Economics at your fingertips  

Integración vertical y contratación externa en los servicios generales de los hospitales españoles

Jaume Puig-Junoy and Pol Pérez Sust
Additional contact information

No 201011, Working Papers from Fundacion BBVA / BBVA Foundation

Abstract: This study examines factors influencing make or buy decisions corresponding to four generic services (housekeeping, laundry, food services, and maintenance and security) in the Spanish hospitals (3.160 transactions for 790 hospitals). The paper presents the empirical estimation of a logistic model based in the utility maximisation of hospitals. Factors included in the model are not only those related with transaction costs, but those related with public intervention and political dimension. We find evidence that economies of scale are related with a higher level of vertical integration, while specialisation and for profit objective favour the contracting-out choice. Organisational choice for laundry services presents a different pattern from the other three services. Empirical results show that some asset specificity could be present in laundry services.

Keywords: Organisation; contracting-out; vertical integration; hospitals; public sector management. (search for similar items in EconPapers)
Pages: 42
Date: 2003-08
References: Add references at CitEc
Citations: Track citations by RSS feed

Downloads: (external link) ... /index.jsp?codigo=83
Our link check indicates that this URL is bad, the error code is: 404 Not Found ( [301 Moved Permanently]-->

Related works:
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link:

Access Statistics for this paper

More papers in Working Papers from Fundacion BBVA / BBVA Foundation Contact information at EDIRC.
Bibliographic data for series maintained by Fundacion BBVA / BBVA Foundation ().

Page updated 2020-08-08
Handle: RePEc:fbb:wpaper:201011