A platform for research: civil engineering, architecture and urbanism
A platform for research: civil engineering, architecture and urbanism
Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?
Does regional decentralization threaten the commitment to regional equality in government outcomes and outputs? We attempt to shed a 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 a counterfactual analysis of regional inequality in government output (health expenditure per capita) and outcome (health system satisfaction) during the expansion of healthcare decentralization in both countries. We find no evidence of an increase in regional inequalities in outcomes and outputs in the examined period. Inequalities are accounted for by differences in health system design and management by regional governments.
Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?
Does regional decentralization threaten the commitment to regional equality in government outcomes and outputs? We attempt to shed a 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 a counterfactual analysis of regional inequality in government output (health expenditure per capita) and outcome (health system satisfaction) during the expansion of healthcare decentralization in both countries. We find no evidence of an increase in regional inequalities in outcomes and outputs in the examined period. Inequalities are accounted for by differences in health system design and management by regional governments.
Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?
Costa-Font, Joan (author) / Turati, Gilberto (author)
Regional Studies ; 52 ; 974-985
2018-07-03
12 pages
Article (Journal)
Electronic Resource
English
| British Library Online Contents | 2007
British Library Online Contents | 1996
British Library Online Contents | 1994
British Library Online Contents | 1994
Speed of spending and government decentralization: evidence from Italy
| Taylor & Francis Verlag | 2022