The Resource Public Sector Spending Efficiency in Estonia : Healthcare and Local Government, Zuzana Smidova, (electronic resource)

Public Sector Spending Efficiency in Estonia : Healthcare and Local Government, Zuzana Smidova, (electronic resource)

Label
Public Sector Spending Efficiency in Estonia : Healthcare and Local Government
Title
Public Sector Spending Efficiency in Estonia
Title remainder
Healthcare and Local Government
Statement of responsibility
Zuzana Smidova
Creator
Subject
Language
eng
Summary
The Estonian fiscal position is much better than in many OECD countries, the country stands out for having a rather lean government sector and the authorities are striving for efficient use of existing resources. Both healthcare and local government were particularly hit the by the decrease of resources as a result of the unprecedented GDP fall during the downturn. As a return to high revenue buoyancy will not be immediate, there are challenges for delivering the same with less money but it is also an opportunity to reconsider provision of public services. The healthcare sector is state dominated and offers some scope for efficiency improvements. On the supply side, further streamlining of the existing hospital network, emphasising primary care, and keeping an eye on the standard of quality of care, would be helpful. A number of market signals are already in place on the demand side, such as fees and drug co-payments. Yet these raise issues of accessibility of healthcare, in particular for financially distressed households. A cap on out-of-pocket spending together with active promotion of least expensive drugs use would help to address this issue. Local government seems rather extensive and fragmented for such a small country. Exploiting economies of scale, either by merging or requiring deeper co-operation, should bring gains in terms of public service efficiency. Offering greater scope for tax raising at the local level can incentivise the municipalities to adopt more growth-oriented economic policies. This working Paper relates to the 2010 Economic Survey of Estonia (www.oecd.org/eco/surveys/estonia)
Member of
Cataloging source
FR-PaOEC
http://library.link/vocab/creatorName
Smidova, Zuzana
Government publication
international or intergovernmental publication
Index
no index present
Literary form
non fiction
Nature of contents
dictionaries
Series statement
OECD Economics Department Working Papers,
Series volume
no.881
http://library.link/vocab/subjectName
  • Economics
  • Estonia
Label
Public Sector Spending Efficiency in Estonia : Healthcare and Local Government, Zuzana Smidova, (electronic resource)
Instantiates
Publication
Antecedent source
not applicable
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
762088805
Dimensions
21 x 30 cm
Extent
1 online resource 28 pages
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other control number
10.1787/5kg86qq1k2vl-en
Specific material designation
remote
System control number
(OCoLC)762088805
Label
Public Sector Spending Efficiency in Estonia : Healthcare and Local Government, Zuzana Smidova, (electronic resource)
Publication
Antecedent source
not applicable
Carrier category
online resource
Carrier category code
  • cr
Carrier MARC source
rdacarrier
Content category
text
Content type code
  • txt
Content type MARC source
rdacontent
Control code
762088805
Dimensions
21 x 30 cm
Extent
1 online resource 28 pages
File format
one file format
Form of item
online
Media category
computer
Media MARC source
rdamedia
Media type code
  • c
Other control number
10.1787/5kg86qq1k2vl-en
Specific material designation
remote
System control number
(OCoLC)762088805

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