WHO South-East Asia Journal of Public Health
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Year : 2013  |  Volume : 2  |  Issue : 3  |  Page : 198-200

Fiscal competition in health spending among local governments in the Philippines

School of Business Marymount University, Arlington, VA, United States of America

Correspondence Address:
Uma Kelekar
Assistant Professor of Health Care Management School of Business, Marymount University Arlington, VA
United States of America
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2224-3151.206769

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The Philippines is one of several Asian countries that has decentralized the provision of health care to its local governments in recent decades. In the context of decentralization, a few studies have previously examined the issue of fiscal competition among local governments in the developing world. This report presents a summary of a published study that examined the existence of inter-jurisdictional competition in health-care spending in the Philippines. The results indicate the presence of positive fiscal “spillovers” in health spending, consistent with municipalities/cities competing to outspend their neighbours. Several potential explanations forthis finding are discussed.

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