IDEAS home Printed from https://ideas.repec.org/p/oec/ctpaab/27-en.html

The impact of decentralisation on the performance of health care systems: A non-linear relationship

Author

Listed:
  • Sean Dougherty
  • Luca Lorenzoni
  • Alberto Marino
  • Fabrice Murtin

Abstract

This paper examines the relationship between the degree of administrative decentralisation across levels of government in health care decision-making and health care spending, life expectancy as well as hospital costs. This empirical analysis builds on previous analytical research carried out by the OECD (Lorenzoni, Murtin et al., 2018; Lorenzoni and Marino, 2017), both of which established new methodological tools to analyse health sector performance. The present analysis extends this framework to examine the impact of centralisation versus decentralisation of responsibilities across levels of government, making use of newly collected data on governance and expenditure assignment, as well as non-linear empirical specifications.

Suggested Citation

  • Sean Dougherty & Luca Lorenzoni & Alberto Marino & Fabrice Murtin, 2019. "The impact of decentralisation on the performance of health care systems: A non-linear relationship," OECD Working Papers on Fiscal Federalism 27, OECD Publishing.
    • Handle: RePEc:oec:ctpaab:27-en
    DOI: 10.1787/04208b83-en
    as

    Download full text from publisher

    To our knowledge, this item is not available for download. To find whether it is available, there are three options:
    1. Check below whether another version of this item is available online.
    2. Check on the provider's web page whether it is in fact available.
    3. Perform a
    for a similarly titled item that would be available.

    Other versions of this item:

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Andrés Rodríguez-Pose & Miquel Vidal-Bover, 2022. "Decentralisation, unfunded mandates, and the regional response to the covid-19 pandemic," Working Papers. Collection A: Public economics, governance and decentralization 2214, Universidade de Vigo, GEN - Governance and Economics research Network.
    2. Wei, Yao & Anselmi, Laura & Munford, Luke & Sutton, Matt, 2023. "The impact of devolution on experienced health and well-being," Social Science & Medicine, Elsevier, vol. 333(C).
    3. Olga Yu. Gorbova & Sergey V. Perfiliev, 2022. "The impact of competition on patient satisfaction with quality of health care," Economic Consultant, Scientific and Educational Initiative LLC, vol. 3(2), pages 52-60.
    4. Andrea Riganti, 2021. "Containing costs in the Italian local healthcare market," Health Economics, John Wiley & Sons, Ltd., vol. 30(5), pages 1001-1014, May.
    5. Guerrero, Omar A. & Castañeda, Gonzalo & Trujillo, Georgina & Hackett, Lucy & Chávez-Juárez, Florian, 2022. "Subnational sustainable development: The role of vertical intergovernmental transfers in reaching multidimensional goals," Socio-Economic Planning Sciences, Elsevier, vol. 83(C).

    More about this item

    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
    • O43 - Economic Development, Innovation, Technological Change, and Growth - - Economic Growth and Aggregate Productivity - - - Institutions and Growth

    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:oec:ctpaab:27-en. 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.

    We have no bibliographic references for this item. You can help adding them by using 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: the person in charge (email available below). General contact details of provider: https://edirc.repec.org/data/ctoecfr.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.