Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction?

Arbeitspapier

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.

Angaben zum Objekt

• Sprache: Englisch

Verweise und Beziehungen

• Erschienen in: Series: CESifo Working Paper ; No. 5973

Klassifikation und Themen

• Klassifikation: Wirtschaft ; State and Local Government; Intergovernmental Relations: General ; Health: Government Policy; Regulation; Public Health ; Welfare, Well-Being, and Poverty: General
• Thema: health care decentralization ; regional inequality ; health care ; Oaxaca decomposition

Beteiligte, Orts- und Zeitangaben

• Ereignis: Geistige Schöpfung
• (wer): Costa-i-Font, Joan ; Turati, Gilberto
• Ereignis: Veröffentlichung
• (wer): Center for Economic Studies and ifo Institute (CESifo)
• (wo): Munich
• (wann): 2016

Weitere Informationen

• Handle: http://hdl.handle.net/10419/145008
• Letzte Aktualisierung: 10.03.2025, 11:42 MEZ