Corporatization and political ideology: The case of hospitals in Spain
| Published date | 01 June 2022 |
| Author | José M. Alonso,Judith Clifton,Daniel Díaz‐Fuentes |
| Date | 01 June 2022 |
| DOI | http://doi.org/10.1111/padm.12776 |
SYMPOSIUM ARTICLE
Corporatization and political ideology: The case of
hospitals in Spain
José M. Alonso
1,2
| Judith Clifton
1
| Daniel Díaz-Fuentes
1
1
Universidad de Cantabria, Santander, Spain
2
Cardiff Business School, Cardiff
University, UK
Correspondence
Judith Clifton, Universidad de Cantabria,
Av. de los Castros S.N., Santander 39005,
Spain.
Email: judith.clifton@unican.es
Abstract
Corporatization—arguably as important as privatization
regarding public service reform—remains an under-
researched topic in Public Administration. In this paper, we
explore the extent to which the implementation of different
types of corporatization strategies can be explained by the
ideology of the ruling party in the Spanish public healthcare
sector, selected for study because this sector was subject to
reform, particularly, decentralization and marketization. To
do so, we use count-data regression models to analyze sec-
ondary data from the 17 Spanish regional governments for
the period 2003–2017. Our estimates reveal that right-wing
controlled regional governments exhibit a clear preference
for corporatization strategies that actively involve the pri-
vate sector, such as Public–Private Partnerships and Public
Finance Initiatives. Further analysis suggests that left-wing
governments are positively associated with the implementa-
tion of corporatization strategies that do not involve the
private sector, such as the creation of Public Enterprises
and Public Entities. These results are robust to a variety of
alternative specifications.
1|INTRODUCTION
The wave of privatization of public services around the world from the 1980s onwards attracted a huge body of
scholarship: the determinants and consequences of privatization programs have, by now, been deeply scrutinized by
Received: 25 June 2020 Revised: 28 June 2021 Accepted: 29 July 2021
DOI: 10.1111/padm.12776
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and
reproduction in any medium, provided the original work is properly cited.
© 2021 The Authors. Public Administration published by John Wiley & Sons Ltd.
324 Public Admin. 2022;100:324–337.
wileyonlinelibrary.com/journal/padm
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