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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

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

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

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

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 impact of the institutional form on the cost efficiency of nursing homes

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

In Switzerland, nursing home services are mainly provided by regulated public and private nonprofit organizations. Some of them are created by local governments as foundations. This provides a unique setting to analyze the impact of the institutional form on the performance of nursing homes. We propose a model where the institutional form is represented as a legal constraint which affects...

Università della Svizzera italiana

An empirical analysis of habit and addiction to antibiotics

Filippini, Massimo ; Masiero, Giuliano

In: Empirical economics, 2012, vol. 42, no. 2, p. 471-486

Because of bacterial resistance, current antibiotic consumption is reinforced by past use, and future utility is lower. The purpose of this article is to provide evidence on habit and addictive behavior toward antibiotics by exploring variations in the average consumption of antibiotics across 20 Italian regions. Using a balanced panel data set (2000–2009), we estimate myopic and rational...

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...

Università della Svizzera italiana

Disentangling spillover effects of antibiotic consumption : a spatial panel approach

Masiero, Giuliano ; González, Laura

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

Università della Svizzera italiana

Estimating dynamic consumption of antibiotics using panel data : the shadow effect of bacterial resistance

Filippini, Massimo ; Laura Guadalupe Gonzales Ortiz ; Masiero, Giuliano

To some extent, antibiotics are similar to addictive goods, since current consumption is reinforced by past use because of bacterial resistance, which represents a growing concern in many countries. The purpose of this paper is to explore how consumers adjust their current level of antibiotic consumption towards desired levels over time. We construct a balanced panel dataset (2000-2007) for 20...