About: Purchasing Medical Devices: The Role of Buyer Competence and Discretion

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An Entity of Type : schema:ScholarlyArticle, within Data Space : covidontheweb.inria.fr associated with source document(s)

Attributes	Values
type	Academic Article research paper schema:ScholarlyArticle
isDefinedBy	Covid-on-the-Web dataset
title	Purchasing Medical Devices: The Role of Buyer Competence and Discretion
Creator	Bucciol, Alessandro Camboni, Riccardo Valbonesi, Paola Bru, Lluís Chillemi, Ottorino De Fraja, Gianni Decarolis, Francesco Espinosa, Miguel Gagnepain, Philippe Galavotti, Stefano Iossa, Elisabetta Jascisens, Vitalijs Levine, David Lonsdale, Christopher Monfardini, Chiara Moszoro, Marian Nye, John Podkolzina, Elena Rebba, Vincenzo Sakovics, Joszef Saussier, Stephane Spagnolo, Giancarlo Spiller, Pablo Staropoli, Carine Taneva, Ina Visschers, Ludo Wambach, Achim Yudkevich, Maria
source	Elsevier; PMC
abstract	This paper investigates the price variability of standardized medical devices purchased by Italian Public Buyers (PBs). A semiparametric approach is used to recover the marginal cost of each device. Average prices vary substantially between PBs; we show that most of the difference between the purchase prices and estimated costs is associated with a PB fixed effect, which, in turn, is related to the institutional characteristics and size of the PB. Repeating the main estimation using device fixed effects yields similar results. Finally, an exogenous policy change, i.e. the termination of the mandatory reference price regime, is used to assess how discretion affects medical device procurement given the skills of each PB. Our results show that less PB discretion — i.e. when mandatory reference prices apply – determines efficiency gains and losses for low- and high-skilled PBs, respectively.
has issue date	2020-08-26(xsd:dateTime)
bibo:doi	10.1016/j.jhealeco.2020.102370
has license	no-cc
sha1sum (hex)	cae32fdf1c6af3855c51e2b4f4398a5cc04a901b
schema:url	https://doi.org/10.1016/j.jhealeco.2020.102370
resource representing a document's title	Purchasing Medical Devices: The Role of Buyer Competence and Discretion
has PubMed Central identifier	PMC7448819
schema:publication	J Health Econ
resource representing a document's body	covid:cae32fdf1c6af3855c51e2b4f4398a5cc04a901b#body_text
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