skip to main content
Language:
Search Limited to: Search Limited to: Resource type Show Results with: Show Results with: Search type Index

Bureaucratic institutional design: the case of the Italian NHS

Public choice, 2018-12, Vol.177 (3/4), p.265-285 [Peer Reviewed Journal]

The Author(s) 2018 ;Public Choice is a copyright of Springer, (2018). All Rights Reserved. © 2018. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. ;ISSN: 0048-5829 ;EISSN: 1573-7101 ;DOI: 10.1007/s11127-018-0569-6

Full text available

Citations Cited by
  • Title:
    Bureaucratic institutional design: the case of the Italian NHS
  • Author: Fedeli, Silvia ; Leonida, Leone ; Santoni, Michele
  • Subjects: Bureaucracy ; Citizens ; Complementarity ; Economic models ; Economics ; Economics and Finance ; Government agencies ; Health authorities ; Health services ; Immigration ; Incentives ; Local health authorities ; Political Science ; Public Finance ; Regional government
  • Is Part Of: Public choice, 2018-12, Vol.177 (3/4), p.265-285
  • Description: We propose a model where a regional government’s choice of the number of bureaucratic agencies operating in a region depends upon the degree of substitutability and complementarity of the bureaucratic services being demanded. We show that, if the government perceives the citizens’ demand as a demand for substitutable services, it will choose provision by two independent agencies. If the government perceives the citizens’ demand as a demand for complementary services, it will choose provision by a single consolidated agency. Exogenous shocks to the number of citizens amplify these incentives. Evidence from the Italian National Health Service (NHS) supports this hypothesis. Results show a positive effect of proxies of substitutable services on the number of regional local health authorities and a negative effect of proxies of complementary services. The major immigration amnesties, taken as shocks to the number of citizens entitled to the service, magnify these effects.
  • Publisher: New York: Springer Science + Business Media
  • Language: English
  • Identifier: ISSN: 0048-5829
    EISSN: 1573-7101
    DOI: 10.1007/s11127-018-0569-6
  • Source: SpringerOpen
    ProQuest Central
Back to results list
INSPIRE LIBRARY - TON DUC THANG UNIVERSITY (84-028) 37 755 057 Feedback
19 Nguyen Huu Tho St. Dist.7, HCM thuvien@tdtu.edu.vn

Copyright © 2017 INSPIRE LIBRARY - TON DUC THANG UNIVERSITY

Searching Remote Databases, Please Wait