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Fiscal Federalism And European Health System Decentralization
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Book Synopsis Federalism and Decentralization in European Health and Social Care by : J. Costa-Font
Download or read book Federalism and Decentralization in European Health and Social Care written by J. Costa-Font and published by Springer. This book was released on 2016-01-12 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.
Book Synopsis Decentralization In Health Care: Strategies And Outcomes by : Saltman, Richard
Download or read book Decentralization In Health Care: Strategies And Outcomes written by Saltman, Richard and published by McGraw-Hill Education (UK). This book was released on 2006-12-01 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
Book Synopsis Fiscal Federalism and European Health System Decentralization by : Joan Costa-Font
Download or read book Fiscal Federalism and European Health System Decentralization written by Joan Costa-Font and published by . This book was released on 2013 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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 design of a health system. We argue that contrary to old mobility argument, the effects of health care decentralisation result from tighter political agency, which generally stands as an alternative to health care privatisation. However, whether efficiency improves after a process of decentralisation depends heavily on the incentives fiscal design exerts on cost -containment, inter-jurisdictional competition, policy innovation and diffusion. Experiences of health care decentralisation highlight important concerns associated with vertical imbalances and limited horizontal imbalances. Finally, health care decentralisation can give rise to a new regional political cycle where citizens can reward or penalise the performance of health policy.
Book Synopsis Health System Decentralization and Recentralization by : Andrea Terlizzi
Download or read book Health System Decentralization and Recentralization written by Andrea Terlizzi and published by Springer. This book was released on 2019-04-02 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change.
Book Synopsis Decentralizing Health Services by : Krishna Regmi
Download or read book Decentralizing Health Services written by Krishna Regmi and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy
Book Synopsis Federalism and Decentralization in Health Care by : Gregory Marchildon
Download or read book Federalism and Decentralization in Health Care written by Gregory Marchildon and published by University of Toronto Press. This book was released on 2018-04-13 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.
Book Synopsis Fiscal Decentralization in Developing and Transition Economies by : Anwar Shah
Download or read book Fiscal Decentralization in Developing and Transition Economies written by Anwar Shah and published by World Bank Publications. This book was released on 2004 with total page 50 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Fiscal Decentralization Reforms by : Michal Plaček
Download or read book Fiscal Decentralization Reforms written by Michal Plaček and published by Springer Nature. This book was released on 2020-05-05 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the impacts of fiscal decentralization reforms on the efficiency of local governments in Central and Eastern European (CEE) countries. By offering a comparative perspective and by applying econometric methods and regression models, it analyses various reform trajectories and their effects on individual CEE countries. Furthermore, the book discusses input and output indicators for evaluating the efficiency of municipalities. Readers will learn about the common features of these countries, the impact of path dependence, and future prospects for decentralization reforms. In closing, the book discusses modern management and administration methods, opportunities for cooperation between municipalities, co-creative service delivery, and other measures that could improve the efficiency of public service provision.
Book Synopsis Fiscal Federalism 2022 Making Decentralisation Work by : OECD
Download or read book Fiscal Federalism 2022 Making Decentralisation Work written by OECD and published by OECD Publishing. This book was released on 2021-12-20 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fiscal Federalism 2022 surveys recent trends and policies in intergovernmental fiscal relations and subnational government. Accessible and easy-to-read chapters provide insight into: good practices in fiscal federalism; the design of fiscal equalisation systems; measuring subnational tax and spending autonomy; promoting public sector performance across levels of government; digitalisation challenges and opportunities; the role of subnational accounting and insolvency frameworks; funding and financing of local government public investment; and early lessons from the COVID-19 crisis for intergovernmental fiscal relations.
Book Synopsis Fiscal Performance, Institutional Design and Decentralization in European Union Countries by : Mr.Julio Escolano
Download or read book Fiscal Performance, Institutional Design and Decentralization in European Union Countries written by Mr.Julio Escolano and published by International Monetary Fund. This book was released on 2012-02-01 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper analyzes the impact of decentralization on overall fiscal performance in the European Union, taking into account fiscal institutional arrangements. We find that spending decentralization has been associated with sizably better fiscal performance, especially when transfer dependency of subnational governments is low. However, subnational fiscal rules do not seem to be associated with better performance.
Book Synopsis Fiscal fragmentation in decentralized countries by : Richard Miller Bird
Download or read book Fiscal fragmentation in decentralized countries written by Richard Miller Bird and published by Edward Elgar Publishing. This book was released on 2014-05-14 with total page 451 pages. Available in PDF, EPUB and Kindle. Book excerpt: Most countries, developed and developing, are fiscally decentralized with regional and local governments of varying importance. In many of these countries, some of these sub-national governments differ substantially from others in terms of wealth, ethnic, religious, or linguistic composition. This book considers how fiscal arrangements may strengthen or weaken national solidarity and the effectiveness with which public services are provided. In particular, the nation's ability to cope with changes created by decentralization is explored.
Book Synopsis Fiscal Federalism-Decentralisation and the size of government by : Ina Walcherberger
Download or read book Fiscal Federalism-Decentralisation and the size of government written by Ina Walcherberger and published by GRIN Verlag. This book was released on 2016-02-23 with total page 63 pages. Available in PDF, EPUB and Kindle. Book excerpt: Master's Thesis from the year 2015 in the subject Business economics - Economic Policy, grade: -, , language: English, abstract: A large number of countries are trying to improve their ability to serve their inhabitants more efficiently and more effectively. To accomplish this ambition, a reawakening of interest in the practices and in the principles and of fiscal federalism is mandatory. Questions arise such as: - How many taxes are necessary to provide an efficient amount of local public goods? - How should the taxes be allocated most reasonable between the different levels of governments? - Which level of government should have how much freedom of choice concerning tax revenues and tax expenditures, or differently, which degree of decentralisation is most constructive? Generally, two conflicting possibilities to provide an efficient level of local public goods are existing: The first one proposes a high degree of centralisation of the tax system which would lead, if the government is totally benevolent, to an efficient output of local public goods. An argument against centralisation is that a centralised system cannot serve the different needs and preferences of the inhabitants of unequal regions. The second perception states that an efficient level of local public can be provided if the system is decentralised. A possible disadvantage of decentralisation is the appearance of tax competition which may lead to an inefficient low level of local public goods. The discrepancy between these two conflictive systems is going to be discussed in this thesis. Furthermore, politico-economic mechanisms, which are supposed to explain the correlation between degree of centralisation and size of government are introduced which leads to the research question of this thesis: Does a decentralised tax system lead to a smaller size of government compared to a centralised tax system? Which politico-economic mechanisms are responsible for this correlation? In relation to these questions, different approaches are discussed, underlined by theoretical and empirical models. The first one, a public choice approach, states that central governments operate like monopolists, or leviathans, extracting as much tax revenues from the citizens as possible. The aim is not to maximise social welfare, but to increase their control over the resources of the economy. This approach was formulated by Brennan’s and Buchnan’s Leviathan hypothesis (1980), stating, subject to the above mentioned conditions, that a higher degree of decentralisation leads to a smaller size of government. [...]
Book Synopsis Managing Fiscal Decentralization by : Ehtisham Ahmad
Download or read book Managing Fiscal Decentralization written by Ehtisham Ahmad and published by Routledge. This book was released on 2002-07-18 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: The growth of interest in fiscal decentralization has meant that there has been something of a rush to enshrine this in policy - The World Bank has reported that about seventy countries see this as a major part of their development strategy. This book critically examines the case for decentralization. This collection of contributions comes from a w
Book Synopsis Fiscal Decentralisation, Local Government and Policy Reversals in Southeastern Europe by : William Bartlett
Download or read book Fiscal Decentralisation, Local Government and Policy Reversals in Southeastern Europe written by William Bartlett and published by Springer. This book was released on 2018-10-31 with total page 337 pages. Available in PDF, EPUB and Kindle. Book excerpt: This edited collection provides a comprehensive geographic and chronological overview of the decentralisation processes in the successor states of former Yugoslavia and Albania during their transition and EU integration years, from 1990 until 2016. These countries present a unique laboratory for the analysis of economic, social and political change, having traversed armed conflicts, dramatic economic and political changes, and EU pre-accession processes involving deep institutional reform. They have also endured the Eurozone crisis, which has led to high levels of unemployment, wide fiscal gaps and dangerously high levels of indebtedness. Observing the quarter century-long transition from socialism to capitalism through the prism of decentralisation sheds new light on studying the political economy of the region and the current status of the individual countries in terms of economic development and their EU integration progress. The contributors enrich the wider literature on fiscal decentralisation in transition countries by exploring several broad questions on democratisation, the political economy of post-communist transition, the role of external actors in policy transfer and the issue of financial stability in the post-crisis period.
Book Synopsis Fiscal Decentralization and the Efficiency of Public Service Delivery by : Moussé Sow
Download or read book Fiscal Decentralization and the Efficiency of Public Service Delivery written by Moussé Sow and published by International Monetary Fund. This book was released on 2015-03-17 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper explores the impact of fiscal decentralization on the efficiency of public service delivery. It uses a stochastic frontier method to estimate time-varying efficiency coefficients and analyzes the impact of fiscal decentralization on those efficiency coefficients. The findings indicate that fiscal decentralization can improve the efficiency of public service delivery but only under specific conditions. First, the decentralization process requires adequate political and institutional environments. Second, a sufficient degree of expenditure decentralization seems necessary to obtain favorable outcomes. Third, decentralization of expenditure needs to be accompanied by sufficient decentralization of revenue. Absent those conditions, fiscal decentralization can worsen the efficiency of public service delivery.
Book Synopsis Fiscal Decentralization in Developing Countries by : Richard Miller Bird
Download or read book Fiscal Decentralization in Developing Countries written by Richard Miller Bird and published by Cambridge University Press. This book was released on 1998 with total page 316 pages. Available in PDF, EPUB and Kindle. Book excerpt: There appears to be an increasing trend in worldwide fiscal decentralization. In particular, many developing countries are turning to various forms of fiscal decentralization as an escape from inefficient and ineffective governance, macroeconomic stability, and inadequate growth. Fiscal Decentralization in Developing Countries: An Overview edited by Professors Bird and Vaillancourt and featuring important research from leading scholars assesses the progress, problems and potentials of fiscal decentralization in a variety of developing countries around the world. With rich and varied case-study material from countries as diverse as India, China, Colombia, Bosnia-Herzegovina and South Africa this volume complements neatly the collection Fiscal Aspects of Evolving Federations edited by David Wildasin and also published by Cambridge, which presented theoretical advances in the area of research.
Book Synopsis Fiscal Federalism 2014 Making Decentralisation Work by : OECD
Download or read book Fiscal Federalism 2014 Making Decentralisation Work written by OECD and published by OECD Publishing. This book was released on 2013-12-02 with total page 136 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides an overview on recent trends and policies in intergovernmental fiscal relations and sub-central govenrment.
