CCRE CEMR - Territorial Governance, Powers and Reforms in Europe - 2021 Edition: Focus on Local Health Care Systems
    • Recommendations
    • The Analysis
      • Introduction
      • Part 1: Overview of Territorial Reforms between 2012 and 2021
        • A. Changes in the number of Local/Regional Governments
        • B. Reforms of local and regional competences, powers and responsibilities
        • C. Local and regional finances: state allocation vs. taxation
        • D. The central role of national associations in territorial reforms
      • Part 2: Local Public Healthcare Responsibilities
        • A. Mapping local and regional health tasks by country
        • B. The necessary role of national associations in the health system
        • C. Trends in local and regional healthcare
        • D. Local and regional healthcare spending
      • Part 3: COVID-19’s Impact on Local Health Systems and Governance
        • A. Impact of health reforms on local and regional governments’ pandemic preparedness
        • B. Impact of COVID-19 on local and regional responsibilities in the field of public health
        • C. Focus on COVID-19’s impact on territorial governance
      • Conclusions
    • Country profiles
      • Country Comparison Tool
      • Albania
      • Austria
      • Belgium
      • Bosnia and Herzegovina
      • Bulgaria
      • Croatia
      • Cyprus
      • Czechia
      • Denmark
      • Estonia
      • Finland
      • France
      • Georgia
      • Germany
      • Greece
      • Hungary
      • Iceland
      • Israel
      • Italy
      • Kosovo
      • Latvia
      • Lithuania
      • Luxembourg
      • Malta
      • Moldova
      • Montenegro
      • The Netherlands
      • North Macedonia
      • Norway
      • Poland
      • Portugal
      • Romania
      • Serbia
      • Slovakia
      • Slovenia
      • Spain
      • Sweden
      • Turkey
      • Ukraine
      • United Kingdom
    • Maps
    • TO KNOW MORE
      • Executive summary
      • Foreword
      • Methodology
      • Annexes
      • Local Autonomy 2030
      • Acknowledgements
      • Bibliography
      • About CEMR
    • Français (France)
    • English (United Kingdom)
CCRE

Federal/Unitary

Amongst the 40 CEMR countries covered by this study, there are 36 unitary countries (including regional states like Spain and Italy), four with federal systems and eight countries  have an intermediary tier of governance, e.g. provinces or counties, and more than half  have a regional government.

Federal/Unitary Map of territorial reforms in Europe (local level) Health reforms in the past 10 years in 38 CEMR countries

Council of European
Municipalities and Regions (CEMR)

1 Square de Meeûs
B - 1000 Brussels
studies@ccre-cemr.org


cemr.eu


With the support of the European Union

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