English, Article, Journal or magazine article edition: Federalism, Party Competition and Budget Outcome: Empirical Findings on Regional Health Expenditure in Italy Giardina, Emilio; Cavalieri, Marina; Guccio, Calogero; ...

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Bookmark: http://trove.nla.gov.au/version/212063
Physical Description
  • preprint
Language
  • English

Edition details

Title
  • Federalism, Party Competition and Budget Outcome: Empirical Findings on Regional Health Expenditure in Italy
Author
  • Giardina, Emilio
  • Cavalieri, Marina
  • Guccio, Calogero
  • Mazza, Isidoro
Physical Description
  • preprint
Notes
  • In the last decade, Italy has experienced a considerable decentralization of functions to the regions. This transformation has been especially relevant for the National Health System that has de facto assumed a federal system design. The federal reform aimed at disciplining public health expenditure, which drains a substantial share of the budget of Italian regions and is among the main causes of the regional deficits. Political economic analysis, however, suggests that impact of federalism on public expenditure depends on central and local government strategies to win in the electoral competition. Results derived in this preliminary study indicate that political competition actually works as a tool of fiscal discipline; it shows a restraining effect on public health expenditure.
  • Fiscal federalism; local budget; multi-level policy-making; public expenditure; political competition; health economics
  • RePEc:pra:mprapa:16437
Language
  • English
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