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Vertical Competition in the Spanish National Health System (NHS)

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Author Info
Joan Costa-Font ()
Ana Rico

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Abstract

In unitary states, competitive decentralisation structures can take place by increasing the visibility of politically accountable jurisdictions in certain policy responsibilities such as health care. Drawing from the Spanish decentralisation process we examine the mechanisms (and determinants) of vertical competition in the development of health policies in the Spanish National Health System. The Spanish example provides qualitative evidence of vertical competition that assimilates government outcomes of unitary states to that of federal structures. The Spanish experience indicates that the specific vertical competition mechanisms in place until 2002 are likely to be responsible for significant policy innovation and welfare state development. Copyright Springer Science+Business Media, Inc. 2006

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File URL: http://hdl.handle.net/10.1007/s11127-005-9011-y
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Publisher Info
Article provided by Springer in its journal Public Choice.

Volume (Year): 128 (2006)
Issue (Month): 3 (September)
Pages: 477-498
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Handle: RePEc:kap:pubcho:v:128:y:2006:i:3:p:477-498

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References listed on IDEAS
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
  1. Charles M. Tiebout, 1956. "A Pure Theory of Local Expenditures," Journal of Political Economy, University of Chicago Press, vol. 64, pages 416. [Downloadable!] (restricted)
  2. G A Boyne & M Powell, 1993. "Territorial justice and Thatcherism," Environment and Planning C: Government and Policy, Pion Ltd, London, vol. 11(1), pages 35-53, February. [Downloadable!] (restricted)
  3. Jan K. Brueckner, 2000. "Welfare Reform and the Race to the Bottom: Theory and Evidence," Southern Economic Journal, Southern Economic Association, vol. 66(2), pages 505-525, January.
  4. SALMON, Pierre, 1999. "Vertical competition in a unitary state," LATEC - Document de travail - Economie (1991-2003) 1999-11, LATEC, Laboratoire d'Analyse et des Techniques EConomiques, CNRS UMR 5118, Université de Bourgogne.
  5. Breton, Albert & Fraschini, Angela, 2003. " Vertical Competition in Unitary States: The Case of Italy," Public Choice, Springer, vol. 114(1-2), pages 57-77, January. [Downloadable!] (restricted)
  6. Salmon, Pierre, 1987. "Decentralisation as an Incentive Scheme," Oxford Review of Economic Policy, Oxford University Press, vol. 3(2), pages 24-43, Summer.
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  7. Jean-Michael Josselin & Alain Marciano, 2004. "Federalism and Conflicts over Principalship. Some Insights into the American Constitutional History," Constitutional Political Economy, Springer, vol. 15(3), pages 281-304, 09. [Downloadable!]
  8. Kjell Hausken & Christian W. Martin & Thomas Plümper, 2004. "Government Spending and Taxation in Democracies and Autocracies," Constitutional Political Economy, Springer, vol. 15(3), pages 239-259, 09. [Downloadable!]
  9. Wittman, Donald, 1989. "Why Democracies Produce Efficient Results," Journal of Political Economy, University of Chicago Press, vol. 97(6), pages 1395-1424, December. [Downloadable!] (restricted)
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(explanations, Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.)

  1. Joan Costa Font & Jordi Pons Novell, 2005. "Public Health Expenditure and Spatial Interactions in a Decentralized National Health System," Working Papers in Economics 139, Universitat de Barcelona. Espai de Recerca en Economia. [Downloadable!]
    Other versions:
  2. Joan Costa-Font & Francesco Moscone, 2008. "The impact of decentralization and inter-territorial interactions on Spanish health expenditure," Empirical Economics, Springer, vol. 34(1), pages 167-184, February. [Downloadable!] (restricted)
  3. Joan Costa-Font & Ana Rico, 2006. "Devolution and the Interregional Inequalities in Health and Healthcare in Spain," Regional Studies, Taylor and Francis Journals, vol. 40(8), pages 875-887, November. [Downloadable!] (restricted)
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This page was last updated on 2009-11-25.

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