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Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? LEQS Discussion Paper No. 113/2016 July 2016

Costa-Font, Joan and Turati, Gilberto (2016) Regional Health Care Decentralization in Unitary States: Equal Spending, Equal Satisfaction? LEQS Discussion Paper No. 113/2016 July 2016. [Discussion Paper]

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    Abstract

    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 the expansion of health care 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.

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    Item Type: Discussion Paper
    Subjects for non-EU documents: EU policies and themes > Policies & related activities > public health policy (including global activities)
    Countries > Italy
    Countries > Spain
    Subjects for EU documents: UNSPECIFIED
    EU Series and Periodicals: UNSPECIFIED
    EU Annual Reports: UNSPECIFIED
    Series: Series > London School of Economics and Political Science (European Institute) > LEQS Discussion Papers
    Depositing User: Phil Wilkin
    Official EU Document: No
    Language: English
    Date Deposited: 03 Aug 2018 21:54
    Number of Pages: 32
    Last Modified: 03 Aug 2018 21:54
    URI: http://aei.pitt.edu/id/eprint/93635

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