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Università della Svizzera italiana

Antibiotic consumption and the role of dispensing physicians

Filippini, Massimo ; Heimsch, Fabian ; Masiero, Giuliano

In: Regional Science and urban economics, 2014, vol. 49, p. 242-251

The benefits of separating drug prescribing and dispensing are still unclear, in particular when drug consumption is characterized by important spillovers. We investigate the role of dispensing physicians in the consumption of antibiotics characterized by two opposite external effects: infection prevention and control, and bacterial resistance. We model the interaction between competing...

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...

Università della Svizzera italiana

Assessing the impact of national antibiotic campaigns in Europe

Filippini, Massimo ; Gonzalez Ortiz, Laura ; Masiero, Giuliano

In: The european journal of health economics, 2013, vol. 14, no. 4, p. 587-599

Because of evidence of causal association between antibiotic use and bacterial resistance, the implementation of national policies has emerged as a interesting tool for controlling and reversing bacterial resistance. The aim of this study was to assess the impact of public policies on antibiotic use in Europe using a differences-in-differences approach. Comparable data on systemic antibiotics ...

Università della Svizzera italiana

Characteristics of demand for antibiotics in primary care : an almost ideal demand system approach

Filippini, Massimo ; Masiero, Giuliano ; Moschetti, Karine

We model demand for different classes of antibiotics used for respiratory infections in outpatient care using a linear approximate almost ideal demand system approach. We compute elasticities to socioeconomic determinants of consumption and own- and cross- price elasticities between different groups of antibiotics. We find significant elasticities between newer/more expensive generations and...

Università della Svizzera italiana

Competitive tendering versus performance-based negotiation in Swiss public transport

Filippini, Massimo ; Koller, Michael ; Masiero, Giuliano

In: Transportation research part A: policy and practice, 2015, vol. 82, p. 158-168

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

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 demand for school meals : an analysis of stated choices by Swiss households

Filippini, Massimo ; Masiero, Giuliano ; Medici, Diego

In this paper we investigate households ’demand for school meals using a stated preferences approach. Data are collected through phone-structured interviews to 905 residents with children in the German-speaking region of Switzerland during 2007. A Poisson model with random effects is used to explore factors affecting the demand for meals at school. The results show that meals price, household...

Università della Svizzera italiana

The demand for school meal services by Swiss households

Filippini, Massimo ; Masiero, Giuliano ; Medici, Diego

In: Annals of Public and Cooperative Economics, 2014, vol. 85, no. 3, p. 475-495

In this paper we investigate the household demand for childcare during lunchtime at school using a stated preferences approach. Data are collected through phone- structured interviews to 905 residents with children in the German-speaking region of Switzerland during 2007. Poisson models with random and fixed effects are used to explore factors affecting the demand. Ordinal probit models are also...

Università della Svizzera italiana

Determinants of outpatient antibiotic consumption in Europe : bacterial resistance and drug prescribers

Masiero, Giuliano ; Filippini, Massimo ; Ferech, Matus ; Goossens, Herman

This paper investigates socioeconomic determinants of outpatient antibiotic consumption in Europe. Comparable data on antibiotic use measured in the defined daily doses per 1000 inhabitants (DID) are currently provided by the ESAC project. Results from applied econometric estimations for panel data reveal a link between antibiotic use and the per capita income, the demographic structure of the...

Università della Svizzera italiana

Disentangling spillover effects of antibiotic consumption : A spatial panel approach

González Ortiz, Laura Guadalupe ; Masiero, Giuliano

In: Applied economics, 2013, vol. 45, no. 8, p. 1041-1054

Literature on socioeconomic determinants of antibiotic consumption in the community is limited to few countries using cross-sectional data. This article analyses regional variations in outpatient antibiotics in Italy using a balanced panel dataset covering the period 2000 to 2008. We specify an econometric model in which antibiotic consumption depends upon demographic and socioeconomic...