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Analysing the impact of fiscal decentralization on health outcomes: empirical evidence from Spain

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  • D. Cantarero
  • Marta Pascual

Abstract

The aim of this article is to explore the impact of decentralization on health care outcomes in Spain. We develop a model and use it to investigate empirically the hypothesis that shifts towards greater decentralization would be accompanied by improvements in population health in Spain between 1992 and 2003 by using infant mortality and life expectancy as dependent variables. The empirical analysis suggests that income, decentralization and health care resources in Spain did have an important influence on infant mortality and life expectancy.

Suggested Citation

  • D. Cantarero & Marta Pascual, 2007. "Analysing the impact of fiscal decentralization on health outcomes: empirical evidence from Spain," Applied Economics Letters, Taylor & Francis Journals, vol. 15(2), pages 109-111.
    • Handle: RePEc:taf:apeclt:v:15:y:2007:i:2:p:109-111
    DOI: 10.1080/13504850600770913
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    Cited by:

    1. Ryota Nakatani & Qianqian Zhang & Isaura Garcia Valdes, 2022. "Fiscal Decentralization Improves Social Outcomes When Countries Have Good Governance," IMF Working Papers 2022/111, International Monetary Fund.
    2. Hope Corman & Dhaval Dave & Nancy E. Reichman, 2018. "Evolution of the Infant Health Production Function," Southern Economic Journal, John Wiley & Sons, vol. 85(1), pages 6-47, July.
    3. Taiwo, Kayode, 2020. "The effect of decentralisation on access to sanitation and water services: An empirical test using international data," MPRA Paper 105426, University Library of Munich, Germany.
    4. Martínez André & Rodríguez-Zamora Carolina, 2011. "An Evaluation of the 1997 Fiscal Decentralization Reform in Mexico: The Case of the Health Sector," Working Papers 2011-16, Banco de México.
    5. 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.
    6. Blázquez-Fernández, Carla & Cantarero-Prieto, David & Pascual-Sáez, Marta, 2014. "Experiencia comparada europea y el reto de la descentralización sanitaria/Comparative European Experience and the Decentralization Health Challenge," Estudios de Economia Aplicada, Estudios de Economia Aplicada, vol. 32, pages 841-860, Mayo.
    7. Pilar Zueras & Elisenda Rentería, 2020. "Trends in disease-free life expectancy at age 65 in Spain: Diverging patterns by sex, region and disease," PLOS ONE, Public Library of Science, vol. 15(11), pages 1-15, November.
    8. Jiménez-Rubio, Dolores & García-Gómez, Pilar, 2017. "Decentralization of health care systems and health outcomes: Evidence from a natural experiment," Social Science & Medicine, Elsevier, vol. 188(C), pages 69-81.
    9. Ryota Nakatani & Qianqian Zhang & Isaura Garcia Valdes, 2024. "Health Expenditure Decentralization and Health Outcomes: The Importance of Governance," Publius: The Journal of Federalism, CSF Associates Inc., vol. 54(1), pages 59-87.
    10. Soto, Victoria Eugenia & Farfan, Maria Isabel & Lorant, Vincent, 2012. "Fiscal decentralisation and infant mortality rate: The Colombian case," Social Science & Medicine, Elsevier, vol. 74(9), pages 1426-1434.
    11. 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.
    12. Agnes Putri Apriliani & Khoirunurrofik Khoirunurrofik, 2020. "The Impact of Special Allocation Fund (DAK) for Health on Achievements of Health Development Performance in Indonesia," Economies, MDPI, vol. 8(3), pages 1-15, September.
    13. Jiménez-Rubio, Dolores, 2011. "The impact of fiscal decentralization on infant mortality rates: Evidence from OECD countries," Social Science & Medicine, Elsevier, vol. 73(9), pages 1401-1407.

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