Arbeitspapier
Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction?
Does regional decentralization threaten the commitment to regional equality in government outcomes? We attempt to shed light on this question by drawing on unique evidence from the largest European unitary states to have engaged in countrywide health system decentralization: Italy and Spain. We estimate, decompose, and run counterfactual analysis of regional inequality in government output (health expenditure per capita) and outcome (health system satisfaction) during expansion of health care decentralization in both countries. We find no evidence of increase in regional inequalities in outcomes and outputs in the examined period. Inequalities are accounted for by differences in health system design.
- Language
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Englisch
- Bibliographic citation
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Series: CESifo Working Paper ; No. 5973
- Classification
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Wirtschaft
State and Local Government; Intergovernmental Relations: General
Health: Government Policy; Regulation; Public Health
Welfare, Well-Being, and Poverty: General
- Subject
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health care decentralization
regional inequality
health care
Oaxaca decomposition
- Event
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Geistige Schöpfung
- (who)
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Costa-i-Font, Joan
Turati, Gilberto
- Event
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Veröffentlichung
- (who)
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Center for Economic Studies and ifo Institute (CESifo)
- (where)
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Munich
- (when)
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2016
- Handle
- Last update
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10.03.2025, 11:42 AM CET
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
- Costa-i-Font, Joan
- Turati, Gilberto
- Center for Economic Studies and ifo Institute (CESifo)
Time of origin
- 2016