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Unintended consequences of expenditure targets on resource allocation in health systems

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  • Noto, Guido
  • Belardi, Paolo
  • Vainieri, Milena

Abstract

In recent decades, several countries have reformed their health care systems leading to the devolution of power to a lower governance level and, subsequently, to re-centralisation. Due to the ambiguous results of these policies and the start of the financial crisis of 2008, a wide number of national governments implemented cutback initiatives aimed at controlling health expenditure. The literature shows that the introduction of such initiatives may have produced unintended consequences on health systems’ performance. In order to better understand the power relations and the resulting decision-making processes between national governments and local authorities, it is important to focus on the effects of such expenditure control mechanisms on the inputs of the health systems, i.e. the production factors.

Suggested Citation

  • Noto, Guido & Belardi, Paolo & Vainieri, Milena, 2020. "Unintended consequences of expenditure targets on resource allocation in health systems," Health Policy, Elsevier, vol. 124(4), pages 462-469.
    • Handle: RePEc:eee:hepoli:v:124:y:2020:i:4:p:462-469
    DOI: 10.1016/j.healthpol.2020.01.012
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    Cited by:

    1. Sabina Nuti & Guido Noto & Tommaso Grillo Ruggieri & Milena Vainieri, 2021. "The Challenges of Hospitals’ Planning & Control Systems: The Path toward Public Value Management," IJERPH, MDPI, vol. 18(5), pages 1-14, March.
    2. Milena Vainieri & Guido Noto & Francesca Ferre & Laura C. Rosella, 2020. "A Performance Management System in Healthcare for All Seasons?," IJERPH, MDPI, vol. 17(15), pages 1-10, August.
    3. Mario Del Vecchio & Giorgio Giacomelli, 2020. "Personale e Sanit?: un?agenda per il management delle Risorse Umane nel SSN e nelle sue aziende," MECOSAN, FrancoAngeli Editore, vol. 2020(114), pages 11-31.

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