Corporatization and political ideology: The case of hospitals in Spain

• Published in: Public administration (London) Vol. 100; no. 2; pp. 324 - 337
• Main Authors: Alonso, José M., Clifton, Judith, Díaz‐Fuentes, Daniel
• Format: Journal Article
• Language: English
• Published: Oxford, UK Blackwell Publishing Ltd 01.06.2022
• Subjects: Decentralization; Government; Health care; Hospitals; Partnerships; Political ideologies; Private sector; Privatization; Public administration; Public enterprise; Public finance; Public private partnerships; Reforms; Regional government; Regions
• DOI: 10.1111/padm.12776
• ISSN: 0033-3298

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 secondary 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 private sector, such as Public–Private Partnerships and Public Finance Initiatives. Further analysis suggests that left‐wing governments are positively associated with the implementation 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.