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Università della Svizzera italiana

Implications of global budget payment system on nursing home costs

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

In: Health policy, 2014, vol. 115, no. 2-3, p. 237–248

Nursing homes; prospective payment; quality of care; policy change

Università della Svizzera italiana

Implications of global budget payment system on nursing home costs

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

Pressure on health care systems due to the increasing expenditures of the elderly population is pushing policy makers to adopt new regulation and payment schemes for nursing home services. We sketch a simple theoretical model to predict the behavior of nursing homes under different payment schemes. We then investigate the implications of prospective payments on nursing home costs using a...

Università della Svizzera italiana

Natural disasters and electoral outcomes

Masiero, Giuliano ; Santarossa, Michael

In: European Journal of Political Economy, 2021, vol. 67, p. 19 p

Natural disasters are good examples of catastrophic events that may affect vote decisions. In this study, we analyze how the occurrence of earthquakes changes voters' behavior at municipal elections and which channels drive this change, focusing in particular on the role of media exposure. We exploit data from 13,338 municipal electoral cycles where incumbents seek reelection between 1993 and...

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

Physician dispensing and antibiotic prescriptions

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

The regulation on prescribing and dispensing of antibiotics has a double purpose: to enhance access to antibiotic treatment and to reduce the inappropriate use of drugs. Nevertheless, incentives to dispensing physicians may lead to inefficiencies. We sketch a theoretical model of the market for antibiotic treatment and empirically investigate the impact of self-dispensing on the per capita...

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

Regional consumption of antibiotics : a demand system approach

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

In: Economic Modelling, 2009, vol. 26, no. 6, p. 1389-1397

Through this paper, we have attempted to model the demand for different classes of antibiotics used for respiratory infections in outpatient care in Switzerland using a spatial version of the linear approximate Almost Ideal Demand System (AIDS) model. This model takes spatial dependency into account by means of spatial lags of antibiotic budget shares. We control for the health status of patients...

Università della Svizzera italiana

Regional differences in outpatient antibiotic consumption in Switzerland

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

This paper investigates regional variations in outpatient antibiotic use and provides a first empirical analysis based on Swiss data. We compare Swiss antibiotic consumption with antibiotic use in other European countries and present descriptive statistics at cantonal level. Preliminary findings show that Switzerland exhibits relatively low levels of consumption. There are significant...

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...