International Tax and Public Finance

, Volume 7, Issue 4–5, pp 503–519

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

  • Roberto Cellini
  • Giacomo Pignataro
  • Ilde Rizzo

DOI: 10.1023/A:1008737506560

Cite this article as:
Cellini, R., Pignataro, G. & Rizzo, I. International Tax and Public Finance (2000) 7: 503. doi:10.1023/A:1008737506560


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.

Copyright information

© Kluwer Academic Publishers 2000

Authors and Affiliations

  • Roberto Cellini
  • Giacomo Pignataro
  • Ilde Rizzo

There are no affiliations available

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