Social Services Viewed Through New Lenses: Agency Problems in Education and Health in Latin America
Latin America spends large amounts of resources on social services, yet its life expectancy and education levels are low compared to other regions with similar levels of income. A key reason is the inherent difficulty of making social services produce efficiently in reponse to demands and needs. This article shows how improving the organization of these service systems can make a significant difference in health conditions and student learning. A general framework applying the lessons of theories of the firm to the particularities of social services is developed, followed by a summary of case studies which assessed the impact of organization on performance in education (in Brazil, Venezuela and Chile), and in health (in Uruguay, Chile and the Dominican Republic). The paper shows that the relationships and rules followed by governments, service providers, and consumers can mean the difference between success and failure. It also describes a wealth of approaches, some of them with long histories, that point toward better ways of organizing social services and ultimately improving health and education in the region. This document is the first chapter of the Research Network book entitled "La organizacion marca la diferencia: Educación y salud en América Latina. "
|Date of creation:||Dec 1997|
|Contact details of provider:|| Postal: 1300 New York Avenue, NW, Washington, DC 20577|
Web page: http://www.iadb.org/res
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Cox, Donald & Jimenez, Emmanuel, 1990. "The relative effectiveness of private and public schools : Evidence from two developing countries," Journal of Development Economics, Elsevier, vol. 34(1-2), pages 99-121, November.
- Cremer, Jaques & Estache, Antonio & Seabright, Paul & DEC, 1994. "The decentralization of public services : lessons from the theory of the firm," Policy Research Working Paper Series 1345, The World Bank.
- Caroline Minter Hoxby, 1996. "How Teachers' Unions Affect Education Production," The Quarterly Journal of Economics, Oxford University Press, vol. 111(3), pages 671-718.
- Hoenack, Stephen A., 1994. "Economics, organizations, and learning: Research directions for the economics of education," Economics of Education Review, Elsevier, vol. 13(2), pages 147-162, June.
- Gaynor, Martin, 1994.
"Issues in the Industrial Organization of the Market for Physician Services,"
Journal of Economics & Management Strategy,
Wiley Blackwell, vol. 3(1), pages 211-255, Spring.
- Martin Gaynor, 1994. "Issues in the Industrial Organization of the Market for Physician Services," NBER Working Papers 4695, National Bureau of Economic Research, Inc.
- Manski, Charles F., 1992.
"Educational choice (vouchers) and social mobility,"
Economics of Education Review,
Elsevier, vol. 11(4), pages 351-369, December.
- C. F. Manski, . "Educational choice (vouchers) and social mobility," Institute for Research on Poverty Discussion Papers 972-92, University of Wisconsin Institute for Research on Poverty.
- Goudriaan, Rene & de Groot, Hans, 1993. "State regulation and university behavior," Journal of Economic Behavior & Organization, Elsevier, vol. 20(3), pages 309-318, April.
- Randall P. Ellis & Thomas G. McGuire, 1993. "Supply-Side and Demand-Side Cost Sharing in Health Care," Journal of Economic Perspectives, American Economic Association, vol. 7(4), pages 135-151, Fall.
- de Groot, Hans, 1988. "Decentralization decisions in bureaucracies as a principal-agent problem," Journal of Public Economics, Elsevier, vol. 36(3), pages 323-337, August.
- Spiller, Pablo T, 1990. "Politicians, Interest Groups, and Regulators: A Multiple-Principals Agency Theory of Regulation, or "Let Them Be Bribed."," Journal of Law and Economics, University of Chicago Press, vol. 33(1), pages 65-101, April.
When requesting a correction, please mention this item's handle: RePEc:idb:wpaper:3017. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: (Monica Bazan)
If references are entirely missing, you can add them using this form.