Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?. Issue 7 (3rd July 2018)

• Record Type: Journal Article
• Authors: Costa-Font, Joan; Turati, Gilberto
• Is Part Of: Regional studies. Volume 52:Issue 7(2018)
• Page Start: 974
• Page End: 985
• Publication Date: 2018-07-03
• Subjects: healthcare decentralization -- regional inequality -- healthcare -- Oaxaca decomposition; H7 -- I3 -- I18; Regional planning -- Periodicals; Regional planning -- Great Britain -- Periodicals; 307.14
• DOI: 10.1080/00343404.2017.1361527
• Languages: English
• ISSNs: 0034-3404

Abstract

ABSTRACT: Does regional decentralization threaten the commitment to regional equality in government outcomes and outputs? We attempt to shed a light on this question by drawing on unique evidence from the largest European unitary states to have engaged in countrywide health system decentralization: Italy and Spain. We estimate, decompose and run a counterfactual analysis of regional inequality in government output (health expenditure per capita) and outcome (health system satisfaction) during the expansion of healthcare decentralization in both countries. We find no evidence of an increase in regional inequalities in outcomes and outputs in the examined period. Inequalities are accounted for by differences in health system design and management by regional governments.