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In Europe Health Organizations are progressively modifying their management models to rationalize expenditure in order to assure better levels of effectiveness and efficiency: many countries are going to centralize the management of goods and services supply. In this paper a specific model of centralized purchasing is proposed; it is particularly suitable in cases of severe economy suffering at regional level (e.g. Campania, Lazio, Calabria in Italy) or at national level (e.g. Greece, Ireland,doi:10.4236/iim.2012.225038 fatcat:zvzigh53grgedas2pzmvpqwmna