Showing 1 - 10 of 2,131
Does fiscal decentralization improve health and educational outcomes? Does this improvement depend on the quality of … governance? How do fiscal decentralization and governance interact? We answer these questions through an instrumental variable … Tobit analysis of cross-country panel data. We find negative effects of fiscal decentralization on health outcomes, which …
Persistent link: https://www.econbiz.de/10014082215
In some countries the reform of public health care provision has been accompanied by a parallel process of devolution that has also entailed the organisation of health care becoming a regional competence. However, the application of fiscal federalism in the context of the provision of health...
Persistent link: https://www.econbiz.de/10012729190
There is considerable regional variation in incomes and poverty in the Czech Republic and gaps have grown over time. With the highest number of municipalities per head in the OECD, subnational government is very fragmented and the resulting lack of capacity at the local level reduces the quality...
Persistent link: https://www.econbiz.de/10012421297
How does fiscal decentralisation affect the development of a health system? Evidence from health care decentralisation in Europe can offer some insights to the question above. This paper addresses the effects of health care decentralisation in Europe, and reviews some of the key questions on the...
Persistent link: https://www.econbiz.de/10013089056
Education and health sectors are known to have massive impact on the quality of human life. In this context, the health sector is discussed in this study to analyse the impact of fiscal decentralisation on basic health infrastructure in Pakistan. Provincial datasets (1980-2001) from three...
Persistent link: https://www.econbiz.de/10010340143
This article sheds light on the role of subnational governments in health systems across OECD countries. The views in this article show a move away from traditional measures of decentralisation, such as the share of subnational government expenditure of total expenditure, to measures capturing a...
Persistent link: https://www.econbiz.de/10012418967
Recent theories on fiscal decentralization support the view that sub-national governments who finance a larger share of …-experimental evidence on the impact of fiscal decentralization on health disparities between- and within-regions. Our findings, robust to a … number of robustness checks, support the view that fiscal decentralization does not impact on between-regional inequalities …
Persistent link: https://www.econbiz.de/10012053288
The Coronavirus pandemic has put extreme pressure on public health services, often delivered at the local and regional levels of government. The paper focuses on how countries made changes to the configuration of federalism during the first wave of the pandemic. These changes typically have...
Persistent link: https://www.econbiz.de/10012425282
This paper assesses how decentralization can contribute, if proper political and fiscal institutions are present, to … improving service delivery in Asia. In other words, decentralization is an opportunity and a challenge at the same time. The … issues leading to "partial decentralization" that is common to most models. Consideration is also given to the emerging …
Persistent link: https://www.econbiz.de/10010336939
) provides little evidence that budget constraints at the cantonal level affect municipal finances and fiscal decentralization …
Persistent link: https://www.econbiz.de/10010424734