Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems

Autores
Miranda Zanetti, Maximiliano Gabriel; Elorza, Maria Eugenia; Moscoso, Nebel Silvana
Año de publicación
2021
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Introduction: It is important to evaluate the coverage achieved in the public drugs provision. Aim: to study the provision of a merit good where three levels of government intervene. Materials and methods: We analyze a framework of interaction between government agencies for the provision of certain merit good and a real case of drugs provision for type 2 diabetes mellitus. Results: It can be deduced from the formal framework that, for sequential decisions, the last government level, conditioned by previous decisions, supports the greatest burden of the provision. The case study reveals that the regional level provides the highest percentage of tablets, followed by the local and central levels. Discussion: Drug provision for T2DM is not assured for the share of the population without healthcare insurances, and about 22% of doses were provided voluntarily by the local level, which intervened because levels of provision of other governments proved insufficient.
Fil: Miranda Zanetti, Maximiliano Gabriel. Universidad Nacional del Sur. Departamento de Economía; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca; Argentina
Fil: Elorza, Maria Eugenia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; Argentina
Fil: Moscoso, Nebel Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; Argentina
Materia
Diabetes Mellitus
Decentralization
Public Policies
Resource Allocation
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/168977
Acceder
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network_name_str CONICET Digital (CONICET)
spelling Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systemsMiranda Zanetti, Maximiliano GabrielElorza, Maria EugeniaMoscoso, Nebel SilvanaDiabetes MellitusDecentralizationPublic PoliciesResource Allocationhttps://purl.org/becyt/ford/5.2https://purl.org/becyt/ford/5Introduction: It is important to evaluate the coverage achieved in the public drugs provision. Aim: to study the provision of a merit good where three levels of government intervene. Materials and methods: We analyze a framework of interaction between government agencies for the provision of certain merit good and a real case of drugs provision for type 2 diabetes mellitus. Results: It can be deduced from the formal framework that, for sequential decisions, the last government level, conditioned by previous decisions, supports the greatest burden of the provision. The case study reveals that the regional level provides the highest percentage of tablets, followed by the local and central levels. Discussion: Drug provision for T2DM is not assured for the share of the population without healthcare insurances, and about 22% of doses were provided voluntarily by the local level, which intervened because levels of provision of other governments proved insufficient.Fil: Miranda Zanetti, Maximiliano Gabriel. Universidad Nacional del Sur. Departamento de Economía; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca; ArgentinaFil: Elorza, Maria Eugenia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; ArgentinaFil: Moscoso, Nebel Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; ArgentinaUniversidad Autónoma de San Luis Potosí2021-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/168977Miranda Zanetti, Maximiliano Gabriel; Elorza, Maria Eugenia; Moscoso, Nebel Silvana; Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems; Universidad Autónoma de San Luis Potosí; Perspectivas; 14; 1; 6-2021; 5-202007-2104CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/http://publicaciones.eco.uaslp.mx/Volumen25.htminfo:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-11-12T09:46:13Zoai:ri.conicet.gov.ar:11336/168977instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-11-12 09:46:13.263CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
title Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
spellingShingle Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
Miranda Zanetti, Maximiliano Gabriel
Diabetes Mellitus
Decentralization
Public Policies
Resource Allocation
title_short Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
title_full Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
title_fullStr Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
title_full_unstemmed Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
title_sort Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems
dc.creator.none.fl_str_mv Miranda Zanetti, Maximiliano Gabriel
Elorza, Maria Eugenia
Moscoso, Nebel Silvana
author Miranda Zanetti, Maximiliano Gabriel
author_facet Miranda Zanetti, Maximiliano Gabriel
Elorza, Maria Eugenia
Moscoso, Nebel Silvana
author_role author
author2 Elorza, Maria Eugenia
Moscoso, Nebel Silvana
author2_role author
author
dc.subject.none.fl_str_mv Diabetes Mellitus
Decentralization
Public Policies
Resource Allocation
topic Diabetes Mellitus
Decentralization
Public Policies
Resource Allocation
purl_subject.fl_str_mv https://purl.org/becyt/ford/5.2
https://purl.org/becyt/ford/5
dc.description.none.fl_txt_mv Introduction: It is important to evaluate the coverage achieved in the public drugs provision. Aim: to study the provision of a merit good where three levels of government intervene. Materials and methods: We analyze a framework of interaction between government agencies for the provision of certain merit good and a real case of drugs provision for type 2 diabetes mellitus. Results: It can be deduced from the formal framework that, for sequential decisions, the last government level, conditioned by previous decisions, supports the greatest burden of the provision. The case study reveals that the regional level provides the highest percentage of tablets, followed by the local and central levels. Discussion: Drug provision for T2DM is not assured for the share of the population without healthcare insurances, and about 22% of doses were provided voluntarily by the local level, which intervened because levels of provision of other governments proved insufficient.
Fil: Miranda Zanetti, Maximiliano Gabriel. Universidad Nacional del Sur. Departamento de Economía; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca; Argentina
Fil: Elorza, Maria Eugenia. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; Argentina
Fil: Moscoso, Nebel Silvana. Consejo Nacional de Investigaciones Científicas y Técnicas. Centro Científico Tecnológico Conicet - Bahía Blanca. Instituto de Investigaciones Económicas y Sociales del Sur. Universidad Nacional del Sur. Departamento de Economía. Instituto de Investigaciones Económicas y Sociales del Sur; Argentina
description Introduction: It is important to evaluate the coverage achieved in the public drugs provision. Aim: to study the provision of a merit good where three levels of government intervene. Materials and methods: We analyze a framework of interaction between government agencies for the provision of certain merit good and a real case of drugs provision for type 2 diabetes mellitus. Results: It can be deduced from the formal framework that, for sequential decisions, the last government level, conditioned by previous decisions, supports the greatest burden of the provision. The case study reveals that the regional level provides the highest percentage of tablets, followed by the local and central levels. Discussion: Drug provision for T2DM is not assured for the share of the population without healthcare insurances, and about 22% of doses were provided voluntarily by the local level, which intervened because levels of provision of other governments proved insufficient.
publishDate 2021
dc.date.none.fl_str_mv 2021-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/168977
Miranda Zanetti, Maximiliano Gabriel; Elorza, Maria Eugenia; Moscoso, Nebel Silvana; Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems; Universidad Autónoma de San Luis Potosí; Perspectivas; 14; 1; 6-2021; 5-20
2007-2104
CONICET Digital
CONICET
url http://hdl.handle.net/11336/168977
identifier_str_mv Miranda Zanetti, Maximiliano Gabriel; Elorza, Maria Eugenia; Moscoso, Nebel Silvana; Provision of a merit good by hierarchical government agencies: medications for diabetes in Argentina: Public provision in decentralized systems; Universidad Autónoma de San Luis Potosí; Perspectivas; 14; 1; 6-2021; 5-20
2007-2104
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/http://publicaciones.eco.uaslp.mx/Volumen25.htm
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Universidad Autónoma de San Luis Potosí
publisher.none.fl_str_mv Universidad Autónoma de San Luis Potosí
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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score 13.25334

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