Elisabetta Mafrolla

Patients’ mobility as an indicator for (in)efficiency:a panel data analysis on Italian health care authorities

This paper investigates the influence of internal managerial patterns of heath care authorities on the decision of patients to migrate towards different health care organizations to avail treatments. The efficiency and productivity issues are analyzed, considering the (passive) migration as a proxy for the (in)efficient service availed. We follow the “vote by feet” theorization by Tiebout , assuming that citizens can choose to avail a health treatment in a public service provider different from their resident one. The choice for a center that is far from home implies a negative judgment to the alternative health care supplier that is closer to the patient. Testing Fixed Effects Panel Model on a sample of Italian health care authorities, a strong correlation is found among variables in our model and some relevant dependence is tested between patients’ mobility behavior and their resident authorities’ efficiency in allocating resources on the proper operating cost. Spending in the proper way on health care could bring about an enhancement of performances. Instead, wasting resources is immediately perceived by the patient, who consequently seems to move to a different health care authority.JEL code: M48

Does Public Spending Improve Citizens’ Quality of Life? An Analysis of Municipalities’ Leisure Supply

Abstract This paper offers new evidence regarding the impact of public spending on the supply of leisure services on citizens’ spare-time quality of life. Using data from 103 Italian capital municipalities covering the period 2007–2010, the analysis revealed that public spending on leisure impacted spare-time quality of life in various ways, depending on the category of spending. Spending for tourism essentially followed an upward path, linearly enhancing citizens’ spare-time quality of life. Surprisingly, municipalities’ spending on sport- and culture-related services had a non-linear impact. Hence, spending on sports within a maximum threshold reveals a positive impact on spare-time quality of life, whereas passing over a minimum level of public spending for culture-related projects had a positive effect. This paper provides helpful suggestions for policymakers who approach decisions that address whether it is worth spending on leisure, which is typically a non-basic need but one that must be properly satisfied by municipalities in today’s service-based society.

Risk management and firm size: a survey of Italian private companies

This paper studies enterprise risk management (ERM) systems within private firms, and examines how firm size influences risk settlement decisions inside micro, small, medium and large unlisted corporations. This paper contributes to the literature with an empirical analysis of whether private firms consider it worth managing risk using formalized organization and procedures, even if this is not imposed by any mandatory rule or by self-regulation. Submitting a questionnaire to a sample of Italian unlisted companies, it is found that 67% of respondents have no risk management department and only 10% are planning to create one. It seems that formalized risk-management systems amongst private entities are not widespread. It is likely that significant opportunities remain, especially for medium and big organizations, to strengthen underlying processes for identifying and assessing the key risks that the entity normally faces.

Tax avoidance in government-owned firms: evidence from Italy

ABSTRACT This paper studies whether and why government-owned firms avoid taxation to a greater extent than wholly privately-owned firms do. By considering a sample of Italian listed corporations for the period between 2006 and 2011, it was found that government ownership had a systematically negative effect on corporate effective tax rate, with a prevalence of tax-planning policies focused on the long term. Managers of local government-owned firms focused on minimizing costs, even if this was to the detriment of national tax-revenue collection. IMPACT The author investigated tax avoidance in government-owned firms with the surprising finding that government owners avoid taxation to a greater extent than private sector owners. Managers of government-owned firms (and especially local government owners) were found to pursue political goals that focused on cost- minimizing policies, reducing national tax revenue. This paper will be of value to policy- makers, who should consider tax avoidance by government-owned enterprises as a real possibility.

CEO turnover and the new leader propensity to open innovation: Agency-resource dependence view and social identity perspective

In an increasingly turbulent and competitive environment, open innovation could be critical for a firm’s success, favoring organizational flexibility and accelerating innovation processes. However, sharing innovation projects with external partners often requires changes in traditional organizational behavior and visions of CEOs. The purpose of this paper is to theorize and empirically verify how the CEO turnover and some socially relevant characteristics of the old and the new CEO may impact firms’ propensity toward open innovation under an integrated agency-resource dependence view and social identity perspective.,The empirical analysis was carried out on 264 companies drawn from 16 developed European markets included in the S&P Europe 350 Dow Jones index over the years 2006-2015. To test the predictions, the authors adopted regression analysis by employing the panel two-stages least squares model and the ordinary least squares econometric model.,Consistently with the predictions, the authors found that CEO turnover stimulates open innovation. Particularly, the results suggest that the organizational identity rationale may motivate a divergent propensity between insider and outsider new CEOs, with outsiders more prone to open innovation. The higher tendency of new outsider CEOs to undertake innovation projects jointly with external organizations prevails also within firms that experienced a long tenure of the former CEO, thereby suggesting that a new outsider CEO appears able to renovate corporate strategic directions also in highly orthodox organizational cultures.,To the best of the authors’ knowledge, this is the first study that theorizes why CEO turnover might impact the propensity of the firm toward open innovation. The authors use an integrated agency-resource dependence perspective, and the results from the empirical analysis mostly support the predictions. Moreover, the authors adopt the social identity theory to show that the organizational identification of the CEO matters in the decision of engaging in open innovation.