The impact of devolution on experienced health and well-being
Dados Bibliográficos
| ID | 4591877 |
|---|---|
| Autores | Yi Wei (0000-0002-8291-1320, Manchester Academic Health Science Centre, autor correspondente), Laura Anselmi (0000-0002-2499-7656, Manchester Academic Health Science Centre), Luke Munford (0000-0003-4540-6744, Manchester Academic Health Science Centre), Madeline Sutton (0000-0002-6635-2127, Manchester Academic Health Science Centre) |
| Ano | 2023 |
| Volume | 333 |
| Páginas | 116139 |
| Data de publicação | 2023-09-01 |
| Peer Reviewed | Sim |
| Open Access | Sim |
| Tipo | ARTICLE |
| Periódico | Social Science & Medicine (JOURNAL) |
| Identificadores do periódico | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Editora | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/j.socscimed.2023.116139 |
| PMID | 37579557 |
| OpenAlex | W4385623576 |
| Idioma | EN |
| Citações recebidas | 3 |
| Referências citadas | 33 |
Devolution of health systems from national to local levels is a common focus of policymakers across the world. The overarching aim is to improve population health by better meeting the specific needs of local citizens. We examine the case of a coordinated devolution across several public service sectors in Greater Manchester, England, in 2016. We estimate the impact on experienced health and well-being using Short-Form 12 scores from 13,938 adult respondents to the UK Household Longitudinal Survey between 2012 and 2020. We use difference-in-differences and lagged-dependent variable regressions to compare Greater Manchester to the rest of England. We find no statistically significant changes in experienced health and well-being over the four years following the start of devolution. Our findings suggest that devolving population health management alone without budgetary powers and local accountability mechanisms may not be effective in improving experienced health and well-being in the relatively short-term
Accountability · Demographic economics · Devolution (biology · Economics · Environmental health · Political science · Population · Public health · Global Health Care Issues · Health disparities and outcomes · Healthcare Policy and Management · Medicine · Nursing · Health Policy
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| Obras citantes distintas | 3 |
|---|---|
| Citações por ano | 1,5 |
| Intervalo de citações | 2024 - 2026 (3) |
| Velocidade de citação | current |
| Altamente citado | Não |
| Tipos de citação | Neutras: 3 |