Università della Svizzera italiana

The impact of ambient air pollution on hospital admissions

Filippini, Massimo ; Masiero, Giuliano ; Steinbach, Sandro

In: European Journal of Health Economics

Ambient air pollution is the environmental factor with the most significant impact on human health. Several epidemiological studies provide evidence for an association between ambient air pollution and human health. However, the recent economic literature has challenged the identification strategy used in these studies. This paper contributes to the ongoing discussion by investigating the...

Università della Svizzera italiana

The effect of local growth in antidepressant consumption on mental health outcomes

Masiero, Giuliano ; Mazzonna, Fabrizio ; Steinbach, Sandro ; Verbeek, Olaf

Despite growing skepticism regarding the efficacy of antidepressants, global consumption is increasing at an unprecedented path with unknown implications for society. We estimate the causal effect of this increase on mental health outcomes using an IV strategy that exploits detailed drug sales data from Switzerland between 2002 and 2014. Our instrument, a modified version of the popular...

Università della Svizzera italiana

Earthquakes, grants and public expenditure : how municipalities respond to natural disasters

Masiero, Giuliano ; Santarossa, Michael

We analyze the response of municipalities to the occurrence of natural disasters (earthquakes) in Italy, in terms of spending behavior, use of upper tier transfers and recovery. We find evidence of increasing expenditure for about 12 years after the shock, with asymmetric responses between matching (earthquake-related) and unconditional grants, and heterogeneous flypaper effects across the...

Università della Svizzera italiana

What drives the rise of antidepressant consumption? Evidence from Switzerland

Masiero, Giuliano ; Mazzonna, Fabrizio ; Verbeek, Olaf

Antidepressant (AD) consumption has been steadily increasing in the last decade in most countries. The explanations suggested by researchers for this increment are still under scrutiny. This study attempts to identify the determinants of AD consumption by exploiting small area variations from Switzerland between 2003 and 2014. We observe that two specific drugs - Citalopram and Escitalopram -...

Università della Svizzera italiana

The role of culture in long-term care

Gentili, Elena ; Masiero, Giuliano ; Mazzonna, Fabrizio

The aim of this paper is to assess the role of culture in shaping individual preferences to- wards different long-term care (LTC) arrangements. The analysis uses Swiss data from two administrative databases covering the universe of formal LTC providers between 2007 and 2013. Switzerland is a multi-cultural confederation where state administrative borders do not always coincide with cultural...

Università della Svizzera italiana

Persistent and transient productive inefficiency in a regulated industry : electricity distribution in New Zealand

Filippini, Massimo ; Greene, William H. ; Masiero, Giuliano

The productive efficiency of a firm can be decomposed into two parts, one persistent and one transient. So far, most of the cost efficiency studies estimated frontier models that provide either the transient or the persistent part of productive efficiency. This distinction seems to be appealing also for regulators. During the last decades, public utilities such as water and electricity have...

Università della Svizzera italiana

Rational habits in residential electricity demand

Filippini, Massimo ; Hirl, Bettina ; Masiero, Giuliano

Dynamic partial adjustment models of residential electricity demand account for the fact that households may not adjust electricity consumption immediately in response to changes in prices, income, and other relevant factors, because of behavioral habits or adjustment costs for the capital stock of appliances. However, forward-looking behavior is generally neglected. Expectations about future...

Università della Svizzera italiana

Competitive tendering versus performance-based negotiation in Swiss public transport

Filippini, Massimo ; Koller, Martin ; Masiero, Giuliano

The purpose of this study is to assess differences in the levels of cost efficiency of bus lines operated under competitively tendered contracts and performance-based negotiated contracts. Following the revision of the Swiss railways act in 1996, regional public authorities were given the choice between two different contractual regimes to procure public passenger transport services. We...

Università della Svizzera italiana

The relationship between costs and quality in nonprofit nursing homes

Di Giorgio, Laura ; Filippini, Massimo ; Masiero, Giuliano

We investigate the relationship between costs and quality in nonprofit nursing homes, a key issue in the present context of cost containment measures. In accordance with the economic theory of production, we estimate a three-inputs total cost function for nursing home services using data from 45 nursing homes in Switzerland between 2006 and 2010. Quality is measured by means of clinical...

Università della Svizzera italiana

Antibiotic consumption and the role of dispensing physicians

Filippini, Massimo ; Heimsch, Fabian ; Masiero, Giuliano

Regulation of prescription and dispensing of antibiotics has a twin purpose: to enhance access to antibiotic treatment and to reduce inappropriate use of drugs. Nevertheless, incentives on antibiotics to dispensing physicians may lead to inefficiencies. We model the interaction between competing physicians (with and without dispensing of drugs) and patients exposed to bacterial infections when...