{"id":"https://openalex.org/W1601942012","doi":"https://doi.org/10.1596/1813-9450-2565","title":"Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis","display_name":"Does Fiscal Decentralization Improve Health Outcomes? Evidence from a Cross-Country Analysis","publication_year":2001,"publication_date":"2001-03-01","ids":{"openalex":"https://openalex.org/W1601942012","doi":"https://doi.org/10.1596/1813-9450-2565","mag":"1601942012"},"language":"en","primary_location":{"id":"doi:10.1596/1813-9450-2565","doi":"https://doi.org/10.1596/1813-9450-2565","is_oa":false,"landing_page_url":"https://doi.org/10.1596/1813-9450-2565","pdf_url":null,"source":{"id":"https://openalex.org/S4306464317","display_name":"World Bank, Washington, DC eBooks","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"ebook platform"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"book"},"volume":null,"type":"report","indexed_in":["crossref"],"open_access":{"is_oa":true,"oa_status":"green","oa_url":"https://hdl.handle.net/10986/19698","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5016470229","display_name":"Oscar F. Picazo","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334329717","display_name":"World Bank","ror":"https://ror.org/00ae7jd04","country_code":"US","type":"other","lineage":["https://openalex.org/I1334329717","https://openalex.org/I55633929"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Oscar F. Picazo","raw_affiliation_strings":["","World Bank;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]},{"raw_affiliation_string":"World Bank;","institution_ids":["https://openalex.org/I1334329717"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5103951113","display_name":"David A. Robalino","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334329717","display_name":"World Bank","ror":"https://ror.org/00ae7jd04","country_code":"US","type":"other","lineage":["https://openalex.org/I1334329717","https://openalex.org/I55633929"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"David A. Robalino","raw_affiliation_strings":["","World Bank;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]},{"raw_affiliation_string":"World Bank;","institution_ids":["https://openalex.org/I1334329717"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5044333167","display_name":"Albertus Voetberg","orcid":null,"observed_orcids":[]},"institutions":[{"id":"https://openalex.org/I1334329717","display_name":"World Bank","ror":"https://ror.org/00ae7jd04","country_code":"US","type":"other","lineage":["https://openalex.org/I1334329717","https://openalex.org/I55633929"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Albertus Voetberg","raw_affiliation_strings":["","World Bank;"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"","institution_ids":[]},{"raw_affiliation_string":"World Bank;","institution_ids":["https://openalex.org/I1334329717"]}]}],"institutions":[],"countries_distinct_count":1,"institutions_distinct_count":1,"corresponding_author_ids":[],"corresponding_institution_ids":["https://openalex.org/I1334329717"],"apc_list":null,"apc_paid":null,"fwci":null,"has_fulltext":false,"cited_by_count":139,"citation_normalized_percentile":null,"cited_by_percentile_year":null,"biblio":{"volume":null,"issue":null,"first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11461","display_name":"Local Government Finance and Decentralization","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11461","display_name":"Local Government Finance and Decentralization","score":0.9970999956130981,"subfield":{"id":"https://openalex.org/subfields/3320","display_name":"Political Science and International Relations"},"field":{"id":"https://openalex.org/fields/33","display_name":"Social Sciences"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T12781","display_name":"Global Health Care Issues","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/3600","display_name":"General Health Professions"},"field":{"id":"https://openalex.org/fields/36","display_name":"Health Professions"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T12446","display_name":"Economic Growth and Fiscal Policies","score":0.0006000000284984708,"subfield":{"id":"https://openalex.org/subfields/2002","display_name":"Economics and Econometrics"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/fiscal-decentralization","display_name":"fiscal decentralization","score":1.0},{"id":"https://openalex.org/keywords/infant-mortality","display_name":"infant mortality","score":0.9470000267028809},{"id":"https://openalex.org/keywords/health-outcomes","display_name":"health outcomes","score":0.9440000057220459},{"id":"https://openalex.org/keywords/political-rights","display_name":"political rights","score":0.8399999737739563},{"id":"https://openalex.org/keywords/institutional-quality","display_name":"institutional quality","score":0.703000009059906},{"id":"https://openalex.org/keywords/low-income-countries","display_name":"low-income countries","score":0.7149999737739563},{"id":"https://openalex.org/keywords/gdp-per-capita","display_name":"GDP per capita","score":0.6119999885559082}],"concepts":[{"id":"https://openalex.org/C136810230","wikidata":"https://www.wikidata.org/wiki/Q188961","display_name":"Decentralization","level":2,"score":0.9035730361938477},{"id":"https://openalex.org/C47768531","wikidata":"https://www.wikidata.org/wiki/Q1127188","display_name":"Development economics","level":1,"score":0.39464902877807617},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.3664376139640808},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.3624148368835449},{"id":"https://openalex.org/C34447519","wikidata":"https://www.wikidata.org/wiki/Q179522","display_name":"Market economy","level":1,"score":0.04373878240585327}],"mesh":[],"locations_count":3,"locations":[{"id":"doi:10.1596/1813-9450-2565","doi":"https://doi.org/10.1596/1813-9450-2565","is_oa":false,"landing_page_url":"https://doi.org/10.1596/1813-9450-2565","pdf_url":null,"source":{"id":"https://openalex.org/S4306464317","display_name":"World Bank, Washington, DC eBooks","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"ebook platform"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":null,"raw_type":"book"},{"id":"pmh:oai:aleph.bib-bvb.de:BVB01-025444701","doi":null,"is_oa":false,"landing_page_url":"http://elibrary.worldbank.org/content/workingpaper/10.1596/1813-9450-2565","pdf_url":null,"source":null,"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":"text"},{"id":"pmh:oai:openknowledge.worldbank.org:10986/19698","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10986/19698","pdf_url":null,"source":{"id":"https://openalex.org/S4377196270","display_name":"The World Bank Open Knowledge Repository (World Bank)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1334329717","host_organization_name":"World Bank","host_organization_lineage":["https://openalex.org/I1334329717"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null}],"best_oa_location":{"id":"pmh:oai:openknowledge.worldbank.org:10986/19698","doi":null,"is_oa":true,"landing_page_url":"https://hdl.handle.net/10986/19698","pdf_url":null,"source":{"id":"https://openalex.org/S4377196270","display_name":"The World Bank Open Knowledge Repository (World Bank)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1334329717","host_organization_name":"World Bank","host_organization_lineage":["https://openalex.org/I1334329717"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":null,"raw_type":null},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","display_name":"Good health and well-being","score":0.8048999905586243},{"id":"https://metadata.un.org/sdg/10","display_name":"Reduced inequalities","score":0.7578999996185303},{"id":"https://metadata.un.org/sdg/16","display_name":"Peace, justice, and strong institutions","score":0.47620001435279846}],"sustainable_development_goals_aurora":[],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":false,"pdf":false},"content_urls":null,"referenced_works_count":8,"referenced_works":["https://openalex.org/W735940","https://openalex.org/W1584752388","https://openalex.org/W1971819069","https://openalex.org/W2010235856","https://openalex.org/W2071275878","https://openalex.org/W2076348955","https://openalex.org/W2099653704","https://openalex.org/W2122901352"],"related_works":["https://openalex.org/W2162629950","https://openalex.org/W2493646811","https://openalex.org/W6983538062","https://openalex.org/W2114627458","https://openalex.org/W7001309728","https://openalex.org/W2822050085","https://openalex.org/W7097286482","https://openalex.org/W2885520648","https://openalex.org/W2087154726","https://openalex.org/W2182786614"],"abstract_inverted_index":{"Decentralization":[0],"of":[1,13,30,53,78,94,127],"fiscal":[2,63,79,95,134],"responsibilities":[3],"has":[4],"emerged":[5],"as":[6],"a":[7,115,124],"primary":[8],"objective":[9],"on":[10,26,43,97],"the":[11,27,51,76,91,131],"agendas":[12],"national":[14],"governments,":[15,59],"and":[16,50],"international":[17],"organizations":[18],"alike.":[19],"Yet":[20],"there":[21],"is":[22,65],"little":[23],"empirical":[24],"evidence":[25],"potential":[28],"benefits":[29,77,132],"this":[31],"intervention.":[32],"The":[33,72],"authors":[34],"fill":[35],"in":[36,102,121],"some":[37],"quantitative":[38],"evidence.":[39],"Using":[40],"panel":[41],"data":[42],"infant":[44,98],"mortality":[45,70],"rates,":[46],"GDP":[47],"per":[48],"capita,":[49],"share":[52],"public":[54],"expenditures":[55],"managed":[56],"by":[57],"local":[58],"they":[60],"find":[61],"greater":[62,101],"decentralization":[64,80,96,110,135],"consistently":[66],"associated":[67],"with":[68,123],"lower":[69],"rates.":[71],"results":[73],"suggest":[74,88],"that":[75,90,105],"are":[81,100],"particularly":[82],"important":[83],"for":[84,117],"poor":[85],"countries.":[86],"They":[87],"also":[89,111],"positive":[92],"effects":[93],"mortality,":[99],"institutional":[103],"environments":[104,122],"promote":[106],"political":[107],"rights.":[108],"Fiscal":[109],"appears":[112],"to":[113,137],"be":[114,138],"mechanism":[116],"improving":[118],"health":[119],"outcomes":[120],"high":[125],"level":[126],"ethno-linguistic":[128],"fractionalization,":[129],"however,":[130],"from":[133],"tend":[136],"smaller.":[139]},"counts_by_year":[{"year":2025,"cited_by_count":4},{"year":2024,"cited_by_count":11},{"year":2023,"cited_by_count":9},{"year":2022,"cited_by_count":10},{"year":2021,"cited_by_count":6},{"year":2020,"cited_by_count":10},{"year":2019,"cited_by_count":4},{"year":2018,"cited_by_count":2},{"year":2017,"cited_by_count":6},{"year":2016,"cited_by_count":10},{"year":2015,"cited_by_count":16},{"year":2014,"cited_by_count":12},{"year":2013,"cited_by_count":10},{"year":2012,"cited_by_count":5}],"updated_date":"2026-10-19T09:35:57.686232","created_date":"2016-06-24T00:00:00"}