in the winner's rankings and would ensure an effective fight against climate change.


Subject(s)
Greenhouse Gases , Methane , Methane/analysis , Climate Change , Carbon Dioxide/analysis
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