The impact of decentralization of health services on health outcomes: evidence from Canada

被引:41
作者
Jimenez Rubio, Dolores [1 ,2 ]
机构
[1] Univ Granada, Dept Appl Econ, E-18071 Granada, Spain
[2] Univ York, Dept Econ & Related Studies, York YO10 5DD, N Yorkshire, England
关键词
CARE;
D O I
10.1080/00036841003742579
中图分类号
F [经济];
学科分类号
02 ;
摘要
This article contributes to the limited empirical literature on the impact of decentralization on economic welfare by investigating the hypothesis that shifts towards more fiscal decentralization in health services would be accompanied by improvements in population health. Building on a conventional public finance model applied to health care, this hypothesis is tested on a panel data of the highly decentralized Canadian provinces during the period 1979 to 1995. The results of the exploratory empirical analysis presented in this article suggest that fiscal decentralization of health services in Canada has had a positive and substantial influence on the effectiveness of public policy in improving a population's health over the period studied.
引用
收藏
页码:3907 / 3917
页数:11
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