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.

Sprache
Englisch

Erschienen in
Series: Working Papers ; No. 2011-16

Klassifikation
Wirtschaft
National Government Expenditures and Health
State and Local Government: Health; Education; Welfare; Public Pensions
Thema
fiscal decentralization
federalism
health
Dezentralisierung
Finanzbeziehungen
Gesundheitskosten
Mexiko

Ereignis
Geistige Schöpfung
(wer)
Martínez Fritscher, André
Rodríguez-Zamora, Carolina
Ereignis
Veröffentlichung
(wer)
Banco de México
(wo)
Ciudad de México
(wann)
2011

Handle
Letzte Aktualisierung
10.03.2025, 11:43 MEZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

  • Martínez Fritscher, André
  • Rodríguez-Zamora, Carolina
  • Banco de México

Entstanden

  • 2011

Ähnliche Objekte (12)