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Effects of fiscal decentralisation and electoral accountability efficiency evidence from the Italian health care sector

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  • Francesco Porcelli

    ()
    (University of Warwick)

Abstract

Data envelopment analysis and panel data stochastic frontier models are used to evaluate the impact of the 1995 renewal of regional political institutions and the 1998 tax reform (introduction of IRAP) on the efficiency of Italian regional governments. Both methodologies are applied to a longitudinal dataset, including financial and health care data disaggregated at the regional level from 1991 to 2005. Then, efficiency scores for the regional governments are used to examine the evolution of technical efficiency in the Italian health care sector. The final results provide new empirical evidence in support of the findings of recent theoretical models concerning the way in which fiscal decentralization and electoral accountability affect the efficiency of governmental activity.

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Bibliographic Info

Paper provided by Institut d'Economia de Barcelona (IEB) in its series Working Papers with number 2009/29.

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Length: 31 pages
Date of creation: 2009
Date of revision:
Handle: RePEc:ieb:wpaper:2009/10/doc2009-29

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Keywords: accountability; DEA; decentralisation; efficiency; health; IRAP; Italy; panel data; stochastic frontier;

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References

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Cited by:
  1. Massimiliano Piacenza & Gilberto Turati, 2010. "Does Fiscal Discipline towards Sub-national Governments Affect Citizens’ Well-being? Evidence on Health," Working papers, Former Department of Economics and Public Finance "G. Prato", University of Torino 12, Former Department of Economics and Public Finance "G. Prato", University of Torino.

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