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The impact of centralization on pharmaceutical procurement prices: the role of institutional quality and corruption

机译：集中化对药品采购价格的影响：机构质量和腐败的作用

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The impact of centralization on pharmaceutical procurement prices: the role of institutional quality and corruption. Regional Studies. This paper deals with the open issue regarding centralized versus decentralized public procurement strategy. Using a unique dataset on tender prices of selected drugs for hospital usage provided by a sample of 52 Italian local health service providers (aziende sanitarie locali - ASLs) between 2009 and 2012, the paper tests which procurement system (centralized, decentralized or hybrid) performs better. Controlling for several covariates, including measures of institutional quality and corruption, it finds that centralized and hybrid procurers pay lower prices than decentralized units. Moreover, the results show that in areas in which institutional quality is lower or corruption is higher, the effect of centralization in terms of negotiating lower prices is much stronger, with savings of up to 60% of the price paid by ASLs that procure independently.
机译：集中化对药品采购价格的影响：机构质量和腐败的作用。区域研究。本文讨论了关于集中式与分散式公共采购策略的开放性问题。使用2009年至2012年期间由52个意大利当地卫生服务提供者（aziende sanitarie locali-ASL）的样本提供的有关选定药物用于医院使用的投标价格的唯一数据集，本文测试了采购系统（集中式，分散式或混合式）的执行情况更好。通过控制几个协变量，包括对机构质量和腐败程度的衡量，发现中央和混合采购者支付的价格比分散单位要低。此外，结果表明，在机构质量较低或腐败较高的地区，就较低的价格进行谈判的集中化效果要强得多，节省的费用高达独立采购的ASL支付的价格的60％。

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