Arbeitspapier
An evaluation of the 1997 fiscal decentralization reform in Mexico: The case of the health sector
This paper studies the impact of the health decentralization of funds and responsibilities that took place in Mexico in 1997 on state level health outcomes. It renders two main results. First, the magnitude of transfers from the federal government to states failed to take into account state-specific needs; instead, transfers were mainly determined by the pre-reform health expenditures of the federal government in each state. Second, decentralization did not boost the advances in health outcomes already achieved under the centralized health sector regime. We conclude by discussing plausible reasons for the disappointing impact of decentralization on health outcomes.
- Language
-
Englisch
- Bibliographic citation
-
Series: Working Papers ; No. 2011-16
- Classification
-
Wirtschaft
National Government Expenditures and Health
State and Local Government: Health; Education; Welfare; Public Pensions
- Subject
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fiscal decentralization
federalism
health
Dezentralisierung
Finanzbeziehungen
Gesundheitskosten
Mexiko
- Event
-
Geistige Schöpfung
- (who)
-
Martínez Fritscher, André
Rodríguez-Zamora, Carolina
- Event
-
Veröffentlichung
- (who)
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Banco de México
- (where)
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Ciudad de México
- (when)
-
2011
- Handle
- Last update
-
10.03.2025, 11:43 AM CET
Data provider
This object is provided by:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. If you have any questions about the object, please contact the data provider.
Object type
- Arbeitspapier
Associated
- Martínez Fritscher, André
- Rodríguez-Zamora, Carolina
- Banco de México
Time of origin
- 2011
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