Centralized procurement and delivery times: Evidence from a natural experiment in Italy


Clark, Robert ; Coviello, Decio ; Leverano, Adriano de


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URL: https://madoc.bib.uni-mannheim.de/60613
URN: urn:nbn:de:bsz:180-madoc-606130
Document Type: Working paper
Year of publication: 2021
The title of a journal, publication series: ZEW Discussion Papers
Volume: 21-063
Place of publication: Mannheim
Publication language: English
Institution: Sonstige Einrichtungen > ZEW - Leibniz-Zentrum für Europäische Wirtschaftsforschung
MADOC publication series: Veröffentlichungen des ZEW (Leibniz-Zentrum für Europäische Wirtschaftsforschung) > ZEW Discussion Papers
Subject: 330 Economics
Classification: JEL: D44 , H51 , H57 , I18,
Keywords (English): public procurement , centralization , medical devices , delivery times , bulk purchasing
Abstract: We study how delivery times and prices for hospital medical devices respond to the introduction of centralized procurement. Our identification strategy leverages a legislative change in Italy that mandated centralized purchases for a sub-set of devices. The statutory centralization generated a reduction in prices and an increase in delivery times for centralized purchases relative to non-centralized purchases. We use data on quantities and on suppliers to discuss the mechanisms potentially underlying our findings.




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