The impact of decentralisation on the performance of health care systems: A non-linear relationship

Sean Dougherty, Luca Lorenzoni, Alberto Marino and Fabrice Murtin

No 27, OECD Working Papers on Fiscal Federalism from OECD Publishing

Abstract: This paper examines the relationship between the degree of administrative decentralisation across levels of government in health care decision-making and health care spending, life expectancy as well as hospital costs. This empirical analysis builds on previous analytical research carried out by the OECD (Lorenzoni, Murtin et al., 2018; Lorenzoni and Marino, 2017), both of which established new methodological tools to analyse health sector performance. The present analysis extends this framework to examine the impact of centralisation versus decentralisation of responsibilities across levels of government, making use of newly collected data on governance and expenditure assignment, as well as non-linear empirical specifications.

Keywords: governance; health care; hospitals; intergovernmental relations; Public economics; regional economics (search for similar items in EconPapers)
JEL-codes: H75 I18 O43 (search for similar items in EconPapers)
Date: 2019-03-26
New Economics Papers: this item is included in nep-pbe
References: Add references at CitEc
Citations: View citations in EconPapers (2)

Downloads: (external link)
https://doi.org/10.1787/04208b83-en (text/html)

Related works:
Journal Article: The impact of decentralisation on the performance of health care systems: a non-linear relationship (2022)
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:oec:ctpaab:27-en

Access Statistics for this paper

More papers in OECD Working Papers on Fiscal Federalism from OECD Publishing Contact information at EDIRC.
Bibliographic data for series maintained by ().