通过行政隶属关系硬化地方预算约束:意大利地区卫生服务恢复计划的经验

Hardening subnational budget constraints via administrative subordination: The Italian experience of recovery plans in regional health services

Health Economics · 2020
被引 19
人大 A-ABS 3

中文导读

研究了意大利中央政府对赤字地区实施的恢复计划,发现该计划有效消除了地方赤字,且未对医疗服务和居民健康产生显著负面影响,可能提高了支出效率。

Abstract

Since 2007, Italian regions running large deficits underwent recovery plans (Piani di Rientro) imposed by the central government. The goal was twofold: regions were asked (i) to restore a balanced budget and (ii) to continue supply the set of services defined by the constitution. We investigate whether recovery plans have reached their objectives. Our evidence suggests that recovery plans have proved to be an effective mechanism to eliminate subnational governments deficits. We also do not find any significant effects on health care utilization and on citizens' health. Overall, spending efficiency has likely improved.

财政纪律区域卫生服务恢复计划意大利