EconPapers    
Economics at your fingertips  
 

Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?

Joan Costa-Font and Gilberto Turati ()
Authors registered in the RePEc Author Service: Joan Costa-i-Font ()

Regional Studies, 2018, vol. 52, issue 7, 974-985

Abstract: 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.

Date: 2018
References: Add references at CitEc
Citations: Track citations by RSS feed

Downloads: (external link)
http://hdl.handle.net/10.1080/00343404.2017.1361527 (text/html)
Access to full text is restricted to subscribers.

Related works:
Working Paper: Regional health care decentralization in unitary states: equal spending, equal satisfaction? (2018) Downloads
Working Paper: Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? (2016) Downloads
Working Paper: Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? (2016) Downloads
Working Paper: Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? (2016) Downloads
This item may be available elsewhere in EconPapers: Search for items with the same title.

Export reference: BibTeX RIS (EndNote, ProCite, RefMan) HTML/Text

Persistent link: https://EconPapers.repec.org/RePEc:taf:regstd:v:52:y:2018:i:7:p:974-985

Ordering information: This journal article can be ordered from
http://www.tandfonline.com/pricing/journal/CRES20

Access Statistics for this article

Regional Studies is currently edited by Ivan Turok

More articles in Regional Studies from Taylor & Francis Journals
Bibliographic data for series maintained by Chris Longhurst ().

 
Page updated 2019-10-13
Handle: RePEc:taf:regstd:v:52:y:2018:i:7:p:974-985