International Tax and Public Finance

, Volume 7, Issue 4, pp 503-519

First online:

Competition and Efficiency in Health Care: An Analysis of the Italian Case

  • Roberto Cellini
  • , Giacomo Pignataro
  • , Ilde Rizzo

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In this paper we look at the Italian NationalHealth System as a case study, in order to investigate whethercompetition exerts positive effects on the efficiency of hospitals.Using the DEA technique we measure the efficiency of Italianhospital production; secondly, we take a regression analysisapproach to analyse its determinants. A general conclusion stemmingout of the analysis is that competition is not a value per seand that its effects on hospitals' performance are affected bythe rules governing the health system.