Effects of fiscal decentralisation and electoral accountability efficiency evidence from the Italian health care sector
AbstractData 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 InfoPaper provided by Institut d'Economia de Barcelona (IEB) in its series Working Papers with number 2009/29.
Length: 31 pages
Date of creation: 2009
Date of revision:
accountability; DEA; decentralisation; efficiency; health; IRAP; Italy; panel data; stochastic frontier;
Find related papers by JEL classification:
- H11 - Public Economics - - Structure and Scope of Government - - - Structure and Scope of Government
- H51 - Public Economics - - National Government Expenditures and Related Policies - - - Government Expenditures and Health
- H77 - Public Economics - - State and Local Government; Intergovernmental Relations - - - Intergovernmental Relations; Federalism
- I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
This paper has been announced in the following NEP Reports:
- NEP-ALL-2009-11-14 (All new papers)
- NEP-EFF-2009-11-14 (Efficiency & Productivity)
- NEP-PBE-2009-11-14 (Public Economics)
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