Electoral accountability and local government efficiency: quasi-experimental evidence from the Italian health care sector reforms

Francesco Porcelli

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Electoral accountability and local government efficiency: quasi-experimental evidence from the Italian health care sector reforms

机译：选举问责制和地方政府效率：意大利医疗保健部门改革的准实验证据

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This paper evaluates the effect of two policy changes on the efficiency of Italian regional governments in the provision of health care services: first a change in the electoral system, second a process of fiscal decentralisation. The paper provides two main contributions: (1) a comprehensive analysis of the two main reforms that involved Italian regional governments and the health care sector during the 1990s, (2) the evaluation of the impact of the electoral reform in a quasi-experimental setting. Final results are in line with recent theoretical predictions that show a positive relationship between government efficiency and the electoral accountability enhanced by institutions such as electoral rules and fiscal decentralisation.

机译：本文评估了两项政策变化对意大利地区政府在提供医疗服务方面的效率的影响：首先是选举制度的变化，其次是财政分权的过程。该文件提供了两个主要贡献：（1）对1990年代意大利地区政府和医疗保健部门参与的两项主要改革进行了全面分析，（2）在准实验环境下评估选举改革的影响。最终结果与最近的理论预测一致，后者表明政府效率与通过选举规则和财政分权等机构增强的选举责任制之间存在正相关关系。

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来源
《Economics of governance》 |2014年第3期|221-251|共31页
作者
Francesco Porcelli;
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作者单位

Business School, University of Exeter, Rennes Drive, Exeter, Devon EX4 4PU, UK;

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原文格式 PDF
正文语种 eng
中图分类
关键词
Electoral accountability; DEA; Decentralisation; Efficiency; Health; IRAP; Italy; Panel data; Stochastic frontier;

机译：选举责任制;数据包络分析;分权;效率;健康;IRAP;意大利;面板数据;随机边界;

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1. Electoral Accountability and Corruption: Evidence from the Audits of Local Governments [J] . Claudio Ferraz, Frederico Finan The American economic review . 2011,第4期

机译：选举责任与腐败：来自地方政府审计的证据
2. Personal or Partisan Incumbency Advantage? Evidence from an Electoral Reform at the Local Level in Italy [J] . De Benedetto Marco Alberto The BE Journal of Economic Analysis & Policy . 2020,第1期

机译：个人或党派任职优势？意大利地方选举改革的证据
3. Public sector spending efficiency: Healthcare and local government [J] . OECD Economic Surveys . 2011,第4期

机译：公共部门的支出效率：医疗保健和地方政府
4. Effect of Budget Discretion on Corruption Level and Public Accountability: Evidence from Local Indonesian Government [C] . Annisa Febrian, Hilda Rossieta Asia-Pacific Research in Social Sciences and Humanities Universitas Indonesia Conference . 2019

机译：预算自由裁量权对腐败水平和公共问责制的影响：来自当地印度尼西亚政府的证据
5. Financial Incentives in Health Care Reform: Evaluating Payment Reform in Accountable Care Organizations and Competitive Bidding in Medicare. [D] . Song, Zirui. 2012

机译：医疗改革中的财政激励措施：评估责任医疗组织的付款改革和医疗保险中的竞争性招标。
6. Examining the changing health care seeking behavior in the era of health sector reforms in India: evidences from the National Sample Surveys 2004 2014 [O] . Arnab Jana, Rounaq Basu 2017

机译：研究印度卫生部门改革时代不断变化的寻求医疗保健行为：来自2004和2014年国家抽样调查的证据
7. Electoral Accountability and Local Government Efficiency: Quasi-Experimental Evidence From the Italian Health Care Sector Reforms [O] . Francesco Porcelli 2012

机译：选举问责制和地方政府效率：来自意大利医疗保健部门改革的准实验证据

Electoral accountability and local government efficiency: quasi-experimental evidence from the Italian health care sector reforms

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