TITLE

Electoral accountability and local government efficiency: quasi-experimental evidence from the Italian health care sector reforms

AUTHOR(S)
Porcelli, Francesco
PUB. DATE
August 2014
SOURCE
Economics of Governance;Aug2014, Vol. 15 Issue 3, p221
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
This paper evaluates the effect of two policy changes on the efficiency of Italian regional governments in the provision of health care services: first a change in the electoral system, second a process of fiscal decentralisation. The paper provides two main contributions: (1) a comprehensive analysis of the two main reforms that involved Italian regional governments and the health care sector during the 1990s, (2) the evaluation of the impact of the electoral reform in a quasi-experimental setting. Final results are in line with recent theoretical predictions that show a positive relationship between government efficiency and the electoral accountability enhanced by institutions such as electoral rules and fiscal decentralisation.
ACCESSION #
97165629

 

Related Articles

  • ELECTORAL RULES AND MUNICIPAL FINANCES: EVIDENCE FROM TWO REFORMS IN ITALY. BORDIGNON, MASSIMO; TURATI, GILBERTO // CESifo DICE report;Spring2014, Vol. 12 Issue 1, p24 

    The authors discuss the impact of electoral and municipal property tax (ICI) reforms in the fiscal policy and political economy in Italy. Topics include the impact of decentralization in the quality of policies in the country, reduction of bargaining power of the extremists, and the equilibrium...

  • Back to basics: does decentralization improve health system performance? Evidence from Ceará in north-east Brazil. Atkinson, Sarah; Haran, Dave // Bulletin of the World Health Organization;Nov2004, Vol. 82 Issue 11, p822 

    Objective To examine whether decentralization has improved health system performance in the State of Ceará, north-east Brazil. Methods Ceará is strongly committed to decentralization. A survey across 45 local ( município) health systems collected data on performance and formal...

  • DECENTRALIZATION OF HEALTH SERVICES IN ROMANIA. PÎRVU, Daniela; DIDEA, Ionel // Scientific Bulletin - Economic Sciences / Buletin Stiintific - S;Jul2013, Vol. 12 Issue 2, p11 

    This paper aims to provide an analytical framework for decentralization of health services in Romania. Decentralization, intended as a measure to increase quality of health services provided to the population, and to a better functioning of these some health units far not led to the expected...

  • Decentralization and regional government size in Spain. Cantarero, David; Perez, Patricio // Portuguese Economic Journal;Dec2012, Vol. 11 Issue 3, p211 

    The aim of this paper is to investigate the impact of fiscal decentralization on the size of regional governments in Spain, by controlling for economies of scale, interregional heterogeneity and institutional framework. We study it over 1985 to 2004 using a panel dataset of seventeen spanish...

  • ABSTRACTS OF THE ARTICLES.  // Kozgazdasagi Szemle / Economic Review;Feb2014, Vol. 61, p231 

    No abstract available.

  • ASPECTS OF FISCAL DECENTRALISATION IN CROATIA. Krtalić, Sandra; Škreblin Borovcak, Barbara // Proceedings of the International Scientific Conference, Juraj Do;2011, p1126 

    The majority of modern states, whether unilateral or federal, are organised on more than one level of government. The process offiscal decentralisation, in Republic of Croatia started in 2001 with new law on local and district (regional) autonomy that has decentralised the fields of education,...

  • Scotland and small country independence: the assessment. Bell, David N. F. // Oxford Review of Economic Policy;Summer2014, Vol. 30 Issue 2, p189 

    This paper reviews some of the issues consequent on the formation of new states through secession. While its particular focus relates to the potential withdrawal of Scotland from the United Kingdom, it discusses preference heterogeneity as a potential cause of the break-up of states, relating...

  • Does Fiscal Decentralization Promote Fiscal Discipline? Akin, Zafer; Bulut-Cevik, Zeynep B.; Neyapti, Bilin // Emerging Markets Finance & Trade;2016, Vol. 52 Issue 3, p690 

    We investigate the efficiency and equity implications of a redistributive rule that takes into account both local tax collection efforts and deviation of local incomes from respective targets under alternative fiscal mechanisms. We show that, if the general budget constraint is binding, the...

  • Vivenciando o processo de municipalização do SUS no município de Juazeiro do Norte (CE). de Lavor Coriolano, Maria Wanderleya; Albuquerque, Grayce Alencar; de Sousa Araújo, Natércia; de Oliveira, Marcelo Alves; de Moraes Lima, Marinus // Revista Ciência & Saúde Coletiva;2010, Vol. 15 Issue 5, p2447 

    The reorganization of the Brazilian health system, the principle of the decentralization and municipalization of the health services has demanded a deeper knowledge about its reality for people's quality of life. The aim of this study is to observe the organizational strategies of the health...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics