L’efficienza dei sistemi sanitari regionali in Italia: pubblico o privato?

Titolo Rivista ECONOMIA E POLITICA INDUSTRIALE
Autori/Curatori Greta Falavigna, Roberto Ippoliti
Anno di pubblicazione 2013 Fascicolo 2013/2
Lingua Italiano Numero pagine 21 P. 29-49 Dimensione file 208 KB
DOI 10.3280/POLI2013-002002
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The paper sets out to analyze the efficiency of regional health care systems based on the patients’ perception of the quality of the services provided. For the purpose of this study, efficiency is measured as interregional mobility, i.e., the number of a region’s residents that use the services of the regional health care system (positive mobility) and the number of non-regional patients that travel specifically to the host region to benefit from its medical care (negative mobility). Given the widespread take-up of social networks, the study assumes that people are willing to travel to areas where the quality of medical care is perceived to be higher. The first step was to perform a data envelopment analysis to obtain the efficiency scores. The second step consisted of conducting a regression analysis to respond to the paper’s main research question: to what extent might the public sector play a role in the efficiency of regional health care systems? The empirical evidence suggests that the privatization process of regional health care systems has failed to raise the efficiency of these particular suppliers in terms of the patients’ perception of the quality of their medical treatments.

Parole chiave:Analisi regionale, efficienza, DEA (data envelopment analysis), sistema sanitario

Jel codes:I11

  1. Zhou P., Ang B.W., Poh K.L. 2008. A survey of data envelopment analysis in energy and environmental studies. European Journal of Operational Research, 189 (1): 1-18 DOI: 10.1016/j.ejor.2007.04.042
  2. Anonimo. 2011. Sanità: giudici Milano, per pazienti Santa Rita spiccato danno morale. Liberoquotidiano.it, published online
  3. Banker R.D., Charnes A., Cooper W.W. 1984. Some models for estimating technical and scale inefficiencies in data envelopment analysis, Management Science, 30 (9): 1078-1092 DOI: 10.1287/mnsc.30.9.1078
  4. Barros C.P., Nektarios M., Assaf A. 2010. Efficiency in the Greek insurance industry. European Journal of Operational Research, 205 (2): 431-436 DOI: 10.1016/j.ejor.2010.01.011
  5. Chang H., Cheng M.A., Das S. 2004. Hospital ownership and operating efficiency: evidence from Taiwan. European Journal of Operational Research, 159 (2): 513- 527 DOI: 10.1016/S0377-2217(03)00412-0
  6. Charnes A., Cooper W.W., Rhodes E. 1978. Measuring the efficiency of decision making units. European Journal of Operational Research, 2 (4): 429-444 DOI: 10.1016/0377-2217(78)90138-8
  7. Chen A., Hwang Y., Shao B. 2005. Measurement and sources of overall and input inefficiencies: evidences and implications in hospital services. European Journal of Operational Research, 161 (2): 447-468 DOI: 10.1016/j.ejor.2003.09.017
  8. Coelli T., Rao Prasada D.S., Battese G.E. 1998. An Introduction to Efficiency and Productivity Analysis. Kluwer Academic Publishers: Noerwell
  9. Coleman J.S., Katz E., Menzel H. 1966. Medical Innovation. Bobbs-Merrill: Indianapolis
  10. Collicelli C. 2007. La valutazione in sanità. Economia dei servizi, 2 (3): 501-514 DOI: 10.2382/24834
  11. Daraio C., Simar L. 2007. Advanced Robust and Nonparametric Methods in Efficiency Analysis: Methodology and Application. Springer: Berlin
  12. Dlouhy M., Jablonsky J., Novosadova I. 2007. Use of data envelopment analysis for efficiency evaluation of Czech hospitals. Politicka Ekonomie, 1: 60-71
  13. Färe R., Grosskopf S. 1996. Intertemporal Production Frontiers: With Dynamic DEA. Kluwer Academic Publishers: Boston
  14. Farrell M.J. 1957. The Measurement of productive efficiency. Journal of the Royal Statistical Society, 120 (3): 253-290
  15. Fethi M.D., Pasiouras F. 2010. Assessing bank efficiency and performance with operational research and artificial intelligence techniques: a survey. European Journal of Operational Research, 204 (2): 189-198 DOI: 10.1016/j.ejor.2009.08.003
  16. Granovetter M. 1994. Getting a Job. A Study of Contacts and Careers. Harvard University Press: Cambridge (Mass.).
  17. Ippoliti R., Falavigna G. 2012. Efficiency of medical care industry: evidence from the Italian regional system. European Journal of Operational Research, 217 (3): 643-652 DOI: 10.1016/j.ejor.2011.10.010
  18. Istat. 2011. Dataset Health for All (HFA). Istat: Roma
  19. Jolls C., Sunstein C.R., Thaler R. 1998. A behavioral approach to law and economics. Stanford Law Review, 50 (5): 1471-1550.
  20. Maslow A. 1954. Motivation and Personality. Harper & Row Publishers Inc.: New York
  21. Ministero della salute. 2002. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  22. Ministero della salute. 2003. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  23. Ministero della salute. 2004. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma
  24. Ministero della salute. 2004. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  25. Ministero della salute. 2005. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma
  26. Ministero della salute. 2005. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  27. Ministero della salute. 2006. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma.
  28. Ministero della salute. 2006. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  29. Pellicelli G. 2006. Il marketing. UTET: Torino
  30. Pulina M., Detotto C., Paba A. 2010. An investigation into the relationship between size and efficiency of the Italian hospitality sector: a window DEA approach. European Journal of Operational Research, 204 (1): 613-620 DOI: 10.1016/j.ejor.2009.11.006
  31. Ray S.C., Das A. 2010. Distribution of cost and profit efficiency: evidence from Indian banking. European Journal of Operational Research, 201 (3): 297-307 DOI: 10.1016/j.ejor.2009.02.030
  32. Scott J. 1991. Social Network Analysis. Sage: London
  33. Simar L., Wilson P.W. 2007. Estimation and inference in two-stage, semi-parametric models of production processes. Journal of Econometrics, 136 (1): 31-64 DOI: 10.1016/j.jeconom.2005.07.009
  34. Staub R., da Silva e Souza G., Tabak B.M. 2010. Evolution of bank efficiency in Brazil: a DEA approach. European Journal of Operational Research, 202 (1): 204-213 DOI: 10.1016/j.ejor.2009.04.025

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Greta Falavigna, Roberto Ippoliti, L’efficienza dei sistemi sanitari regionali in Italia: pubblico o privato? in "ECONOMIA E POLITICA INDUSTRIALE " 2/2013, pp 29-49, DOI: 10.3280/POLI2013-002002