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Does regionalization of local public health services influence public spending levels and allocative efficiency?

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  • Bates, Laurie J.
  • Santerre, Rexford E.

Abstract

This paper uses a panel data set of Connecticut communities to offer several empirical insights into the economics of local public health services. First, the demand characteristics associated with local public health services are explored. Tax-share, income, and aid elasticities of local public health demand and the congestability of local public health services are estimated and compared to similar estimates for local public education and municipal services. Second, local and regional demands for public health services are compared with respect to their underlying characteristics and spending levels. Third, Brueckner's test is conducted to determine if resources are efficiently allocated to local public health services in communities with an independent health department and those participating in a regional health district. Empirical evidence reveals that the demand for local public health services is inelastic with respect to tax share, unrelated to income, and relatively sensitive to intergovernmental aid. Moreover, regionalization appears to increase spending on public health services especially relative to both municipal and local education services. Finally, regional health departments serving large populations appear to overspend on local public health services.

Suggested Citation

  • Bates, Laurie J. & Santerre, Rexford E., 2013. "Does regionalization of local public health services influence public spending levels and allocative efficiency?," Regional Science and Urban Economics, Elsevier, vol. 43(2), pages 209-219.
    • Handle: RePEc:eee:regeco:v:43:y:2013:i:2:p:209-219
    DOI: 10.1016/j.regsciurbeco.2012.07.001
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    References listed on IDEAS

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    1. Bergstrom, Theodore C & Goodman, Robert P, 1973. "Private Demands for Public Goods," American Economic Review, American Economic Association, vol. 63(3), pages 280-296, June.
    2. Brueckner, Jan K., 1982. "A test for allocative efficiency in the local public sector," Journal of Public Economics, Elsevier, vol. 19(3), pages 311-331, December.
    3. Bates, Laurie J. & Santerre, Rexford E., 2003. "The impact of a state mandated expenditure floor on aggregate property values," Journal of Urban Economics, Elsevier, vol. 53(3), pages 531-540, May.
    4. Deller, Steven C., 1990. "An application of a test for allocative efficiency in the local public sector," Regional Science and Urban Economics, Elsevier, vol. 20(3), pages 395-406, November.
    5. Oates, Wallace E, 1969. "The Effects of Property Taxes and Local Public Spending on Property Values: An Empirical Study of Tax Capitalization and the Tiebout Hypothesis," Journal of Political Economy, University of Chicago Press, vol. 77(6), pages 957-971, Nov./Dec..
    6. Howard R. Bowen, 1943. "The Interpretation of Voting in the Allocation of Economic Resources," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 58(1), pages 27-48.
    7. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64, pages 416-416.
    8. Brennan,Geoffrey & Buchanan,James M., 2006. "The Power to Tax," Cambridge Books, Cambridge University Press, number 9780521027922.
    9. Heckman, James, 2013. "Sample selection bias as a specification error," Applied Econometrics, Russian Presidential Academy of National Economy and Public Administration (RANEPA), vol. 31(3), pages 129-137.
    10. Brueckner, Jan K., 1979. "Property values, local public expenditure and economic efficiency," Journal of Public Economics, Elsevier, vol. 11(2), pages 223-245, March.
    11. Romer, Thomas & Rosenthal, Howard, 1979. "The elusive median voter," Journal of Public Economics, Elsevier, vol. 12(2), pages 143-170, October.
    12. Anthony Downs, 1957. "An Economic Theory of Political Action in a Democracy," Journal of Political Economy, University of Chicago Press, vol. 65, pages 135-135.
    13. James A. Thorson, 1996. "An Examination of the Monopoly Zoning Hypothesis," Land Economics, University of Wisconsin Press, vol. 72(1), pages 43-55.
    14. Rexford E. Santerre, 1985. "Spatial Differences in the Demands for Local Public Goods," Land Economics, University of Wisconsin Press, vol. 62(2), pages 119-128.
    15. Taylor Lori L., 1995. "Allocative Inefficiency and Local Government," Journal of Urban Economics, Elsevier, vol. 37(2), pages 201-211, March.
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    Cited by:

    1. Shi, Jiangang & Dai, Xingying & Duan, Kaifeng & Li, Jiajia, 2023. "Exploring the performances and determinants of public service provision in 35 major cities in China from the perspectives of efficiency and effectiveness," Socio-Economic Planning Sciences, Elsevier, vol. 85(C).
    2. Laurie J. Bates & Rexford E. Santerre, 2015. "The Demand for Municipal Infrastructure Projects," Public Finance Review, , vol. 43(5), pages 586-605, September.

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