Our goal is to participate in the debate on regional well-being. To this end, we explore the relationship between prosperity and the cooperative movement at the regional level in Italy between 2010 and 2019. We summarize prosperity through an index originally proposed by Amartya Sen and we apply it to classify Italian regions. We then perform panel analyses showing that there is a positive and significant association between such an index and the cooperative presence. We detect that, and explain why, the cooperative movement contributes to the regional prosperity more through its employment than in terms of the added value it generates.
{"title":"Cooperative movement and widespread prosperity across Italian regions","authors":"Michele Costa, Flavio Delbono, Francesco Linguiti","doi":"10.1111/apce.12387","DOIUrl":"https://doi.org/10.1111/apce.12387","url":null,"abstract":"<p>Our goal is to participate in the debate on regional well-being. To this end, we explore the relationship between prosperity and the cooperative movement at the regional level in Italy between 2010 and 2019. We summarize prosperity through an index originally proposed by Amartya Sen and we apply it to classify Italian regions. We then perform panel analyses showing that there is a positive and significant association between such an index and the cooperative presence. We detect that, and explain why, the cooperative movement contributes to the regional prosperity more through its employment than in terms of the added value it generates.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 2","pages":"475-494"},"PeriodicalIF":1.6,"publicationDate":"2022-06-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50146180","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
We explore whether loan officer gender affects loan repayment performance in Cameroonian microfinance institutions (MFIs). After controlling for demand-side factors (borrower characteristics), lending methodology, loan contract terms, year, and industry fixed effects, we apply a pooled probit model to a unique loan-level dataset including more than 7000 loans approved between 2007 and 2012 by two Cameroonian commercial MFIs. We find that loans granted and monitored by male loan officers perform better than those granted by female officers and that loans approved under joint liability contracts and monitored by male loan officers are less likely to fall into arrears. Our findings also show that the performance advantage of male loan officers over female officers is confirmed only during bad times. Compared to female loan officers, male loan officers seem to intensify their monitoring efforts during a crisis period. The results are robust after controlling for selection bias and are less sensitive to a change in the loan repayment performance measurement.
{"title":"Loan officer gender and loan repayment performance. Evidence from greenfield microfinance institutions in Cameroon1","authors":"Hubert Tchakoute Tchuigoua","doi":"10.1111/apce.12382","DOIUrl":"https://doi.org/10.1111/apce.12382","url":null,"abstract":"<p>We explore whether loan officer gender affects loan repayment performance in Cameroonian microfinance institutions (MFIs). After controlling for demand-side factors (borrower characteristics), lending methodology, loan contract terms, year, and industry fixed effects, we apply a pooled probit model to a unique loan-level dataset including more than 7000 loans approved between 2007 and 2012 by two Cameroonian commercial MFIs. We find that loans granted and monitored by male loan officers perform better than those granted by female officers and that loans approved under joint liability contracts and monitored by male loan officers are less likely to fall into arrears. Our findings also show that the performance advantage of male loan officers over female officers is confirmed only during bad times. Compared to female loan officers, male loan officers seem to intensify their monitoring efforts during a crisis period. The results are robust after controlling for selection bias and are less sensitive to a change in the loan repayment performance measurement.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 2","pages":"519-548"},"PeriodicalIF":1.6,"publicationDate":"2022-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12382","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50127980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Gunnar Alexandersson, Matts Andersson, Anders Bondemark, Staffan Hultén
Transaction costs have been an issue since the advent of the deregulation of the European railway markets in the 1990s. Transaction cost economics received renewed attention in research on the deregulated railway markets in the EU after the publications of two influential reports in the early 2010s.
In this article, we develop a model that enables classification and measurement of transaction costs and other coordination costs in deregulated markets. This model is then used to analyze the costs of path allocation in the Swedish railway sector and to compare the results with findings in previous research. We also discuss the economic rationale of the distribution of coordination costs among the involved parties.
Our key empirical findings are that the total coordination costs in the Swedish market-mimicking path allocation process are as low as or lower than the most cost-efficient market coordination processes studied in railway markets, and that the state administrations take on nearly all the coordination costs in order to minimize the effects of opportunism, rent-seeking and information impactedness. Another finding is that the size of the coordination costs found by different studies seems to be dependent on whether a bottom-up or a top-down approach is used.
{"title":"Neither market nor hierarchy—coordination costs in the allocation of track capacity in the Swedish railway network","authors":"Gunnar Alexandersson, Matts Andersson, Anders Bondemark, Staffan Hultén","doi":"10.1111/apce.12381","DOIUrl":"https://doi.org/10.1111/apce.12381","url":null,"abstract":"<p>Transaction costs have been an issue since the advent of the deregulation of the European railway markets in the 1990s. Transaction cost economics received renewed attention in research on the deregulated railway markets in the EU after the publications of two influential reports in the early 2010s.</p><p>In this article, we develop a model that enables classification and measurement of transaction costs and other coordination costs in deregulated markets. This model is then used to analyze the costs of path allocation in the Swedish railway sector and to compare the results with findings in previous research. We also discuss the economic rationale of the distribution of coordination costs among the involved parties.</p><p>Our key empirical findings are that the total coordination costs in the Swedish market-mimicking path allocation process are as low as or lower than the most cost-efficient market coordination processes studied in railway markets, and that the state administrations take on nearly all the coordination costs in order to minimize the effects of opportunism, rent-seeking and information impactedness. Another finding is that the size of the coordination costs found by different studies seems to be dependent on whether a bottom-up or a top-down approach is used.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 1","pages":"221-239"},"PeriodicalIF":1.6,"publicationDate":"2022-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12381","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50154283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The interest in evaluation and impact assessment of the social and solidarity economy (SSE) is reaffirmed year upon year. In the recent decades however, demands have grown and changed the way SSE organizations report on their activity. We are moving from a culture of evaluation of processes and results to the development of an expertise in measuring economic, social and environmental impacts. This represents an opportunity of the SSE, but it also poses challenges. This special issue aims to contribute to understand the approaches being developed for the SSE and examine the incidences they have on organizational practices and overall representation of the sector. In this editorial introduction we introduce the research topic, describe the content of the current special issue, and conclude with possible directions for future research.
{"title":"Recent advances on impact measurement for the social and solidarity economy: Empirical and methodological challenges","authors":"Marie J. Bouchard, Damien Rousselière","doi":"10.1111/apce.12380","DOIUrl":"10.1111/apce.12380","url":null,"abstract":"<p>The interest in evaluation and impact assessment of the social and solidarity economy (SSE) is reaffirmed year upon year. In the recent decades however, demands have grown and changed the way SSE organizations report on their activity. We are moving from a culture of evaluation of processes and results to the development of an expertise in measuring economic, social and environmental impacts. This represents an opportunity of the SSE, but it also poses challenges. This special issue aims to contribute to understand the approaches being developed for the SSE and examine the incidences they have on organizational practices and overall representation of the sector. In this editorial introduction we introduce the research topic, describe the content of the current special issue, and conclude with possible directions for future research.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"93 2","pages":"253-266"},"PeriodicalIF":1.6,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12380","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73092668","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mirene Begiristain-Zubillaga, Enekoitz Etxezarreta-Etxarri, Jon Morandeira-Arca
This paper presents the process of elaboration of a system of indicators designed for and by the social entrepreneurs of the Koopfabrika program in the territory of Gipuzkoa (Basque Country) and the results obtained. This tool, developed through Participatory Action Research methodologies, aims to facilitate the establishment of objectives, criteria and measurement indicators so as to enable new social enterpreneurs in the territory to move towards more transformative forms of social economy. The theoretical approach of this study is mainly framed within the field of Social and Solidarity Economy, more specifically within the Behavioral Theories developed by Dennis Young which gave rise to the concept of social entrepreneurship. The paper aims to provide new knowledge and new perspectives on the motivational logics of social entrepreneurs.
{"title":"Towards the transformative social economy: Proposal of a system of indicators for cooperative social entrepreneurship","authors":"Mirene Begiristain-Zubillaga, Enekoitz Etxezarreta-Etxarri, Jon Morandeira-Arca","doi":"10.1111/apce.12379","DOIUrl":"10.1111/apce.12379","url":null,"abstract":"<p>This paper presents the process of elaboration of a system of indicators designed for and by the social entrepreneurs of the Koopfabrika program in the territory of Gipuzkoa (Basque Country) and the results obtained. This tool, developed through Participatory Action Research methodologies, aims to facilitate the establishment of objectives, criteria and measurement indicators so as to enable new social enterpreneurs in the territory to move towards more transformative forms of social economy. The theoretical approach of this study is mainly framed within the field of Social and Solidarity Economy, more specifically within the Behavioral Theories developed by Dennis Young which gave rise to the concept of social entrepreneurship. The paper aims to provide new knowledge and new perspectives on the motivational logics of social entrepreneurs.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"93 2","pages":"457-501"},"PeriodicalIF":1.6,"publicationDate":"2022-05-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12379","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76170986","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Teresa Savall Morera, Carmen Guzmán, Francisco J. Santos
The socio-labour integration of people with disabilities is a major social problem for European countries and, especially, for Spain. Sheltered workshops, with their productive activity, are a kind of Work Integration Social Enterprise (WISE) whose aim is to create jobs for those people, supporting them through an insertion process into the labour market. Given the need to publicize the important role of sheltered workshops, the aim of this study is to contribute to the academic debate by measuring the added value of this kind of social enterprise and to provide empirical evidence of their social and economic impact. To do so, the impact of a specific sheltered workshop, UNEI, located in the Spanish region of Andalusia, is analyzed. Results allow us to conclude that, firstly, there is a demand to measure the impact caused by sheltered workshops and social enterprises in general, and that SROI methodology is the most appropriate methodology. And, secondly, being based on results of this method and on a sensitivity analysis application, sheltered workshops contribute to sustainable development, generating an impact much higher than could be expected, surpassing the economic and personal limits of the people involved and benefitting society as a whole.
{"title":"Measuring the impact of sheltered workshops through the SROI: A case analysis in southern Spain","authors":"Teresa Savall Morera, Carmen Guzmán, Francisco J. Santos","doi":"10.1111/apce.12377","DOIUrl":"10.1111/apce.12377","url":null,"abstract":"<p>The socio-labour integration of people with disabilities is a major social problem for European countries and, especially, for Spain. Sheltered workshops, with their productive activity, are a kind of Work Integration Social Enterprise (WISE) whose aim is to create jobs for those people, supporting them through an insertion process into the labour market. Given the need to publicize the important role of sheltered workshops, the aim of this study is to contribute to the academic debate by measuring the added value of this kind of social enterprise and to provide empirical evidence of their social and economic impact. To do so, the impact of a specific sheltered workshop, UNEI, located in the Spanish region of Andalusia, is analyzed. Results allow us to conclude that, firstly, there is a demand to measure the impact caused by sheltered workshops and social enterprises in general, and that SROI methodology is the most appropriate methodology. And, secondly, being based on results of this method and on a sensitivity analysis application, sheltered workshops contribute to sustainable development, generating an impact much higher than could be expected, surpassing the economic and personal limits of the people involved and benefitting society as a whole.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"93 2","pages":"381-415"},"PeriodicalIF":1.6,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81747233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This study considers a vertical structure model in which an upstream state-owned enterprise (SOE) and a downstream domestic firm compete with a vertically integrated foreign firm (VIFF). We consider the cost-inefficiency of the SOE and examine the entry decisions of a VIFF under downstream subsidization. We find that without upstream privatization, the VIFF's entry decision might not be socially desirable unless it enters both markets and the cost inefficiency is intermediate. Additionally, a policy to reduce the cost inefficiency might cause a drastic welfare increase or loss when the VIFF changes its entry decision. We then examine upstream privatization and show that a substantial improvement in cost efficiency can increase welfare with privatization. When the SOE maximizes welfare, however, lesser (greater) cost efficiency improvement is necessary to increase welfare with privatization if the ex-ante cost inefficiency is high (low).
{"title":"Entry decision of a vertically integrated foreign firm with downstream subsidization and upstream privatization","authors":"Chuyuan Zhang, Sang-Ho Lee","doi":"10.1111/apce.12378","DOIUrl":"https://doi.org/10.1111/apce.12378","url":null,"abstract":"<p>This study considers a vertical structure model in which an upstream state-owned enterprise (SOE) and a downstream domestic firm compete with a vertically integrated foreign firm (VIFF). We consider the cost-inefficiency of the SOE and examine the entry decisions of a VIFF under downstream subsidization. We find that without upstream privatization, the VIFF's entry decision might not be socially desirable unless it enters both markets and the cost inefficiency is intermediate. Additionally, a policy to reduce the cost inefficiency might cause a drastic welfare increase or loss when the VIFF changes its entry decision. We then examine upstream privatization and show that a substantial improvement in cost efficiency can increase welfare with privatization. When the SOE maximizes welfare, however, lesser (greater) cost efficiency improvement is necessary to increase welfare with privatization if the ex-ante cost inefficiency is high (low).</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 1","pages":"273-299"},"PeriodicalIF":1.6,"publicationDate":"2022-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50122788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Suresh Govindapuram, Samyukta Bhupatiraju, Rahul A. Sirohi
A number of studies have analyzed the determinants of financial inclusion in India, but few if any have focused specifically on the factors that shape women's access to finance. This paper draws on the trove of women-specific data collected in the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16 in India, to examine the factors that influence women's access to finance. The results indicate that while the forces that shape women's access to finance function at multiple levels, micro-level factors appear to be powerful drivers of inclusion. The analysis reveals that household-level economic indicators like wealth, gender of household head and their rural-urban location are crucial, but so are individual-level characteristics which explain approximately 83% of the variation in the multilevel regressions. Informal gender norms that govern women's mobility and economic activity crucially influence the ability of women to access loans and open bank accounts.
{"title":"Determinants of women's financial inclusion: Evidence from India","authors":"Suresh Govindapuram, Samyukta Bhupatiraju, Rahul A. Sirohi","doi":"10.1111/apce.12376","DOIUrl":"https://doi.org/10.1111/apce.12376","url":null,"abstract":"<p>A number of studies have analyzed the determinants of financial inclusion in India, but few if any have focused specifically on the factors that shape women's access to finance. This paper draws on the trove of women-specific data collected in the fourth round of the National Family Health Survey (NFHS-4), conducted in 2015–16 in India, to examine the factors that influence women's access to finance. The results indicate that while the forces that shape women's access to finance function at multiple levels, micro-level factors appear to be powerful drivers of inclusion. The analysis reveals that household-level economic indicators like wealth, gender of household head and their rural-urban location are crucial, but so are individual-level characteristics which explain approximately 83% of the variation in the multilevel regressions. Informal gender norms that govern women's mobility and economic activity crucially influence the ability of women to access loans and open bank accounts.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 1","pages":"131-158"},"PeriodicalIF":1.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50147828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Stakeholder governance is a growing issue in the literature and for organizations. The complex and uncertain environment of nonprofit organizations forces them to prioritize stakeholder requirements. The traditional criterion of influence and power is nevertheless proving insufficient for these organizations, especially those in political or interest representation sectors. This article proposes to use the relationship quality with stakeholders and its components (trust, satisfaction, influence, engagement) as criteria for prioritization. The study is carried out within the “Young Farmers” union, a French 50,000-member union defending the interests of agriculture and of farmers under 35 years of age. It questions external stakeholders on the relationship with the organization and its impact and it enables to verify the relevance of these criteria. The results suggest integrating stakeholder emotions into the same-named theory and studying relationship quality as a process in which satisfaction builds trust that enables engagement, which itself has a positive role on influence. The findings also revisit strategic models of stakeholder prioritization by proposing the four components of relationship quality mentioned above as prioritization attributes. Finally, NPOs’ partners are invited to take into account the subjectivity of the evaluation process and thus to favor reasonable methods to avoid handicapping NPOs.
{"title":"Governing a union's external stakeholders: A prioritization method based on relationship quality and perceived impact","authors":"Guillaume Plaisance","doi":"10.1111/apce.12375","DOIUrl":"https://doi.org/10.1111/apce.12375","url":null,"abstract":"<p>Stakeholder governance is a growing issue in the literature and for organizations. The complex and uncertain environment of nonprofit organizations forces them to prioritize stakeholder requirements. The traditional criterion of influence and power is nevertheless proving insufficient for these organizations, especially those in political or interest representation sectors. This article proposes to use the relationship quality with stakeholders and its components (trust, satisfaction, influence, engagement) as criteria for prioritization. The study is carried out within the “Young Farmers” union, a French 50,000-member union defending the interests of agriculture and of farmers under 35 years of age. It questions external stakeholders on the relationship with the organization and its impact and it enables to verify the relevance of these criteria. The results suggest integrating stakeholder emotions into the same-named theory and studying relationship quality as a process in which satisfaction builds trust that enables engagement, which itself has a positive role on influence. The findings also revisit strategic models of stakeholder prioritization by proposing the four components of relationship quality mentioned above as prioritization attributes. Finally, NPOs’ partners are invited to take into account the subjectivity of the evaluation process and thus to favor reasonable methods to avoid handicapping NPOs.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 1","pages":"75-108"},"PeriodicalIF":1.6,"publicationDate":"2022-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12375","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50147827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The English hospital sector underwent a major restructuring program between 2000 and 2008 to centralize activity in fewer and larger hospitals. The aim of this paper is to evaluate the effects of such consolidations on hospital outputs. As mergers occurred in a staggered way, treatment could start and end at every time and treatment duration varied over the years. As every time is a mix of hospital pre-treatment, treatment and post-treatment phases, the canonical difference-in-differences assumption of homogeneous policy effects is not only meaningless but also misleading, raising doubts about the appropriateness of the methods previously used in this literature and consequently the accuracy of its results. We instead adopt a new matching and difference-in-differences approach, the flexible conditional difference-in-differences approach, developed by Dettmann et al. in 2020, more appropriate for causal analysis of treatments characterized by varying start dates and varying treatment duration. Our results suggest that mergers downsize hospital activities, especially the most expensive ones. If the goal of hospital mergers is to gain efficiency by centralization of activity, our findings suggest this restructuring programme is not the most successful policy to pursue. Mergers reduce the scope for competition between hospitals and do not create any incentive for poorly performing hospitals.
{"title":"Do mergers really increase output? Evidence from English hospitals","authors":"Vanessa Cirulli, Giorgia Marini","doi":"10.1111/apce.12374","DOIUrl":"https://doi.org/10.1111/apce.12374","url":null,"abstract":"<p>The English hospital sector underwent a major restructuring program between 2000 and 2008 to centralize activity in fewer and larger hospitals. The aim of this paper is to evaluate the effects of such consolidations on hospital outputs. As mergers occurred in a staggered way, treatment could start and end at every time and treatment duration varied over the years. As every time is a mix of hospital pre-treatment, treatment and post-treatment phases, the canonical difference-in-differences assumption of homogeneous policy effects is not only meaningless but also misleading, raising doubts about the appropriateness of the methods previously used in this literature and consequently the accuracy of its results. We instead adopt a new matching and difference-in-differences approach, the flexible conditional difference-in-differences approach, developed by Dettmann et al. in 2020, more appropriate for causal analysis of treatments characterized by varying start dates and varying treatment duration. Our results suggest that mergers downsize hospital activities, especially the most expensive ones. If the goal of hospital mergers is to gain efficiency by centralization of activity, our findings suggest this restructuring programme is not the most successful policy to pursue. Mergers reduce the scope for competition between hospitals and do not create any incentive for poorly performing hospitals.</p>","PeriodicalId":51632,"journal":{"name":"Annals of Public and Cooperative Economics","volume":"94 1","pages":"159-189"},"PeriodicalIF":1.6,"publicationDate":"2022-04-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/apce.12374","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"50118783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"经济学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}