Il settore dei dispositivi medici in Italia è caratterizzato dalla prevalenza di acquirenti pubblici, con alti livelli di regolazione della domanda. Negli ultimi anni i governi, centrale e regionali, hanno introdotto numerosi provvedimenti per contenere la spesa sanitaria pubblica, prestando particolare attenzione alle procedure di acquisto e aggregazione della domanda. Questo studio intende analizzare l’impatto delle politiche pubbliche sulle performance (ROE, current ratio, collection period) delle imprese di distribuzione di dispositivi medici, in particolare dispositivi monouso e dentali. L’adozione di strategie di centralizzazione degli acquisti sembra deprimere nel breve periodo la redditività delle imprese, ma questo effetto è meno evidente, e tuttavia significativo, nelle Regioni in cui questi processi sono attivi da più tempo e maggiormente diffusi.
The Italian medical device industry experiences a strong regulatory influence due to the predominant presence of public purchasers. During the last decade, regional governments have introduced a wide range of policies to control public expenditure and particular attention has been paid to public purchasing procedures. This study aims at analyzing the impact of the new public procurement policies on wholesalers’ performance (ROE, current ratio, collection period) starting from the analysis of two different cases: disposable devices and dental devices. Our results show that the adoption of a centralized purchasing strategy produces a decrease in wholesalers’ ROE in the short run, but this effect appears to be less evident (although still significant) in the Regions where this model has been established earlier and is more frequently adopted.
The Italian medical device industry experiences a strong regulatory influence due to the predominant presence of public purchasers. During the last decade, regional governments have introduced a wide range of policies to control public expenditure and particular attention has been paid to public purchasing procedures. This study aims at analyzing the impact of the new public procurement policies on wholesalers’ performance (ROE, current ratio, collection period) starting from the analysis of two different cases: disposable devices and dental devices. Our results show that the adoption of a centralized purchasing strategy produces a decrease in wholesalers’ ROE in the short run, but this effect appears to be less evident (although still significant) in the Regions where this model has been established earlier and is more frequently adopted.
