Koutsogeorgopulou, Vassiliki; Tuske, Annamaria - Economics Department, Organisation de Coopération et … - 2015
balance between federal control and state autonomy in public service provision and its financing has not been easy. Over time …-national revenues potentially affecting public sector efficiency and service quality. A better balance, one in which central government … likely to improve outcomes. Federal-state shared responsibilities continue to affect the efficiency of healthcare service …