L’efficienza tecnico-economica dei servizi pubblici locali: i casi delle farmacie comunali e dei servizi di igiene urbana

This study focuses on the technical and economic efficiency achieved in two local public service sectors: pharmaceutical services and integrated waste services. In the first study we also took in account the social dimension of the service as the health corner, the CUP service (e.g. Useful to book a medical examination), so in the analysis we calculated the relative levels of efficiency according to different point of views: "business", "social" and "mixed" models. Anyway in this study we do not include environmental variables, the most significant of which are difficult to collect. The second work focuses on the waste services; we estimated the economic and technological efficiency by comparing the city of Perugia to other relatively similar 23 Municipalities of the Center Italy, in this case, through a multi-stage approach, we included in the analyzes the environmental variables that can affect the efficiency of services. The analysis show that in the first case the efficiency scores for the business model showed greater variation if compared to the social and mixed models. The results of the second analysis show that the context variables have a significant influence on the efficiency measures. In particular highly seasonal tourism and high dispersion of the population on the territory negatively affect the efficiency. Suggestions for further research are provided in order to develop a more complete analysis of the local public services efficiency