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.

Sprache
Englisch

Erschienen in
Series: CESifo Working Paper ; No. 5973

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

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

Handle
Letzte Aktualisierung
20.09.2024, 08:23 MESZ

Datenpartner

Dieses Objekt wird bereitgestellt von:
ZBW - Deutsche Zentralbibliothek für Wirtschaftswissenschaften - Leibniz-Informationszentrum Wirtschaft. Bei Fragen zum Objekt wenden Sie sich bitte an den Datenpartner.

Objekttyp

  • Arbeitspapier

Beteiligte

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

Entstanden

  • 2016

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