Regional healthcare decentralization in unitary states: equal spending, equal satisfaction?
利用意大利和西班牙医疗分权改革的独特数据，分析区域政府支出和居民满意度不平等的变化，发现分权并未加剧区域不平等。
Does regional decentralization threaten the commitment to regional equality in government outcomes and outputs? We attempt to shed a light on this question by drawing on unique evidence from the largest European unitary states to have engaged in countrywide health system decentralization: Italy and Spain. We estimate, decompose and run a counterfactual analysis of regional inequality in government output (health expenditure per capita) and outcome (health system satisfaction) during the expansion of healthcare decentralization in both countries. We find no evidence of an increase in regional inequalities in outcomes and outputs in the examined period. Inequalities are accounted for by differences in health system design and management by regional governments.