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

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Abstract:

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.

Document Type: Research Article

DOI: http://dx.doi.org/10.1080/00036841003742579

Affiliations: Department of Applied Economics,University of Granada, Campus de Cartuja s/n18071 Granada, Spain

Publication date: October 1, 2011

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