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

Massimo Bordignon, Gilberto Turati, Silvia Coretti, M. Piacenza

Research output: Contribution to journalArticlepeer-review

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.
Original languageEnglish
Pages (from-to)1378-1399
Number of pages22
JournalHealth Economics
Volume29
DOIs
Publication statusPublished - 2020

Keywords

  • administrative subordination
  • health care expenditure
  • health care utilization
  • recovery plans

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