Public health service is regarded a key social resource contributing to the national and sustainable development. Its development gap, however, exists among regions in China due unbalanced regional economy, also affected by financial distribution. With effect of tax reform, central fiscal transfer has become strategic approach narrow gap public improve This paper aims evaluate provincial levels...

Comparative political economy offers a wealth of intriguing hypotheses connecting political decentralization to better public service delivery, improved governance, and reduced corruption. Although highly influential, recent formal and experimental work has begun to question the underlying theory and empirical analyses of previous findings. At the same time, many countries have grown dissatisfi...

James Edwin Kee, Professor of Public Policy and Public Administration The George Washington University Abstract The last decade has seen a renewed interest in the concept of fiscal decentralization or fiscal federalism. This comes after a half-century of fiscal centralization in most developed and developing nations. This paper examines the theory behind fiscal decentralization and suggests the...

In this paper we test the Leviathan hypothesis, focusing on the joint impact of fiscal decentralization and legislative monopoly power in the growth of the public sector. Two proxies of legislative monopoly power are considered: the control of all relevant houses by the executive party and the margin of majority. Using a dynamic panel-based error correction model on OECD member countries, we fi...

Spain’s Transition to Democracy set the stage for the organization of a national healthcare system. The adoption of the Spanish Constitution of 1978 was a political milestone that led to the recognition of every citizen’s right to healthcare and the right of autonomy of the various regions that make up the Spanish State. The most distinctive characteristic of the healthcare model set up in thos...

Over the last thirty years, international organizations have invested heavily in efforts aimed at increasing the provision and improving the efficacy of public services within developing countries. Health sector decentralization have been one of the most common manifestations of this effort to reform governance. However, generalizing about appropriate methodology for evaluating and identifying ...

This paper uses a unique panel dataset from China's initial reform of fiscal decentralization to analyze the relationships between fiscal decentralization, local economic development, and rural-rural undocumented inter-provincial labor mobility. Using a modified gravity model with Heckman Maximum Likelihood Estimation method, this paper shows that fiscal decentralization has two contending effe...

Decentralization has long been advocated as a desirable process for improving health systems. Nevertheless, we still lack a sufficient analytical framework for systematically studying how decentralization can achieve this objective. We do not have adequate means of analyzing the three key elements of decentralization: (1) the amount of choice that is transferred from central institutions to ins...

Organization theory suggests that the strength of the ties between employees is likely to be weaker in large organizations, but that decentralization of decision-making can help to generate norms of collaboration, trust and shared mission. This paper explores the separate and combined effects of size and decentralization on perceptions of organizational social capital in central government agen...

This paper surveys recent contributions to the study of fiscal decentralization which adopt a political economy approach. It is argued that this approach can capture, in a variety of formal models, the plausible and influential ideas (increasingly, supported by empirical evidence) that fiscal decentralization can lead to improved preference-matching and accountability of government. In particul...