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


  • Maria Alessandra Antonelli
  • Giorgia Marini

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


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

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    More about this item


    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

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