We show that the introduction of the procurement centralization within the regional healthcare systems in Italy reduced per capita health expenditure approximatelyt by 2–8%, without affecting the level of health-related public services. Our results also indicate that the effect is persistent after six years, and is not influenced by the coexistence of other organizational models, such as amalgamation and hybrid systems. Finally, we document that the reduction in public expenditure is effective only in areas characterized by poor quality of institutions, indicating that procurement centralization might be an effective tool to reduce corruption-related inefficiencies in the health sector.

Ferraresi, M., Gucciardi, G., Rizzo, L. (2021). Savings from public procurement centralization in the health care system. EUROPEAN JOURNAL OF POLITICAL ECONOMY, 66, 1-19 [10.1016/j.ejpoleco.2020.101963].

Savings from public procurement centralization in the health care system

Gianluca, Gucciardi;
2021

Abstract

We show that the introduction of the procurement centralization within the regional healthcare systems in Italy reduced per capita health expenditure approximatelyt by 2–8%, without affecting the level of health-related public services. Our results also indicate that the effect is persistent after six years, and is not influenced by the coexistence of other organizational models, such as amalgamation and hybrid systems. Finally, we document that the reduction in public expenditure is effective only in areas characterized by poor quality of institutions, indicating that procurement centralization might be an effective tool to reduce corruption-related inefficiencies in the health sector.
Articolo in rivista - Articolo scientifico
Healthcare public expenditure; Purchase centralization; Quality of institutions;
English
13-ott-2020
2021
66
1
19
101963
open
Ferraresi, M., Gucciardi, G., Rizzo, L. (2021). Savings from public procurement centralization in the health care system. EUROPEAN JOURNAL OF POLITICAL ECONOMY, 66, 1-19 [10.1016/j.ejpoleco.2020.101963].
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/10281/415824
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