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This article analyzes the role of United Nations Educational Scientific and Cultural Organization (UNESCO) sites on the enhancement of tourism destinations (TDs) performance, taking the Italian regions over the period 1995–2010 as a case study. Specifically, we aim at studying the effect of the inscription in the World Heritage List (WHL) upon the dynamics of the efficiency of the Italian regions as TDs. We use a two-stage data envelopment analysis window analysis, to detect efficiency trends and resort to both semiparametric pooled-truncated and panel data estimators to evaluate the determinants of the efficiency changes in TDs over time. Moreover, we test for the presence of spatial dependence in the efficiency of TDs. The results reveal that the WHL does not play a significant role in enhancing technical efficiency of TDs. These empirical findings are robust to alternative estimators and model specifications. Furthermore, the spatial analysis does not reveal significant spillover effects in the efficiency of TDs.

There is an ongoing debate about the effect of different reimbursement systems on hospital performance and quality of care. The present paper aims at contributing to this literature by analysing the impact of different hospital payment schemes on patients' outcomes in Italy. The Italian National Health Service is, indeed, a particularly interesting case since it has been subject to a considerable decentralization process with wider responsibilities devolved to regional governments. Therefore, great variability exists in the way tariffs are used, as Regions have settled them in accordance with the characteristics of health care providers. An empirical analysis of the Italian hospital system is carried out using data from the National Program for Outcome Assessment on mortality and readmissions for Acute Myocardial Infarction (AMI), Congestive Heart Failure (CHF), stroke and Chronic Obstructive Pulmonary Diseases (COPD) in the years 2009-2010. The results show that hospitals operating in Regions where prospective payments are used more extensively are generally associated with better quality of care.

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The efficiency of execution of public works contracts is usually defined in terms of the capacity to complete works within the costs and the time agreed on in the contract. Therefore, it has been traditionally measured considering either costs overruns or delays. Our purpose is to consider both measures simultaneously, so as to develop a measure of overall efficiency of public works contracts execution. We compute this measure, through a benchmark procedure, using a non-parametric approach (DEA -Data Envelopment Analysis). The analysis is carried out employing a detailed data set of Italian public contracts for roads and highways, in the period 2000-2005.

The relationship between culture and tourism has been widely investigated from different perspectives. A large strand of literature studies the role of cultural heritage to attract tourists, while a rich bulk of studies on cultural participation investigates the impact of tourism flows on the demand for culture. Another aspect worth investigating relates to the link between cultural participation and the performance of tourism destinations (TDs), as a higher cultural participation in an area could boost the performance in the management of tourism resources. However, so far, this issue has been disregarded in the literature, and this paper aims at filling this gap. Specifically, it studies the effect of cultural participation on TDs' performance using a conditional efficiency approach that ensures robust inference on the role of environmental factors. We employ data on the Italian regions for the period 2004-2010, and we explore the role of cultural participation for tourism by using several indicators. Our findings offer empirical support to the positive role of cultural participation and, thus, suggest that public cultural policies might also boost the efficiency of the tourism sector.