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The Regional Impact of Health Care Expenditure: the Case of Italy

  • Margherita Giannoni
  • Theodore Hitiris

Decentralisation invests the sub-central authorities of a country with autonomy in political and economic power the exercise of which may widen interregional divergence and inequality. This paper provides evidence demonstrating that in the case of Italy the central government's policies for rationalisation and containment of the growth of health care expenditure in combination with decentralisation in the administration and provision of health care have resulted in interregional inequality, aggravating the existing regional divergence.

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File URL: http://www.york.ac.uk/media/economics/documents/discussionpapers/1999/9920.pdf
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Paper provided by Department of Economics, University of York in its series Discussion Papers with number 99/20.

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Handle: RePEc:yor:yorken:99/20
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  1. Pauly, Mark V, 1986. "Taxation, Health Insurance, and Market Failure in the Medical Economy," Journal of Economic Literature, American Economic Association, vol. 24(2), pages 629-75, June.
  2. Blomqvist, A. G. & Carter, R. A. L., 1997. "Is health care really a luxury?," Journal of Health Economics, Elsevier, vol. 16(2), pages 207-229, April.
  3. Piperno, Aldo & Di Orio, Ferdinando, 1990. "Social differences in health and utilization of health services in Italy," Social Science & Medicine, Elsevier, vol. 31(3), pages 305-312, January.
  4. Joseph P. Newhouse, 1992. "Medical Care Costs: How Much Welfare Loss?," Journal of Economic Perspectives, American Economic Association, vol. 6(3), pages 3-21, Summer.
  5. Hitiris, Theo & Posnett, John, 1992. "The determinants and effects of health expenditure in developed countries," Journal of Health Economics, Elsevier, vol. 11(2), pages 173-181, August.
  6. David M. Cutler & Ellen Meara, 1997. "The Medical Costs of The Young and Old: A Forty Year Perspective," NBER Working Papers 6114, National Bureau of Economic Research, Inc.
  7. Frank T. Denton & Byron G. Spencer, 1975. "Health-Care Costs When the Population Changes," Canadian Journal of Economics, Canadian Economics Association, vol. 8(1), pages 34-48, February.
  8. Anderton, Bob & Pesaran, Bahram & Wren-Lewis, Simon, 1992. "Imports, Output and the Demand for Manufactures," Oxford Economic Papers, Oxford University Press, vol. 44(2), pages 175-86, April.
  9. McCoskey, Suzanne K. & Selden, Thomas M., 1998. "Health care expenditures and GDP: panel data unit root test results," Journal of Health Economics, Elsevier, vol. 17(3), pages 369-376, June.
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