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Inequality in Public Provision of Healthcare

Do Fiscal Transfers Matter

Bibliographic Data

ID12705489
AuthorsK S Harikrishnan (0009-0006-5388-1835, Department of Humanities and Social Sciences Indian Institute of Technology Kharagpur Kharagpur West Bengal India), Gourishankar S Hiremath (0000-0002-7195-5512, Department of Humanities and Social Sciences Indian Institute of Technology Kharagpur Kharagpur West Bengal India, corresponding author)
Year2024
Volume24
Issue4
Publication date2024-09-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueJournal of Public Affairs (JOURNAL)
Journal identifiersISSN: 1472-3891 • E-ISSN: 1479-1854
PublisherWiley (PUBLISHER • GB)
DOI10.1002/pa.2943
OpenAlexW4402176620
LanguageEN
Citations received2
References cited26

In this paper, we investigate the inequality in the public provision of healthcare in India and assess whether states are converging over time. We locate the equalization of public provision within the framework of fiscal federalism. Departing from previous work, we gauge disparity in public provision by scrutinizing the provision in terms of primary and community health centers. The and convergence analysis indicate no substantial reduction in inter‐state disparities, raising concerns regarding the attainment of universal healthcare access. In addition, the club convergence analysis identifies states converging into multiple clubs in the public provision of health centers, indicating the persistence of inter‐state disparity. The panel regression estimates indicate the prominence of own revenue over fiscal transfers in determining the public provision of healthcare. The findings underscore the necessity of reforms in fiscal devolution, with a particular emphasis on tax devolution and revamping sector‐specific grants to achieve national targets. The present paper contributes to a long‐standing debate on unconditional versus conditional transfers for public provision

Economic growth · Economics · Health care · Inequality · Public economics · Public healthcare · Economic Growth and Productivity · Fiscal Policy and Economic Growth · Global Health Care Issues · Mathematics

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    Open Access•K S Harikrishnan, Gourishankar S Hiremath•Indian Journal of Human Development•2023

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Unique citing works2
Citations per year2
Citation span2025 - 2026 (2)
Citation velocitycurrent
Highly citedNo
Citation typesNeutral: 2

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