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Università della Svizzera italiana

Structural and managerial cost differences in nonprofit nursing homes

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

In: Economic Modelling, 2015, vol. 51, p. 289-298

Population aging is challenging governments to find new solutions to finance the increasing demand for nursing home care and slow down the increase in expenditures. In this light, many European countries are currently considering reforms to increase efficiency in the provision of nursing home services. One popular restructuring policy is the transformation of public organizations into private...

Università della Svizzera italiana

Regional public health care spending in Switzerland : an empirical analysis

Crivelli, Luca ; Filippini, Massimo

In this study we attempt to explain variations across the Swiss regional states (cantons) in public health care expenditures. The large autonomy of the cantons in the organization and financing of health care services creates strong heterogeneity. Per capita public expenditures in health care are assumed to depend on the median tax share, intergovernmental grants, and some structural factors. The...

Università della Svizzera italiana

Cost and scale efficiency in the nursing home sector : evidence from Switzerland

Filippini, Massimo

This paper examines costs in the nursing home industry, an issue of concern to Swiss policy makers because of the explosion of elderly care costs and the aging of the population. Moreover, the fact that Swiss nursing homes are managed by different forms of institutional organizations (private for-profit nursing homes, government nursing homes and nonprofit nursing homes) raises the issue of their...

Università della Svizzera italiana

Optimal size in the waste collection sector

Antonioli, Barbara ; Filippini, Massimo

The purpose of this study is to analyze the cost structure of a sample of Italian waste collection firms in order to assess economies of scale and density and, therefore, to define the optimal size of the firms in this sector. A total and a variable translog cost function were estimated using panel data for a sample of 30 firms of waste collection and disposal operating at the provincial level...

Università della Svizzera italiana

Federalism and regional health care expenditures : an empirical analysis for the Swiss cantons

Crivelli, Luca ; Filippini, Massimo ; Mosca, Ilaria

Switzerland (7.2 million inhabitants) is a federal state composed of 26 cantons. Article 3 of the Federal Constitution grants ample autonomy to individual cantons in those sectors that are not directly regulated by the Constitution, among others health and social care. The autonomy of cantons creates strong heterogeneity in terms of regulatory systems and the organization of health care services....