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L'incentivazione economica nei problemi di agenzia: il caso dell'Azienda Sanitaria Pubblica

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  • Ippoliti, Roberto

Abstract

Questo paper, rifacendosi a noti modelli micro-economici di agenzia (Holmstrom e Milgrom, 1991; Jirjahn, 2000; Mas-Colell, 1995), mostra quale sia, in condizioni d'incertezza ed informazione asimmetrica, la migliore politica correttiva adattabile ad una struttura sanitaria pubblica, in presenza di opportunismo post-contrattuale da parte del pubblico dipendente. L'ambiente descritto sara' quello di un' Azienda Sanitaria Pubblica, in cui il rapporto di agenzia si svolgera' tra il Direttore Generale della struttura (principale) ed un pubblico dipendente (agente) posto a svolgere il proprio servizio lavorativo presso il presidio ospedaliero, con rapporto di lavoro subordinato e dipendente. Il paper mostrera; come, nonostante l'adozione di una politica d'incentivazione economica, non sempre sia raggiungibile una soluzione d'efficienza per i cittadini.

Suggested Citation

  • Ippoliti, Roberto, 2008. "L'incentivazione economica nei problemi di agenzia: il caso dell'Azienda Sanitaria Pubblica," POLIS Working Papers 108, Institute of Public Policy and Public Choice - POLIS.
    • Handle: RePEc:uca:ucapdv:108
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    References listed on IDEAS

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    1. Baker, George P & Jensen, Michael C & Murphy, Kevin J, 1988. " Compensation and Incentives: Practice vs. Theory," Journal of Finance, American Finance Association, vol. 43(3), pages 593-616, July.
    2. Grossman, Sanford J & Hart, Oliver D, 1983. "An Analysis of the Principal-Agent Problem," Econometrica, Econometric Society, vol. 51(1), pages 7-45, January.
    3. Ellis, Randall P. & McGuire, Thomas G., 1986. "Provider behavior under prospective reimbursement : Cost sharing and supply," Journal of Health Economics, Elsevier, vol. 5(2), pages 129-151, June.
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    Cited by:

    1. Piero Cavaleri & Michael Keren & Giovanni B. Ramello & Vittorio Valli, 2009. "Publishing an E-Journal on a Shoe String: Is It a Sustainable Project?," Economic Analysis and Policy, Elsevier, vol. 39(1), pages 89-101, March.
    2. Privileggi, Fabio, 2008. "On the transition dynamics in endogenous recombinant growth models," POLIS Working Papers 120, Institute of Public Policy and Public Choice - POLIS.
    3. Bondonio, Daniele, 2009. "Impact identification strategies for evaluating business incentive programs," POLIS Working Papers 129, Institute of Public Policy and Public Choice - POLIS.

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