The impact of fiscal decentralization on infant mo... Catalogue en ligne

Titre :	The impact of fiscal decentralization on infant mortality rates : Evidence from OECD countries. (2011)
Auteurs :	JIMENEZ-RUBIO (Dolores) : ESP. University of Granada. Department of Applied Economics. Campus de Cartuja. Granada.
Type de document :	Article
Dans :	Social science and medicine (vol. 73, n° 9, 2011)
Pagination :	1401-1407
Langues:	Anglais
Mots-clés :	Décentralisation ; Nourrisson ; Mortalité ; Epidémiologie ; Taux ; Modèle ; Homme
Résumé :	[BDSP. Notice produite par INIST-CNRS R0xGoI7F. Diffusion soumise à autorisation]. This study re-examines the hypothesis that shifts towards more decentralization would be accompanied by improvements in population health on a panel of 20 OECD countries over a thirty year period (1970-2001). Decentralization is proxied using a conventional indicator of revenue decentralization and a new measure of fiscal decentralization that reflects better than previous measures the existence of autonomy in the decision-making authority of lower tiers of government, a crucial issue in the decentralization process. The results show a considerable and positive effect of fiscal decentralization on infant mortality only if a substantial degree of autonomy in the sources of revenue is devolved to local governments. The proportion of health care expenditure on GDP and, in particular, education, were found to have a larger contribution to the reduction of infant mortality in the sample of OECD countries analysed over the period of study.

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