The impact of devolution on local health systems: Evidence from Greater Manchester, England

Philip Britteon, Alfariany Fatimah, Stephanie Gillibrand, Yiu-Shing Lau, Laura Anselmi, Paul Wilson, Matt Sutton and Alex J. Turner

Social Science & Medicine, 2024, vol. 348, issue C

Abstract: Devolution and decentralisation policies involving health and other government sectors have been promoted with a view to improve efficiency and equity in local service provision. Evaluations of these reforms have focused on specific health or care measures, but little is known about their full impact on local health systems. We evaluated the impact of devolution in Greater Manchester (England) on multiple outcomes using a whole system approach.

Keywords: Devolution; Decentralisation; Health system; Social determinants; Synthetic control (search for similar items in EconPapers)
Date: 2024
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Persistent link: https://EconPapers.repec.org/RePEc:eee:socmed:v:348:y:2024:i:c:s0277953624002454

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DOI: 10.1016/j.socscimed.2024.116801

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