Regional health care decentralization in Unitary States: equal spending, equal satisfaction?

Costa-i-Font, Joan ORCID: 0000-0001-7174-7919 and Turati, Gilberto (2016) Regional health care decentralization in Unitary States: equal spending, equal satisfaction? CESifo Working Paper (5973). Center for Economic Studies, Munich, Germany.

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Abstract

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.

Item Type:	Monograph (Working Paper)
Official URL:	https://www.cesifo-group.de/
Additional Information:	© 2016 The Authors
Divisions:	Centre for Economic Performance
Subjects:	H Social Sciences > HN Social history and conditions. Social problems. Social reform
Date Deposited:	16 Sep 2016 16:14
Last Modified:	15 Sep 2023 23:39
URI:	http://eprints.lse.ac.uk/id/eprint/67770

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