In the early 2000s, Costa Rica implemented comprehensive reforms of its health care system, including devolving administrative power from the central government to some providers that remain part of the national system. In this article, we evaluate how this aspect of the reform affected clinic efficiency and population health by analyzing administrative data on regional providers and mortality ...

Although the conventional wisdom is that representatives to the Japanese Diet are “pipelines” between the national treasury and local constituents, who have great influence over the distribution of central government transfers to and within their districts, the systematic empirical evidence that this influence exists is relatively weak. This paper uses two identification strategies to estimate ...

This note characterises the evolution of Chile’s public debt, and discusses its implications for the management of the country’s monetary policy. Historically, the main issuer of public debt in Chile was the central bank. The government, in turn, has recently started to engage in a more active debt policy, with the aim of deepening the market for risk-free securities and diversifying its fundin...

Purpose: The purpose of this study is to critically analyze the strategic dimensions central national government communication in Kenya. structure comprised Presidential Strategic Communication Unit (PSCU), Office Government Spokesperson (OGS), and Ministry information technology (ICT).
 Methodology: A single-case (embedded) research design was adopted target population all officers at thr...

the central bank, as an institution that directly controls the monetary system of the country, can also pursue goals such as managing interest rates, volume of currency, inflation, unemployment and even income distribution. in some countries (like iran) it functions as the part of the government and in some other countries the central bank is independent and follows its macro-policies. accordin...

the article by brenna and spandonaro on interregional mobility for acute hospital care in italy raises important issues concerning social and territorial equity in a healthcare system. based on regions and private providers’ strategic behavior, the hypothesis adopted to explain patient cross-border mobility (cbm), demonstrated by statistical analysis, may be further explored using qualitative m...

The UK government is striving towards a vision for government-wide transformation, in which local authorities and central government departments are endeavouring to work with each other to deliver better services to citizens via a one-stop-shop environment for all services under the guise of electronic government (e-government). Having successfully e-enabled customer facing processes, the UK go...