Please use this identifier to cite or link to this item: http://hdl.handle.net/10419/145008
Authors: 
Costa-i-Font, Joan
Turati, Gilberto
Year of Publication: 
2016
Series/Report no.: 
CESifo Working Paper 5973
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 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.
Subjects: 
health care decentralization
regional inequality
health care
Oaxaca decomposition
JEL: 
H70
I18
I30
Document Type: 
Working Paper

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