IDEAS home Printed from https://ideas.repec.org/p/gfe/pfrp00/00061.html
   My bibliography  Save this paper

Good health with good institutions. An empirical analysis for italian regions

Author

Listed:
  • Maria Alessandra Antonelli
  • Giorgia Marini

    (Università Sapienza di Roma - Dipartimento di Studi Giuridici ed Economici)

Abstract

In this paper, we investigate the role of institutional quality in explaining cross-regional variation of population health status. To this purpose, the analysis follows two steps. First, we introduce a composite regional health status indicator (RHSI) summarizing life expectancy, mortality and morbidity data. Then, we study the empirical relationship between RHSI and a set of socio-economic, health system and institutional controls over a panel of 21 territorial units (19 regions and 2 autonomous provinces) over the period 2011-2019. As a first result the analysis shows that institutional quality is a fundamental driver for population health. Furthermore, we find that well-functioning institutions and LEAs implementation make the socio-economic context no longer relevant for population health, and this can lead to a reduction in inequalities.

Suggested Citation

  • Maria Alessandra Antonelli & Giorgia Marini, 2023. "Good health with good institutions. An empirical analysis for italian regions," Public Finance Research Papers 61, Istituto di Economia e Finanza, DSGE, Sapienza University of Rome.
    • Handle: RePEc:gfe:pfrp00:00061
    as

    Download full text from publisher

    File URL: https://www.dsge.uniroma1.it/sites/default/files/pubblicazioni/economia/e-pfrp61.pdf
    Download Restriction: no
    ---><---

    References listed on IDEAS

    as
    1. Roberto Cellini & Giacomo Pignataro & Ilde Rizzo, 2000. "Competition and Efficiency in Health Care: An Analysis of the Italian Case," International Tax and Public Finance, Springer;International Institute of Public Finance, vol. 7(4), pages 503-519, August.
    2. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    3. Cirulli, Vanessa & Marini, Giorgia, 2023. "Are austerity measures really distressing? Evidence from Italy," Economics & Human Biology, Elsevier, vol. 49(C).
    4. Briody, Jonathan & Doyle, Orla & Kelleher, Cecily, 2020. "The effect of local unemployment on health: A longitudinal study of Irish mothers 2001-2011," Economics & Human Biology, Elsevier, vol. 37(C).
    5. Alfredo Del Monte & Alessandro De Iudicibus & Sara Moccia & Luca Pennacchio, 2022. "Speed of spending and government decentralization: evidence from Italy," Regional Studies, Taylor & Francis Journals, vol. 56(12), pages 2133-2146, December.
    6. Maria Alessandra Antonelli & Valeria De Bonis, 2019. "The efficiency of social public expenditure in European countries: a two-stage analysis," Applied Economics, Taylor & Francis Journals, vol. 51(1), pages 47-60, January.
    7. Holmberg, Sören & Rothstein, Bo, 2011. "Dying of corruption," Health Economics, Policy and Law, Cambridge University Press, vol. 6(4), pages 529-547, October.
    8. Teresa Bago d'Uva & Eddy Van Doorslaer & Maarten Lindeboom & Owen O'Donnell, 2008. "Does reporting heterogeneity bias the measurement of health disparities?," Health Economics, John Wiley & Sons, Ltd., vol. 17(3), pages 351-375, March.
    9. Annamaria Nifo & Gaetano Vecchione, 2014. "Do Institutions Play a Role in Skilled Migration? The Case of Italy," Regional Studies, Taylor & Francis Journals, vol. 48(10), pages 1628-1649, October.
    10. Olsen, Jan Abel & Lindberg, Marie Hella & Lamu, Admassu Nadew, 2020. "Health and wellbeing in Norway: Population norms and the social gradient," Social Science & Medicine, Elsevier, vol. 259(C).
    11. António Afonso & Mina Kazemi, 2017. "Assessing Public Spending Efficiency in 20 OECD Countries," Dynamic Modeling and Econometrics in Economics and Finance, in: Bettina Bökemeier & Alfred Greiner (ed.), Inequality and Finance in Macrodynamics, pages 7-42, Springer.
    12. Denise Doiron & Denzil G. Fiebig & Meliyanni Johar & Agne Suziedelyte, 2015. "Does self-assessed health measure health?," Applied Economics, Taylor & Francis Journals, vol. 47(2), pages 180-194, January.
    13. Bjørnskov, Christian & Dreher, Axel & Fischer, Justina A.V., 2010. "Formal institutions and subjective well-being: Revisiting the cross-country evidence," European Journal of Political Economy, Elsevier, vol. 26(4), pages 419-430, December.
    14. Stephen Knowles & P. Dorian Owen, 2010. "Which Institutions are Good for Your Health? The Deep Determinants of Comparative Cross-country Health Status," Journal of Development Studies, Taylor & Francis Journals, vol. 46(4), pages 701-723.
    15. Roberto Colombi & Gianmaria Martini & Giorgio Vittadini, 2017. "Determinants of transient and persistent hospital efficiency: The case of Italy," Health Economics, John Wiley & Sons, Ltd., vol. 26(S2), pages 5-22, September.
    16. Gkiouleka, Anna & Huijts, Tim & Beckfield, Jason & Bambra, Clare, 2018. "Understanding the micro and macro politics of health: Inequalities, intersectionality & institutions - A research agenda," Social Science & Medicine, Elsevier, vol. 200(C), pages 92-98.
    17. Dario D’Ingiullo & Valentina Evangelista, 2020. "Institutional quality and innovation performance: evidence from Italy," Regional Studies, Taylor & Francis Journals, vol. 54(12), pages 1724-1736, December.
    18. Folland, Sherman, 2008. "An economic model of social capital and health," Health Economics, Policy and Law, Cambridge University Press, vol. 3(4), pages 333-348, October.
    19. Antonella Rita Ferrara & Rosanna Nisticò, 2019. "Does Institutional Quality Matter for Multidimensional Well-Being Inequalities? Insights from Italy," Social Indicators Research: An International and Interdisciplinary Journal for Quality-of-Life Measurement, Springer, vol. 145(3), pages 1063-1105, October.
    20. Di Novi, Cinzia & Piacenza, Massimiliano & Robone, Silvana & Turati, Gilberto, 2019. "Does fiscal decentralization affect regional disparities in health? Quasi-experimental evidence from Italy," Regional Science and Urban Economics, Elsevier, vol. 78(C).
    21. Pickett, Kate E. & Wilkinson, Richard G., 2015. "Income inequality and health: A causal review," Social Science & Medicine, Elsevier, vol. 128(C), pages 316-326.
    22. Cavalieri, Marina & Ferrante, Livio, 2020. "Convergence, decentralization and spatial effects: An analysis of Italian regional health outcomes," Health Policy, Elsevier, vol. 124(2), pages 164-173.
    23. Theodossiou, I. & Zangelidis, A., 2009. "The social gradient in health: The effect of absolute income and subjective social status assessment on the individual's health in Europe," Economics & Human Biology, Elsevier, vol. 7(2), pages 229-237, July.
    24. F. Moscone & E. Tosetti & G. Vittadini, 2012. "Social interaction in patients’ hospital choice: evidence from Italy," Journal of the Royal Statistical Society Series A, Royal Statistical Society, vol. 175(2), pages 453-472, April.
    25. Rodgers, Justin & Valuev, Anna V. & Hswen, Yulin & Subramanian, S.V., 2019. "Social capital and physical health: An updated review of the literature for 2007–2018," Social Science & Medicine, Elsevier, vol. 236(C), pages 1-1.
    26. Davillas, Apostolos & de Oliveira, Victor Hugo & Jones, Andrew M., 2023. "Is inconsistent reporting of self-assessed health persistent and systematic? Evidence from the UKHLS," Economics & Human Biology, Elsevier, vol. 49(C).
    27. De Luca, Giacomo & Lisi, Domenico & Martorana, Marco & Siciliani, Luigi, 2021. "Does higher Institutional Quality improve the Appropriateness of Healthcare Provision?," Journal of Public Economics, Elsevier, vol. 194(C).
    28. repec:wly:hlthec:v:26:y:2017:i::p:5-22 is not listed on IDEAS
    29. Sherman Folland, 2018. "How does social capital contribute to health?," Chapters, in: Sherman Folland & Eric Nauenberg (ed.), Elgar Companion to Social Capital and Health, chapter 2, pages 11-18, Edward Elgar Publishing.
    30. Segovia, Jorge & Bartlett, Roy F. & Edwards, Alison C., 1989. "An empirical analysis of the dimensions of health status measures," Social Science & Medicine, Elsevier, vol. 29(6), pages 761-768, January.
    31. Marmot, M. & Allen, J.J., 2014. "Social determinants of health equity," American Journal of Public Health, American Public Health Association, vol. 104(S4), pages 517-519.
    32. Monica Violeta Achim & Viorela Ligia Văidean & Sorin Nicolae Borlea, 2020. "Corruption and health outcomes within an economic and cultural framework," The European Journal of Health Economics, Springer;Deutsche Gesellschaft für Gesundheitsökonomie (DGGÖ), vol. 21(2), pages 195-207, March.
    33. S. Fanshel & J. W. Bush, 1970. "A Health-Status Index and its Application to Health-Services Outcomes," Operations Research, INFORMS, vol. 18(6), pages 1021-1066, December.
    34. Rita De Siano & Marcella D’Uva, 2017. "Fiscal decentralization and spillover effects of local government public spending: the case of Italy," Regional Studies, Taylor & Francis Journals, vol. 51(10), pages 1507-1517, October.
    35. Landi, Stefano & Ivaldi, Enrico & Testi, Angela, 2018. "Socioeconomic status and waiting times for health services: An international literature review and evidence from the Italian National Health System," Health Policy, Elsevier, vol. 122(4), pages 334-351.
    Full references (including those not matched with items on IDEAS)

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Fiorillo, Damiano & Sabatini, Fabio, 2015. "Structural social capital and health in Italy," Economics & Human Biology, Elsevier, vol. 17(C), pages 129-142.
    2. Cristian Barra & Raffaele Lagravinese & Roberto Zotti, 2022. "Exploring hospital efficiency within and between Italian regions: new empirical evidence," Journal of Productivity Analysis, Springer, vol. 57(3), pages 269-284, June.
    3. Vu, Trung V., 2020. "Economic complexity and health outcomes: A global perspective," Social Science & Medicine, Elsevier, vol. 265(C).
    4. Focacci, Chiara Natalie & Kovac, Mitja & Spruk, Rok, 2023. "Ethnolinguistic diversity, quality of local public institutions, and firm-level innovation," International Review of Law and Economics, Elsevier, vol. 75(C).
    5. Lippi Bruni, Matteo & Ugolini, Cristina & Verzulli, Rossella, 2021. "Should I wait or should I go? Travelling versus waiting for better healthcare," Regional Science and Urban Economics, Elsevier, vol. 89(C).
    6. Janne Tukiainen & Sebastian Blesse & Albrecht Bohne & Leonardo M. Giuffrida & Jan Jäässkeläinen & Ari Luukinen & Antti Sieppi, 2021. "What Are the Priorities of Bureaucrats? Evidence from Conjoint Experiments with Procurement Officials," EconPol Working Paper 63, ifo Institute - Leibniz Institute for Economic Research at the University of Munich.
    7. Mavisakalyan, Astghik & Otrachshenko, Vladimir & Popova, Olga, 2021. "Can bribery buy health? Evidence from post-communist countries," Journal of Comparative Economics, Elsevier, vol. 49(4), pages 991-1007.
    8. Rostand Arland Yebetchou Tchounkeu, 2023. "Public Health Efficiency and well-being in Italian province," Working Papers 479, Universita' Politecnica delle Marche (I), Dipartimento di Scienze Economiche e Sociali.
    9. Xindong Xue & W. Robert Reed, 2015. "The Relationship Between Social Capital And Health In China," Working Papers in Economics 15/05, University of Canterbury, Department of Economics and Finance.
    10. Owen O'Donnell & Eddy Van Doorslaer & Tom Van Ourti, 2013. "Health and Inequality," Tinbergen Institute Discussion Papers 13-170/V, Tinbergen Institute.
    11. Anup Kumar Yadava & Yadawananda Neog, 2022. "Public Sector Performance and Efficiency Assessment of Indian States," Global Business Review, International Management Institute, vol. 23(2), pages 493-511, April.
    12. Andrea Ciaccio, 2023. "The Impact of a Cost-containment Measure on the Quality of Regional Health Services in Italy: a Parametric and a Non-parametric Approach," Working Papers 2023: 24, Department of Economics, University of Venice "Ca' Foscari".
    13. Islam, M. Kamrul & Folland, Sherman & Kaarbøe, Oddvar M., 2017. "Social capital and cigarette smoking: New empirics featuring the Norwegian HUNT data," Economics & Human Biology, Elsevier, vol. 26(C), pages 174-185.
    14. Afonso, António & Tovar Jalles, João & Venâncio, Ana, 2022. "Do financial markets reward government spending efficiency?," Journal of International Financial Markets, Institutions and Money, Elsevier, vol. 77(C).
    15. Marenzi, Anna & Rizzi, Dino & Zanette, Michele & Zantomio, Francesca, 2023. "Regional institutional quality and territorial equity in LTC provision," The Journal of the Economics of Ageing, Elsevier, vol. 26(C).
    16. Martin, Lisa & Baten, Joerg, 2022. "Inequality and Life Expectancy in Africa and Asia, 1820‐2000," Journal of Economic Behavior & Organization, Elsevier, vol. 201(C), pages 40-59.
    17. Andrea Salustri & Maria Alessandra Antonelli & Angelo Castaldo, 2023. "Uno studio dei sistemi di protezione sociale europei tramite l’analisi delle componenti principali," Public Finance Research Papers 59, Istituto di Economia e Finanza, DSGE, Sapienza University of Rome.
    18. Liu, Gordon G. & Xue, Xindong & Yu, Chenxi & Wang, Yafeng, 2016. "How does social capital matter to the health status of older adults? Evidence from the China Health and Retirement Longitudinal Survey," Economics & Human Biology, Elsevier, vol. 22(C), pages 177-189.
    19. Pascual-Sáez, Marta & Cantarero-Prieto, David & Lanza-León, Paloma, 2019. "The dynamics of health poverty in Spain during the economic crisis (2008–2016)," Health Policy, Elsevier, vol. 123(10), pages 1011-1018.
    20. Xue, Xindong & Mo, Erxiao & Reed, W. Robert, 2016. "The relationship between social capital and self-reported health in China," Economics - The Open-Access, Open-Assessment E-Journal (2007-2020), Kiel Institute for the World Economy (IfW Kiel), vol. 10, pages 1-44.

    More about this item

    Keywords

    life expectancy; mortality; morbidity; health status; institutional quality; Italian regions.;
    All these keywords.

    JEL classification:

    • H75 - Public Economics - - State and Local Government; Intergovernmental Relations - - - State and Local Government: Health, Education, and Welfare
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • O17 - Economic Development, Innovation, Technological Change, and Growth - - Economic Development - - - Formal and Informal Sectors; Shadow Economy; Institutional Arrangements
    • P48 - Political Economy and Comparative Economic Systems - - Other Economic Systems - - - Legal Institutions; Property Rights; Natural Resources; Energy; Environment; Regional Studies

    NEP fields

    This paper has been announced in the following NEP Reports:

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:gfe:pfrp00:00061. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Valeria De Bonis (email available below). General contact details of provider: https://edirc.repec.org/data/ierosit.html .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.