Template-type: ReDIF-Article 1.0 Author-Name: Piero Giarda Title: Il federalismo fiscale in attuazione della legge n. 133/1999: aspetti tecnici, ragioni e problemi aperti Abstract: Classification-JEL: Keywords: Note: Pages: Volume: 2000/5 Year: 2000 Issue:5 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=14458&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:epepep:v:html10.3280/Ep2000-005001 Number: 1 Template-type: ReDIF-Article 1.0 Author-Name: Bernardo Pizzetti Author-Name: Giuseppe Ciccarone Author-Name: Daniele Archibugi Author-Name: Mauro Mar? Author-Name: Flaminia Violati Title: Relazioni triangolari nell'economia dei servizi pubblici Abstract: Relazioni triangolari nell?economia dei servizi pubblici (di Daniele Archibugi, Giuseppe Ciccarone, Mauro Mar?, Bernardo Pizzetti e Flaminia Violati) - ABSTRACT: The restructuring of public services is critically re-examined in this paper. It is argued that the issue of public versus private ownership has been overemphasised, while an effective increase in efficiency can be obtained by introducing appropriate incentives for both public and business actors. Four main decision-making phases are identified: the protection to be guaranteed to socially-sensitive economic activities; the ways to finance them; the economic organisation of the industry and the actual production. The debate on the market structure in public service industries is then reinterpreted on the basis of the interactions among three main players: the users/citizens, the public operator and the supplier of the service. Rather than using a single policy instrument, namely privatisation, it is argued that public action should be informed by an array of organisational solutions. Classification-JEL: Keywords: Note: Pages: Volume: 2000/5 Year: 2000 Issue:5 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=14459&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:epepep:v:html10.3280/Ep2000-005002 Number: 2 Template-type: ReDIF-Article 1.0 Author-Name: Marco Ponti Title: I costi esterni del trasporto e le linee politiche che ne derivano Abstract: I costi esterni del trasporto e le linee politiche che ne derivano (di Marco Ponti) - ABSTRACT: Road transport generates high and growing environmental externalities, specially in terms of CO 2 emissions. The main present strategy of European countries, and of Italy in particular, concentrates on investing large public resources, trying to reverse the modal split, both for freight and for passenger transport, from roads to collective means (railways and buses). While this strategy is reasonable in high density urban areas, and on some corridors, where collective modes can operate with acceptable efficiency, is ineffective where the demand structure is dispersed. A surplus aggregate analysis is provided, showing that the opportunity cost of reducing CO 2 emissions through innovative road vehicles technology is in general far lower than the cost of modal change. Furthermore, there are expected positive windfalls from accelerating these innovations. Finally, the continuing land use dispersion trend confirms the unlikely hood of giving back a dominant role in the future to the collective modes. Classification-JEL: Keywords: Note: Pages: Volume: 2000/5 Year: 2000 Issue:5 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=14460&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:epepep:v:html10.3280/Ep2000-005003 Number: 3 Template-type: ReDIF-Article 1.0 Author-Name: Rosella Levaggi Title: La crescita della spesa pubblica sanitaria in Italia: un modello incrementale misto Abstract: La crescita della spesa pubblica sanitaria in Italia: un modello incrementale misto (di Rosella Levaggi) - ABSTRACT: This paper presents a model that explains the growth of public health expenditure in Italy in the period 1960-1996. It is argued that the choice of the budget for health care is made using a mixed incremental expenditure process in which the final allocation process is the result of a bargaining process between the Central Government and the agency that is responsible for the provision of the service. The estimation results shows the validity of the model; in particular it is shown that the growth of private health expenditure allows Central Government to reduce the relative weight of his expenditure. Classification-JEL: Keywords: Note: Pages: Volume: 2000/5 Year: 2000 Issue:5 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=14461&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:epepep:v:html10.3280/Ep2000-005004 Number: 4 Template-type: ReDIF-Article 1.0 Author-Name: Cristina Ugolini Author-Name: Gianluca Fiorentini Title: L'offerta privata di servizi ospedalieri in un sistema a finanziamento pubblico: un'analisi empirica Abstract: L?offerta privata di servizi ospedalieri in un sistema a finanziamento pubblico: un?analisi empirica (di Gianluca Fiorentini e Cristina Ugolini) - ABSTRACT: The paper investigates the introduction of some contractual elements in the command and control mechanism used in an Italian Region (Emilia-Romagna) to integrate private providers of hospital services in a publicly financed health service. The main focus is on the attempt to reduce simultaneously the large deficits of most public purchasers at the local level and to introduce some degree of contestability on the supply-side. To achieve these results, the regional authority signed with the associations of private providers a contractual agreement defining overall volumes, tariffs and the rules to deal with individual and aggregate overproduction. We examine the working of this agreement through the analysis of the demand addressed to private providers, and we discuss the main differences across regional areas to outline the circumstances under which private providers act as competitors and/or partners of the public ones. Moreover, we analyse the flows of patients from other regions - not covered by the contractual agreement - to shed some light on its contribution to the design of an integrated supply network including private providers. In this respect, data show that when a single Region introduces a contractual agreement specifying individual quotas and sanctions for overproduction, private providers succeed in increasing the num-ber of patients from other regions. This might suggest the suitability of some form of inter-regional coordination. Classification-JEL: Keywords: Note: Pages: Volume: 2000/5 Year: 2000 Issue:5 File-URL:http://www.francoangeli.it/riviste/Scheda_Rivista.aspx?IDArticolo=14462&Tipo=Articolo PDF File-Format: text/HTML Handle: RePEc:fan:epepep:v:html10.3280/Ep2000-005005 Number: 5