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
Englisch

Bibliographic citation
Series: CESifo Working Paper ; No. 5973

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

Event
Geistige Schöpfung
(who)
Costa-i-Font, Joan
Turati, Gilberto
Event
Veröffentlichung
(who)
Center for Economic Studies and ifo Institute (CESifo)
(where)
Munich
(when)
2016

Handle
Last update
10.03.2025, 11:42 AM CET

Data provider

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Object type

  • Arbeitspapier

Associated

  • Costa-i-Font, Joan
  • Turati, Gilberto
  • Center for Economic Studies and ifo Institute (CESifo)

Time of origin

  • 2016

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