TY - JOUR
T1 - Savings from public procurement centralization in the healthcare system
AU - Ferraresi, Massimiliano
AU - Gucciardi, Gianluca
AU - Rizzo, Leonzio
N1 - Publisher Copyright:
© 2020 The Authors
PY - 2021/1
Y1 - 2021/1
N2 - 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.
AB - 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.
KW - Healthcare public expenditure
KW - Purchase centralization
KW - Quality of institutions
UR - https://www.scopus.com/pages/publications/85094612785
U2 - 10.1016/j.ejpoleco.2020.101963
DO - 10.1016/j.ejpoleco.2020.101963
M3 - Article
SN - 0176-2680
VL - 66
JO - European Journal of Political Economy
JF - European Journal of Political Economy
M1 - 101963
ER -