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The urban–rural gap in healthcare infrastructure: does government ideology matter?

Niklas Potrafke and Felix Roesel

EconStor Open Access Articles and Book Chapters, 2020, vol. 54, issue 3, 340-351

Abstract: Spatial inequalities in publicly provided goods such as healthcare facilities have substantial socioeconomic effects. Little is known, however, about why publicly provided goods diverge among urban and rural regions. This study exploits narrow parliamentary majorities in German states between 1950 and 2014 in a regression discontinuity (RD) framework to show that government ideology influences the urban–rural gap in public infrastructure. Left-wing governments relocate hospital beds from rural regions. It is proposed that left-wing governments do so to gratify their more urban constituencies. In turn, spatial inequalities in hospital infrastructure increase, which seems to influence general and infant mortality.

Keywords: publicly provided goods; spatial inequalities; political business cycles; government ideology; healthcare; hospitals (search for similar items in EconPapers)
JEL-codes: D72 H42 I18 (search for similar items in EconPapers)
Date: 2020
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Citations: View citations in EconPapers (7)

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Related works:
Journal Article: The urban–rural gap in healthcare infrastructure: does government ideology matter? (2020) Downloads
Working Paper: The urban-rural gap in health care infrastructure - does government ideology matter? (2019) Downloads
Working Paper: The Urban-Rural Gap in Health Care Infrastructure – Does Government Ideology Matter? (2019) Downloads
Working Paper: The urban-rural gap in healthcare infrastructure: does government ideology matter? (2019)
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Persistent link: https://EconPapers.repec.org/RePEc:zbw:espost:224996

DOI: 10.1080/00343404.2019.1623390

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