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J. Lerner, D. Fox, Todd Nelson, J. Reiss (2008)
The consequence of secret prices: the politics of physician preference items.Health affairs, 27 6
Centro Studi Assobiomedica (2015)
//www.assobiomedica.it/it/pubblicazioni/index.html. Accessed Dec 2017.
Ministero della Salute (2014)
//www.salute.gov.it/imgs/C_17_pubblicazioni_2259_allegato.pdf. Accessed Dec 2017.
A. Bonaccorsi, Thomas Lyon, F. Pammolli, G. Turchetti (2000)
Auctions vs. Bargaining: An Empirical Analysis of Medical Device ProcurementIO: Regulation
F. Pammolli, M. Riccaboni, Claudia Oglialoro, Laura Magazzini, G. Baio, N. Salerno (2005)
Medical Devices: Competitiveness and Impact on Public Health Expenditure
(2014)
Rapporto sulla spesa rilevata dalle strutture sanitarie pubbliche del SSN per l’acquisto di dispositivi medici - anno 2013
RE Neapolitan (2004)
Learning Bayesian Networks
P. R. Boscolo (2013)
. La rilevanza economica e sociale del mercato dei dispositivi medici. caratteristiche distintive del prodotto
Medtech Europe (2018)
//www.medtecheurope.org/sites/default/files/resource_items/files/MedTech%20Europe_FactsFigures2018_FINAL_1.pdf. Accessed Apr 2018.
G Stigler (1987)
Theory of price
Eucomed (2014)
//www.eucomed.be/uploads/Modules/Publications/20141003-medtech-brochure-digital-1.pdf. Accessed Dec 2017.
Mercedes Vellez (2011)
Auctions Versus Negotiations: Evidence from Public Procurement in the Italian Healthcare SectorMicroeconomics: Production
European Council Directive (1993)
European Council Directive 93/42/EEC of June 14 (1993).
Italian Legislative Decree n. (1997)
Italian Legislative Decree n. 46 of February 24 (1997). Attuazione della direttiva 93/42/CEE concernente i dispositivi medici. Gazzetta Ufficiale della Repubblica Italiana n. 54 del 6 marzo 1997.
European Council Directive 93/42/EEC of
Centro Studi Assobiomedica (2016)
. Le politiche pubbliche d’acquisto di dispositivi medici
A. Bonaccorsi (2000)
An empirical analysis of medical device procurement. LEM Working Paper Series. 1999/20.
L. Burns, J. Lee (2008)
Hospital purchasing alliances: Utilization, services, and performanceHealth Care Management Review, 33
I tempi medi di pagamento delle strutture sanitarie pubbliche e private
Centro Studi Assobiomedica (2012)
). Produzione
Eucomed (2014)
//www.medtecheurope.org/uploads/Modules/Publications/20141020_eucomed-key-principles-of-smart-procurement-for-medical-devices-final.pdf. Accessed Dec 2017.
(2010)
La posizione associativa in tema di prezzi dei dispositivi medici : Attenzione ai confronti impropri
Assobiomedica (2010)
Attenzione ai confronti impropri. http://www.assobiomedica.it/static/upload/pp_/pp__prezzidispositivi-03.pdf. Accessed Dec 2017.
F. Ferré (2014)
Health system review. European Observatory on Health Systems and Policies. http://www.who.int/iris/handle/10665/141626.
HR Varian (1989)
Price discriminationHandbook of Industrial Organization, 1
Attuazione della direttiva 93/42/CEE concernente i dispositivi medici. Gazzetta Ufficiale della Repubblica Italiana n. 54 del 6 marzo
F. Ferré, A. Belvis, L. Valerio, S. Longhi, Agnese Lazzari, G. Fattore, W. Ricciardi, A. Maresso (2014)
Italy: health system review.Health systems in transition, 16 4
F. Jensen (2001)
Bayesian Networks and Decision Graphs
G. Stigler (1948)
The Theory of Price
Mercedes Vellez (2012)
Determinants of Price Discrimination in the Acquisition of Medical DevicesCEIS: Centre for Economic & International Studies Working Paper Series
J. Wooldridge (1999)
Introductory Econometrics: A Modern Approach
M Grennan (2013)
Price discrimination and bargaining: Empirical evidence from medical devicesAmerican Economic Review, 103
M. Vellez (2011)
Evidence from public procurement in the Italian healthcare sector. CEIS Working Papers. N 191.
Lars Stole (2007)
Price Discrimination and CompetitionHandbook of Industrial Organization, 3
Average payment times of public and private health-care organisations
(2018)
The European Medical Technology industry in figures
Le politiche pubbliche d'acquisto di dispositivi medici. Studi n.30
C. Novi, Dino Rizzi, M. Zanette (2018)
Scale Effects and Expected Savings from Consolidation Policies of Italian Local Healthcare AuthoritiesApplied Health Economics and Health Policy, 16
Matthew Grennan (2012)
Price Discrimination and Bargaining: Empirical Evidence from Medical DevicesMicroeconomics: Production
M. Pauly, L. Burns (2008)
Price transparency for medical devices.Health affairs, 27 6
R. Hahn, Keith Klovers, Hal Singer (2008)
The need for greater price transparency in the medical device industry: an economic analysis.Health affairs, 27 6
(2012)
Produzione, ricerca e innovazione nel settore dei dispositivi medici in Italia
(2006)
When should procurement be centralized? Handbook of procurement
M. Vellez (2012)
Vellez, M. (2012). Determinants of price discrimination in the acquisition of medical devices. CEIS Working Papers. 235.
G. Hendrikse (1989)
The Theory of Industrial Organization
(2013)
La rilevanza economica e sociale del mercato dei dispositivi medici. caratteristiche distintive del prodotto, delle imprese produttrici e delle relazioni con il settore pubblico
C. Sorenson, P. Kanavos (2011)
Medical technology procurement in Europe: a cross-country comparison of current practice and policy.Health policy, 100 1
Abstract In this paper we ascertain that the Italian market for medical devices is characterized by significant price dispersion. We have, therefore, carried out an econometric analysis, as well as a Bayesian network analysis to verify if price dispersion is due to price discrimination. We have found that ASLs (Aziende Sanitarie Locali) incur higher procurement costs than AOs (Aziende Ospedaliere), which purchase larger quantities as Centralized purchasing agencies do. Consequently, second-degree price discrimination may be one of the causes of price differences. Price levels are also inversely related to product age because of intense innovative activity, making product differentiation more likely than price discrimination. Public procurement agents located in Southern Italy pay higher prices than those located in Northern or Central Italy. This is due to the higher probability for Southern procurement agents to purchase from independent wholesalers, rather than from producers, implying a double marginalization effect which raises final prices. It is also more likely that obsolete medical devices are sold to Southern health care providers.
"Economia Politica" – Springer Journals
Published: Jul 1, 2019
Keywords: Economic Policy; International Political Economy
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