Savings from public procurement centralization in the healthcare system
Bibliographic Data
| ID | 21470911 |
|---|---|
| Authors | Massimiliano Ferraresi (0000-0001-7378-4641, Joint Research Centre, corresponding author), Gianluca Gucciardi (0000-0002-8814-5575, Joint Research Centre), Leonzio Rizzo (0000-0001-8099-8699, University of Ferrara) |
| Year | 2021 |
| Volume | 66 |
| Pages | 101963 |
| Publication date | 2021-01-01 |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | European Journal of Political Economy (JOURNAL) |
| Journal identifiers | ISSN: 0176-2680 • E-ISSN: 1873-5703 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.ejpoleco.2020.101963 |
| OpenAlex | W3093314129 |
| Language | EN |
| Citations received | 5 |
| References cited | 30 |
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
Business · Economic growth · Economics · Economy · Environmental health · Health care · Healthcare system · Language change · Macroeconomics · Per capita · Procurement · Productivity · Public economics · Public expenditure · Public finance · Public health · Public sector · Global Health Care Issues · Healthcare Policy and Management · Healthcare Systems and Reforms · Medicine · Marketing
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| Citations per year | 1.67 |
|---|---|
| Citation span | 2023 - 2026 (4) |
| Highly cited | No |