{"id":"https://openalex.org/W3215734656","doi":"https://doi.org/10.34172/ijhpm.2021.163","title":"The Effects of Health Sector Fiscal Decentralisation on Availability, Accessibility, and Utilisation of Healthcare Services: A Panel Data Analysis","display_name":"The Effects of Health Sector Fiscal Decentralisation on Availability, Accessibility, and Utilisation of Healthcare Services: A Panel Data Analysis","publication_year":2021,"publication_date":"2021-11-28","ids":{"openalex":"https://openalex.org/W3215734656","doi":"https://doi.org/10.34172/ijhpm.2021.163","mag":"3215734656","pmid":"https://pubmed.ncbi.nlm.nih.gov/35021611","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/9818112"},"language":"en","primary_location":{"id":"doi:10.34172/ijhpm.2021.163","doi":"https://doi.org/10.34172/ijhpm.2021.163","is_oa":true,"landing_page_url":"https://doi.org/10.34172/ijhpm.2021.163","pdf_url":"https://www.ijhpm.com/article_4171_f2cc3b3058c962285cc117c9dde7e3d1.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},"volume":null,"type":"article","indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"diamond","oa_url":"https://www.ijhpm.com/article_4171_f2cc3b3058c962285cc117c9dde7e3d1.pdf","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5048104765","display_name":"Arianna Rotulo","orcid":"https://orcid.org/0000-0001-8752-6889","observed_orcids":["https://orcid.org/0000-0001-8752-6889"]},"institutions":[{"id":"https://openalex.org/I166337079","display_name":"Queen Mary University of London","ror":"https://ror.org/026zzn846","country_code":"GB","type":"education","lineage":["https://openalex.org/I124357947","https://openalex.org/I166337079"]},{"id":"https://openalex.org/I21370196","display_name":"Aristotle University of Thessaloniki","ror":"https://ror.org/02j61yw88","country_code":"GR","type":"education","lineage":["https://openalex.org/I21370196"]}],"countries":["GB","GR"],"is_corresponding":true,"raw_author_name":"Arianna Rotulo","raw_affiliation_strings":["Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece","Global Public Health Unit, Wolfson Institute of Population Health, Queen Mary University of London, London, UK"],"raw_orcid":"https://orcid.org/0000-0001-8752-6889","affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece","institution_ids":["https://openalex.org/I21370196"]},{"raw_affiliation_string":"Global Public Health Unit, Wolfson Institute of Population Health, Queen Mary University of London, London, UK","institution_ids":["https://openalex.org/I166337079"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5052385023","display_name":"Christina Paraskevopoulou","orcid":"https://orcid.org/0000-0002-0624-9400","observed_orcids":["https://orcid.org/0000-0002-0624-9400"]},"institutions":[{"id":"https://openalex.org/I177144353","display_name":"Panteion University","ror":"https://ror.org/056ddyv20","country_code":"GR","type":"education","lineage":["https://openalex.org/I177144353"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Christina Paraskevopoulou","raw_affiliation_strings":["School of Social Sciences, Panteion University of Social and Political Sciences, Athens, Greece"],"raw_orcid":"https://orcid.org/0000-0002-0624-9400","affiliations":[{"raw_affiliation_string":"School of Social Sciences, Panteion University of Social and Political Sciences, Athens, Greece","institution_ids":["https://openalex.org/I177144353"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5060457026","display_name":"Elias Kondilis","orcid":"https://orcid.org/0000-0001-9592-2830","observed_orcids":["https://orcid.org/0000-0001-9592-2830"]},"institutions":[{"id":"https://openalex.org/I21370196","display_name":"Aristotle University of Thessaloniki","ror":"https://ror.org/02j61yw88","country_code":"GR","type":"education","lineage":["https://openalex.org/I21370196"]}],"countries":["GR"],"is_corresponding":false,"raw_author_name":"Elias Kondilis","raw_affiliation_strings":["Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece"],"raw_orcid":"https://orcid.org/0000-0001-9592-2830","affiliations":[{"raw_affiliation_string":"Faculty of Health Sciences, School of Medicine, Aristotle University of Thessaloniki, Thessaloniki, Greece","institution_ids":["https://openalex.org/I21370196"]}]}],"institutions":[],"countries_distinct_count":2,"institutions_distinct_count":3,"corresponding_author_ids":["https://openalex.org/A5048104765"],"corresponding_institution_ids":["https://openalex.org/I166337079","https://openalex.org/I21370196"],"apc_list":null,"apc_paid":null,"fwci":2.9023,"has_fulltext":true,"cited_by_count":18,"citation_normalized_percentile":{"value":0.92031611,"is_in_top_1_percent":false,"is_in_top_10_percent":true},"cited_by_percentile_year":{"min":93,"max":99},"biblio":{"volume":"11","issue":"11","first_page":"2440","last_page":"2450"},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.43529999256134033,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},"topics":[{"id":"https://openalex.org/T11531","display_name":"Healthcare Systems and Reforms","score":0.43529999256134033,"subfield":{"id":"https://openalex.org/subfields/2003","display_name":"Finance"},"field":{"id":"https://openalex.org/fields/20","display_name":"Economics, Econometrics and Finance"},"domain":{"id":"https://openalex.org/domains/2","display_name":"Social Sciences"}},{"id":"https://openalex.org/T11461","display_name":"Local Government Finance and Decentralization","score":0.35350000858306885,"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/T10391","display_name":"Healthcare Policy and Management","score":0.1476999968290329,"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":0.8529999852180481},{"id":"https://openalex.org/keywords/healthcare-availability","display_name":"healthcare availability","score":0.6970000267028809},{"id":"https://openalex.org/keywords/health-care-access","display_name":"health care access","score":0.9440000057220459},{"id":"https://openalex.org/keywords/health-care-utilization","display_name":"health care utilization","score":0.9860000014305115},{"id":"https://openalex.org/keywords/hospitalization-rates","display_name":"hospitalization rates","score":0.6470000147819519},{"id":"https://openalex.org/keywords/public-vs-private-healthcare","display_name":"public vs private health care","score":0.4749999940395355},{"id":"https://openalex.org/keywords/health-disparities","display_name":"health disparities","score":0.5260000228881836},{"id":"https://openalex.org/keywords/italian-national-health-service","display_name":"Italian National Health Service","score":0.7680000066757202},{"id":"https://openalex.org/keywords/fragmentation-of-care","display_name":"care fragmentation","score":0.5289999842643738}],"concepts":[{"id":"https://openalex.org/C136810230","wikidata":"https://www.wikidata.org/wiki/Q188961","display_name":"Decentralization","level":2,"score":0.8063341379165649},{"id":"https://openalex.org/C160735492","wikidata":"https://www.wikidata.org/wiki/Q31207","display_name":"Health care","level":2,"score":0.707067608833313},{"id":"https://openalex.org/C70437156","wikidata":"https://www.wikidata.org/wiki/Q7228652","display_name":"Pooling","level":2,"score":0.6836313605308533},{"id":"https://openalex.org/C6422946","wikidata":"https://www.wikidata.org/wiki/Q857354","display_name":"Panel data","level":2,"score":0.6067628860473633},{"id":"https://openalex.org/C101173714","wikidata":"https://www.wikidata.org/wiki/Q7316933","display_name":"Retrenchment","level":2,"score":0.5636439323425293},{"id":"https://openalex.org/C144133560","wikidata":"https://www.wikidata.org/wiki/Q4830453","display_name":"Business","level":0,"score":0.5594919323921204},{"id":"https://openalex.org/C147859227","wikidata":"https://www.wikidata.org/wiki/Q294217","display_name":"Public sector","level":2,"score":0.5365692377090454},{"id":"https://openalex.org/C2778137410","wikidata":"https://www.wikidata.org/wiki/Q2732820","display_name":"Government (linguistics)","level":2,"score":0.5115460157394409},{"id":"https://openalex.org/C121426985","wikidata":"https://www.wikidata.org/wiki/Q591763","display_name":"Private sector","level":2,"score":0.4947947859764099},{"id":"https://openalex.org/C39389867","wikidata":"https://www.wikidata.org/wiki/Q380767","display_name":"Corporate governance","level":2,"score":0.4600600600242615},{"id":"https://openalex.org/C62908951","wikidata":"https://www.wikidata.org/wiki/Q1320217","display_name":"Central government","level":3,"score":0.44919702410697937},{"id":"https://openalex.org/C100001284","wikidata":"https://www.wikidata.org/wiki/Q2248246","display_name":"Public economics","level":1,"score":0.4178033173084259},{"id":"https://openalex.org/C50522688","wikidata":"https://www.wikidata.org/wiki/Q189833","display_name":"Economic growth","level":1,"score":0.3272123634815216},{"id":"https://openalex.org/C162324750","wikidata":"https://www.wikidata.org/wiki/Q8134","display_name":"Economics","level":0,"score":0.32099294662475586},{"id":"https://openalex.org/C2778719706","wikidata":"https://www.wikidata.org/wiki/Q6501447","display_name":"Local government","level":2,"score":0.26178422570228577},{"id":"https://openalex.org/C10138342","wikidata":"https://www.wikidata.org/wiki/Q43015","display_name":"Finance","level":1,"score":0.15809589624404907},{"id":"https://openalex.org/C3116431","wikidata":"https://www.wikidata.org/wiki/Q31728","display_name":"Public administration","level":1,"score":0.1573457419872284},{"id":"https://openalex.org/C17744445","wikidata":"https://www.wikidata.org/wiki/Q36442","display_name":"Political science","level":0,"score":0.1419329047203064},{"id":"https://openalex.org/C136264566","wikidata":"https://www.wikidata.org/wiki/Q159810","display_name":"Economy","level":1,"score":0.09293299913406372},{"id":"https://openalex.org/C154945302","wikidata":"https://www.wikidata.org/wiki/Q11660","display_name":"Artificial intelligence","level":1,"score":0.0},{"id":"https://openalex.org/C41008148","wikidata":"https://www.wikidata.org/wiki/Q21198","display_name":"Computer science","level":0,"score":0.0},{"id":"https://openalex.org/C41895202","wikidata":"https://www.wikidata.org/wiki/Q8162","display_name":"Linguistics","level":1,"score":0.0},{"id":"https://openalex.org/C138885662","wikidata":"https://www.wikidata.org/wiki/Q5891","display_name":"Philosophy","level":0,"score":0.0},{"id":"https://openalex.org/C34447519","wikidata":"https://www.wikidata.org/wiki/Q179522","display_name":"Market economy","level":1,"score":0.0},{"id":"https://openalex.org/C149782125","wikidata":"https://www.wikidata.org/wiki/Q160039","display_name":"Econometrics","level":1,"score":0.0}],"mesh":[{"descriptor_ui":"D003695","descriptor_name":"Delivery of Health Care","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006296","descriptor_name":"Health Services","qualifier_ui":null,"qualifier_name":null,"is_major_topic":true},{"descriptor_ui":"D006297","descriptor_name":"Health Services Accessibility","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007223","descriptor_name":"Infant","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007226","descriptor_name":"Infant Mortality","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D007558","descriptor_name":"Italy","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D011057","descriptor_name":"Politics","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false}],"locations_count":5,"locations":[{"id":"doi:10.34172/ijhpm.2021.163","doi":"https://doi.org/10.34172/ijhpm.2021.163","is_oa":true,"landing_page_url":"https://doi.org/10.34172/ijhpm.2021.163","pdf_url":"https://www.ijhpm.com/article_4171_f2cc3b3058c962285cc117c9dde7e3d1.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:9818112","doi":null,"is_oa":true,"landing_page_url":"https://www.ncbi.nlm.nih.gov/pmc/articles/9818112","pdf_url":null,"source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Int J Health Policy Manag","raw_type":"Text"},{"id":"pmid:35021611","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/35021611","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International journal of health policy and management","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:4f817d94b92d4790885c115530abaa1e","doi":null,"is_oa":false,"landing_page_url":"https://doaj.org/article/4f817d94b92d4790885c115530abaa1e","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","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":"repository"},"license":null,"license_id":null,"version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"International Journal of Health Policy and Management, Vol 11, Iss 11, Pp 2440-2450 (2022)","raw_type":"article"},{"id":"pmh:rug:oai:pure.rug.nl:publications/3ae97d03-cb51-400c-88fe-4968a4078b40","doi":null,"is_oa":true,"landing_page_url":"https://research.rug.nl/en/publications/3ae97d03-cb51-400c-88fe-4968a4078b40","pdf_url":null,"source":{"id":"https://openalex.org/S4306400420","display_name":"University of Groningen research database (University of Groningen / Centre for Information Technology)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I169381384","host_organization_name":"University of Groningen","host_organization_lineage":["https://openalex.org/I169381384"],"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":"International Journal of Health Policy and Management, 11(11), 2440 - 50. KERMAN UNIV MEDICAL SCIENCES","raw_type":"info:eu-repo/semantics/article"}],"best_oa_location":{"id":"doi:10.34172/ijhpm.2021.163","doi":"https://doi.org/10.34172/ijhpm.2021.163","is_oa":true,"landing_page_url":"https://doi.org/10.34172/ijhpm.2021.163","pdf_url":"https://www.ijhpm.com/article_4171_f2cc3b3058c962285cc117c9dde7e3d1.pdf","source":{"id":"https://openalex.org/S2765002792","display_name":"International Journal of Health Policy and Management","issn_l":"2322-5939","issn":["2322-5939"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["anvur-class-a","anvur-scientific","cwts-core","doaj","dongbi-b","doyens","jufo-1","ki-jl-1","medline","norway-1","poland-100","russia-white-list-1","vabb-shw"],"host_organization":"https://openalex.org/P4310320389","host_organization_name":"Kerman Medical University","host_organization_lineage":["https://openalex.org/P4310320389"],"host_organization_lineage_names":["Kerman Medical University"],"type":"journal"},"license":"cc-by","license_id":"https://openalex.org/licenses/cc-by","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"International Journal of Health Policy and Management","raw_type":"journal-article"},"sustainable_development_goals":[{"score":0.8974000215530396,"display_name":"Reduced inequalities","id":"https://metadata.un.org/sdg/10"},{"score":0.8048999905586243,"display_name":"Good health and well-being","id":"https://metadata.un.org/sdg/3"}],"study_designs":[],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W3215734656.pdf","grobid_xml":"https://content.openalex.org/works/W3215734656.grobid-xml"},"referenced_works_count":74,"referenced_works":["https://openalex.org/W43902372","https://openalex.org/W331292562","https://openalex.org/W1525806146","https://openalex.org/W1548087870","https://openalex.org/W1563700240","https://openalex.org/W1620929927","https://openalex.org/W1651602512","https://openalex.org/W1845386886","https://openalex.org/W1969935082","https://openalex.org/W1975129197","https://openalex.org/W1975661797","https://openalex.org/W1978775682","https://openalex.org/W1988730537","https://openalex.org/W1992793503","https://openalex.org/W1993454833","https://openalex.org/W1993653081","https://openalex.org/W1995669894","https://openalex.org/W1997243840","https://openalex.org/W1999292050","https://openalex.org/W2000036382","https://openalex.org/W2001198582","https://openalex.org/W2010380737","https://openalex.org/W2014521712","https://openalex.org/W2020769788","https://openalex.org/W2028973163","https://openalex.org/W2046363656","https://openalex.org/W2065931665","https://openalex.org/W2070598023","https://openalex.org/W2081714882","https://openalex.org/W2084303363","https://openalex.org/W2087154726","https://openalex.org/W2112352537","https://openalex.org/W2114627458","https://openalex.org/W2115433737","https://openalex.org/W2120424876","https://openalex.org/W2122602158","https://openalex.org/W2124222250","https://openalex.org/W2135906324","https://openalex.org/W2139254109","https://openalex.org/W2154460198","https://openalex.org/W2170007391","https://openalex.org/W2190940690","https://openalex.org/W2319120141","https://openalex.org/W2336329218","https://openalex.org/W2407581568","https://openalex.org/W2493646811","https://openalex.org/W2510720340","https://openalex.org/W2805754754","https://openalex.org/W2885520648","https://openalex.org/W2892115175","https://openalex.org/W2895270050","https://openalex.org/W2965634117","https://openalex.org/W2966717897","https://openalex.org/W2994645757","https://openalex.org/W2995215166","https://openalex.org/W3008095816","https://openalex.org/W3009639502","https://openalex.org/W3021463405","https://openalex.org/W3082180521","https://openalex.org/W3093314129","https://openalex.org/W3121278452","https://openalex.org/W3123951744","https://openalex.org/W3141341243","https://openalex.org/W3164810577","https://openalex.org/W3179248341","https://openalex.org/W3186312175","https://openalex.org/W4232028909","https://openalex.org/W4237771667","https://openalex.org/W4255362047","https://openalex.org/W4285719527","https://openalex.org/W4288400169","https://openalex.org/W4301054087","https://openalex.org/W6636187827","https://openalex.org/W7073675878"],"related_works":["https://openalex.org/W4307431694","https://openalex.org/W2586063675","https://openalex.org/W2994645757","https://openalex.org/W3117499671","https://openalex.org/W7038430299","https://openalex.org/W7072057735","https://openalex.org/W2966717897","https://openalex.org/W4311791086","https://openalex.org/W2213312530","https://openalex.org/W2602130741"],"abstract_inverted_index":{"BACKGROUND:":[0],"Fiscal":[1],"decentralisation":[2,8],"(FD)":[3],"is":[4],"a":[5,29,44,88,147,185],"widely":[6],"implemented":[7],"policy":[9],"consisting":[10],"of":[11,14,26,47,56,79,93,109,117,126,133,194,208,217],"the":[12,20,63,77,100,107,206,215,218],"allocation":[13],"pooling":[15,55],"and":[16,58,96,103,115,128,139,170,187,198],"spending":[17],"responsibilities":[18],"from":[19],"central":[21],"government":[22],"to":[23,105,154,159,200],"lower":[24],"levels":[25,193],"governance":[27],"within":[28],"country.":[30],"In":[31],"2001,":[32],"The":[33],"Italian":[34,94],"National":[35],"Health":[36],"System":[37],"(Servizio":[38],"Sanitario":[39],"Nazionale,":[40],"SSN)":[41],"has":[42,183],"introduced":[43],"strong":[45],"element":[46],"FD,":[48],"making":[49],"regions":[50],"responsible":[51],"for":[52,59,144,162],"their":[53,60],"own":[54],"resources":[57,201],"budgets.":[61],"Despite":[62],"relevance,":[64],"only":[65],"few":[66],"studies":[67],"exist":[68],"on":[69,81,112],"health":[70,110],"sector-FD":[71,111],"in":[72,120,152,174,191],"Italy,":[73],"mostly":[74],"looking":[75],"at":[76],"effects":[78,108,157],"FD":[80,123,182],"infant":[82],"mortality.":[83],"METHODS:":[84],"This":[85,178],"study":[86],"performs":[87],"fixed-effects":[89],"panel":[90],"data":[91],"analysis":[92],"Regions":[95],"Autonomous":[97],"provinces":[98],"between":[99],"years":[101],"2001":[102],"2017,":[104],"investigate":[106],"availability,":[113,195],"accessibility,":[114],"utilisation":[116,132,196],"healthcare":[118,145,189],"services":[119],"Italy.":[121],"RESULTS:":[122],"decreases":[124,131],"availability":[125],"staff":[127],"hospital":[129],"beds,":[130],"care,":[134],"measured":[135],"by":[136],"hospitalisation":[137],"rates,":[138],"increases":[140],"interregional":[141],"patients'":[142],"mobility":[143],"purposes,":[146],"finding":[148],"suggesting":[149],"increased":[150],"disparities":[151],"access":[153],"healthcare.":[155],"These":[156],"seem":[158],"be":[160],"stronger":[161],"public":[163,209],"-":[164,168,202,212],"rather":[165],"than":[166],"private":[167],"services,":[169],"are":[171],"more":[172],"prominent":[173],"poorer":[175],"areas.":[176],"CONCLUSION:":[177],"evidence":[179],"suggest":[180],"that":[181],"created":[184],"fragmented":[186],"unequal":[188],"system,":[190],"which":[192],"of,":[197],"accessibility":[199],"as":[203,205],"well":[204],"extent":[207],"sector's":[210],"retrenchment":[211],"coincide":[213],"with":[214],"wealth":[216],"area.":[219]},"counts_by_year":[{"year":2026,"cited_by_count":1},{"year":2025,"cited_by_count":3},{"year":2024,"cited_by_count":4},{"year":2023,"cited_by_count":7},{"year":2022,"cited_by_count":3}],"updated_date":"2026-10-31T12:09:11.096373","created_date":"2021-12-06T00:00:00"}