In some countries the reform of public health care provision has been accompanied by a parallel process of devolution that has also entailed the organisation of health care becoming a regional competence. However, the application of fiscal federalism in the context of the provision of health...

We use 2009-14 data from patients hospital discharges to assess the effects of fiscal federalism on the quality of care provided to regional and extraregional patients in Lombardy. Empirical results suggest that even after controlling for hospital fixed effects, patients demographic and health...

The traditional fiscal federalism theory shows that the devolution of functions for the supply of local public goods may increase welfare. However, most services offered at local level are impure local public goods with spillovers. These goods have specific characteristics that may prevent...