CEU Electronic Theses and Dissertations, 2015
| Author | Mešić, Lejla |
|---|---|
| Title | Health Care Decentralization: A Case Study of Bosnia and Herzegovina |
| Summary | The new century has seen an increased interest in the debate regarding the health care decentralization as a policy with a potential to address the rising problems of the modern health care. This thesis will assess decentralization in the public health care sector by estimating the average treatment effects of decentralization on health care financing, health of the population, and on the regional inequalities in provision of health care services. The analysis is based on the specific framework within Bosnia and Herzegovina. The country has two entities: the Federation of Bosnia and Herzegovina with a decentralized and Republic of Srpska with a centralized health care system. This unique framework allows for the assessment of the health care decentralization by estimating the average treatment effects in the ‘natural experiment’ setting. This thesis finds that public health care decentralization seems to lead to lower financial efficiency in the health care sector, to poorer health of the population, and to a more unequal delivery of the health care services. The findings imply that the Federation of Bosnia and Herzegovina should gradually start to centralize its public health care system. |
| Supervisor | Mihályi, Péter |
| Department | Economics MA |
| Full text | https://www.etd.ceu.edu/2015/mesic_lejla.pdf |
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