Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction?
Joan Costa-Font () and
Gilberto Turati ()
LEQS – LSE 'Europe in Question' Discussion Paper Series from European Institute, LSE
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.
Keywords: health care decentralization; regional inequality; health care; Oaxaca decomposition (search for similar items in EconPapers)
JEL-codes: H7 I18 I3 (search for similar items in EconPapers)
New Economics Papers: this item is included in nep-eur and nep-hea
References: View references in EconPapers View complete reference list from CitEc
Citations: Track citations by RSS feed
Downloads: (external link)
Our link check indicates that this URL is bad, the error code is: 404 Not Found (http://www.lse.ac.uk/europeanInstitute/LEQS/LEQSPaper113.pdf [302 Found]--> https://www.lse.ac.uk/europeanInstitute/LEQS/LEQSPaper113.pdf)
Journal Article: Regional healthcare decentralization in unitary states: equal spending, equal satisfaction? (2018)
Working Paper: Regional health care decentralization in unitary states: equal spending, equal satisfaction? (2018)
Working Paper: Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? (2016)
This item may be available elsewhere in EconPapers: Search for items with the same title.
Export reference: BibTeX
RIS (EndNote, ProCite, RefMan)
Persistent link: https://EconPapers.repec.org/RePEc:eiq:eileqs:113
Access Statistics for this paper
More papers in LEQS – LSE 'Europe in Question' Discussion Paper Series from European Institute, LSE Contact information at EDIRC.
Bibliographic data for series maintained by Katjana Gattermann ().