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Decentralisation and health care outcomes: An empirical analysis within the European Union

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  • David Cantarero Prieto
  • Marta Pascual Saez

Abstract

The aim of this paper is to explore the impact of decentralisation on health care outcomes in the European Union. We investigate the hypothesis that shifts towards greater decentralisation would be accompanied by improvements in population health by using infant mortality and life expectancy as dependent variables. The results of the empirical analysis suggest that income, decentralisation, health care resources and lifestyles in European Union did have an influence on infant mortality and life expectancy. This paper adds a new empirical perspective to the evaluation of the economic gains arising from greater decentralisation in health care.

Suggested Citation

  • David Cantarero Prieto & Marta Pascual Saez, "undated". "Decentralisation and health care outcomes: An empirical analysis within the European Union," Studies on the Spanish Economy 220, FEDEA.
    • Handle: RePEc:fda:fdaeee:220
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    7. Dolores Jimenez & Peter C Smith, "undated". "Decentralisation of health care and its impact on health outcomes," Discussion Papers 05/10, Department of Economics, University of York.
    8. Robalino, David A. & Picazo, Oscar F. & Voetberg, Albertus, 2001. "Does fiscal decentralization improve health outcomes? - evidence from a cross-country analysis," Policy Research Working Paper Series 2565, The World Bank.
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    Cited by:

    1. André Martínez Fritscher & Carolina Rodríguez Zamora, 2016. "An Evaluation of the 1997 Expenditure Decentralization Reform in Mexico," Public Finance Review, , vol. 44(5), pages 563-588, September.
    2. Ahmad, Ehtisham & Brosio, Giorgio, 2009. "Decentralization and local service provision: what do we know?," LSE Research Online Documents on Economics 38347, London School of Economics and Political Science, LSE Library.
    3. José-Ignacio Antón & Rafael Muñoz de Bustillo & Enrique Fernández Macías & Jesús Rivera, 2014. "Effects of health care decentralization in Spain from a citizens’ perspective," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 15(4), pages 411-431, May.
    4. Mr. Ehtisham Ahmad & Mr. Giorgio Brosio & Mr. Vito Tanzi, 2008. "Local Service Provision in Selected OECD Countries: Do Decentralized Operations Work Better?," IMF Working Papers 2008/067, International Monetary Fund.
    5. Ferrario, Caterina & Zanardi, Alberto, 2011. "Fiscal decentralization in the Italian NHS: What happens to interregional redistribution?," Health Policy, Elsevier, vol. 100(1), pages 71-80, April.
    6. Moussé Sow & Mr. Ivohasina F Razafimahefa, 2015. "Fiscal Decentralization and the Efficiency of Public Service Delivery," IMF Working Papers 2015/059, International Monetary Fund.

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