| REPORT FROM THE FIELD |
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| Year : 2013 | Volume
: 2
| Issue : 3 | Page : 198-200 |
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Fiscal competition in health spending among local governments in the Philippines
Uma Kelekar
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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DOI: 10.4103/2224-3151.206769 PMID: 28615598 
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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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