Decentralizing Health Services

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Decentralizing Health Services

Author : Krishna Regmi
Publisher : Springer Science & Business Media
ISBN 13 : 1461490715
Total Pages : 222 pages
Book Rating : 4.4/5 (614 download)

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Book Synopsis Decentralizing Health Services by : Krishna Regmi

Download or read book Decentralizing Health Services written by Krishna Regmi and published by Springer Science & Business Media. This book was released on 2013-11-19 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy

Decentralizing Health Services in Mexico

Author : Nuria Homedes
Publisher : Lynne Rienner Publishers
ISBN 13 :
Total Pages : 360 pages
Book Rating : 4.:/5 (321 download)

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Book Synopsis Decentralizing Health Services in Mexico by : Nuria Homedes

Download or read book Decentralizing Health Services in Mexico written by Nuria Homedes and published by Lynne Rienner Publishers. This book was released on 2006 with total page 360 pages. Available in PDF, EPUB and Kindle. Book excerpt: ?This academic but passionate and controversial work should be read by specialists on Mexico and Latin America, as well as by those interested in healthcare and social policy in general.??Carmelo Mesa-Lago, University of PittsburghHas Mexico, twenty years after beginning the process of decentralizing its health system, realized the anticipated benefits of increased community participation and improvements in efficiency and quality? Addressing this question, Decentralizing Health Services in Mexico presents a thorough historical and theoretical grounding, as well as representative case studies of decentralization at the state and local levels.The authors combine qualitative and quantitative data in their examination of the transfer of authority over fiscal, human, and physical resources in the health sector. The result is a major contribution to the ongoing debate over the advantages and disadvantages of decentralization in varying political, cultural, and economic contexts.Nuria Homedes is associate professor at the University of Texas School of Public Health-Houston. Antonio Ugalde is emeritus professor at the Department of Sociology, University of Texas at Austin. CONTENTS: Decentralization: Theory and History. Decentralization: The Long Road from Theory to Practice?the Editors. Decentralization of Health Services in Mexico: A Historical Review?the Editors. The First Attempt, 1983-1988. Decentralizing Health Services: Formulation, Implementaion, and Results?M. Gonzalez-Block, R. Leyva, O. Zapta, R. Loewe, and J. Alagon. Federalist Flirtations: The Politics and Execution of Health Services Decentralization for the Uninsured in Mexico, 1985-1995?A.-E. Birn. Trying Again, 1994-2004: Case Studies from Five States. ?Decentralized? in Quotes: Baja California Sur, 1996-2000?L. Olvera Santana. The Slow and Difficult Institutionalization of Health Care Reform in Sonora: 1982-2000?R. Abrantes Pego. Guanajuato: Invisible Results?S. Arjonilla Alday. Nuevo Leon and Tamaulipas: Opening and Closing a Window of Opportunity?the Editors. Decentralization at the Health District Level in Nuevo Leon?the Editors. Conclusions?the Editors.

Decentralization In Health Care: Strategies And Outcomes

Author : Saltman, Richard
Publisher : McGraw-Hill Education (UK)
ISBN 13 : 033521925X
Total Pages : 327 pages
Book Rating : 4.3/5 (352 download)

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Book Synopsis Decentralization In Health Care: Strategies And Outcomes by : Saltman, Richard

Download or read book Decentralization In Health Care: Strategies And Outcomes written by Saltman, Richard and published by McGraw-Hill Education (UK). This book was released on 2006-12-01 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.

Decentralization and Governance in the Ghana Health Sector

Author : Bernard F Couttolenc
Publisher : World Bank Publications
ISBN 13 : 0821395904
Total Pages : 126 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Decentralization and Governance in the Ghana Health Sector by : Bernard F Couttolenc

Health Sector, State and Decentralised Institutions in India

Author : Shailender Kumar Hooda
Publisher : Routledge India
ISBN 13 : 9781032108438
Total Pages : 254 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Health Sector, State and Decentralised Institutions in India by : Shailender Kumar Hooda

Download or read book Health Sector, State and Decentralised Institutions in India written by Shailender Kumar Hooda and published by Routledge India. This book was released on 2022 with total page 254 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book describes the transition in Indian healthcare system since independence and contributes to the ongoing debate within development and institutional economics on the approaches towards reform in the public health system. The institutional reform perspective focuses on examining the effective utilisation of allotted resources and improvements in delivery through decentralisation in governance by ensuring higher participation of elected governments and local communities in politics, policymaking and delivery of health services. It discusses the economic (resource) reforms to explain the relevance and expansion of state interventionism along with its influence on the health sector, accountability and allocative efficiency. The author also explores the connections between neoliberal thought and privatisation in health sector, and examines the greater role of insurance-based financing and their implications for health service access and delivery. The book offers ways to address long-standing systemic and structural problems that confront the Indian healthcare system. Based on large-scale surveys and diverse empirical data on the Indian economy, this book will be of great interest to researchers, students and teachers of health economics, governance and institutional economics, political economy, sociology, public policy, regional studies and development studies. This will be useful to policymakers, health economists, social scientists, public health experts and professionals, and government and nongovernment institutions"--

Does Fiscal Decentralization Improve Health Outcomes?

Author : David A. Robalino
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 20 pages
Book Rating : 4./5 ( download)

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Book Synopsis Does Fiscal Decentralization Improve Health Outcomes? by : David A. Robalino

Download or read book Does Fiscal Decentralization Improve Health Outcomes? written by David A. Robalino and published by World Bank Publications. This book was released on 2001 with total page 20 pages. Available in PDF, EPUB and Kindle. Book excerpt: Decentralization of fiscal responsibilities has emerged as a primary objective on the agendas of national governments, and international organizations alike. Yet there is little empirical evidence on the potential benefits of this intervention. The authors fill in some quantitative evidence. Using panel data on infant mortality rates, GDP per capita, and the share of public expenditures managed by local governments, they find greater fiscal decentralization is consistently associated with lower mortality rates. The results suggest that the benefits of fiscal decentralization are particularly important for poor countries. They suggest also that the positive effects of fiscal decentralization on infant mortality, are greater in institutional environments that promote political rights. Fiscal decentralization also appears to be a mechanism for improving health outcomes in environments with a high level of ethno-linguistic fractionalization, however, the benefits from fiscal decentralization tend to be smaller.

Decentralizing the Provision of Health Services

Author : William Jack
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 32 pages
Book Rating : 4./5 ( download)

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Book Synopsis Decentralizing the Provision of Health Services by : William Jack

Download or read book Decentralizing the Provision of Health Services written by William Jack and published by World Bank Publications. This book was released on 2000 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: How should central and local governments allocate authority for the planning, financing, and delivery of health services?

Health System Decentralization

Author : Anne Mills
Publisher :
ISBN 13 : 9789241561372
Total Pages : 151 pages
Book Rating : 4.5/5 (613 download)

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Book Synopsis Health System Decentralization by : Anne Mills

Download or read book Health System Decentralization written by Anne Mills and published by . This book was released on 1990 with total page 151 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Decentralization and Governance in the Ghana Health Sector

Author : Bernard F Couttolenc
Publisher : World Bank Publications
ISBN 13 : 0821395890
Total Pages : 127 pages
Book Rating : 4.8/5 (213 download)

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Book Synopsis Decentralization and Governance in the Ghana Health Sector by : Bernard F Couttolenc

Download or read book Decentralization and Governance in the Ghana Health Sector written by Bernard F Couttolenc and published by World Bank Publications. This book was released on 2012-06-29 with total page 127 pages. Available in PDF, EPUB and Kindle. Book excerpt: In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system. In most cases, decentralization has been adopted to improve accountability to local population, efficiency in service provision, equity in access and resource distribution, or to increase resource mobilization. Ghana has a long history of local government, going back to pre-independence times of the nineteenth century. By 1859 Municipal Councils were established in the major coastal towns of the then Gold Coast. Native Authorities, Councils and Courts were also established to administer law and order under the indirect authority of the colonial government; the limitations of this system was repeatedly put forward in the 1930s and 1940s, and reforms were introduced in 1951 by the Local Government Ordinance (Ahwoi 2010). The government has embarked in a decentralization policy since independence, which was strengthened and amplified by the local government act of 1993 and other legislations. At the present the Government of Ghana (GOG) is committed to strengthen the implementation of decentralization and for that purpose revise and strengthen the policy and regulatory framework governing decentralization. In spite of this long history and successive waves of decentralization reforms, effective decentralization in the country still faces considerable challenges, especially in large social sectors involving large structures. The public health sector is one that has not fully embraced the decentralization model adopted by the GOG, decentralization by devolution to the districts, for a number of reasons that will be discussed in this report. Some functions and responsibilities have been decentralized, but others remain centralized or simply deconcentrated.

Federalism and Decentralization in Health Care

Author : Gregory P. Marchildon
Publisher : University of Toronto Press
ISBN 13 : 1487521545
Total Pages : 270 pages
Book Rating : 4.4/5 (875 download)

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Book Synopsis Federalism and Decentralization in Health Care by : Gregory P. Marchildon

Download or read book Federalism and Decentralization in Health Care written by Gregory P. Marchildon and published by University of Toronto Press. This book was released on 2018-01-01 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines the overall organization of the health system.

Multi-Criteria Decision Analysis in Management

Author : Behl, Abhishek
Publisher : IGI Global
ISBN 13 : 1799822184
Total Pages : 422 pages
Book Rating : 4.7/5 (998 download)

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Book Synopsis Multi-Criteria Decision Analysis in Management by : Behl, Abhishek

Download or read book Multi-Criteria Decision Analysis in Management written by Behl, Abhishek and published by IGI Global. This book was released on 2020-02-01 with total page 422 pages. Available in PDF, EPUB and Kindle. Book excerpt: Multi-criteria decision making (MCDM) has been extensively used in diverse disciplines, with a variety of MCDM techniques used to solve complex problems. A primary challenge faced by research scholars is to decode these techniques using detailed step-by-step analysis with case studies and data sets. The scope of such work would help decision makers to understand the process of using MCDM techniques appropriately to solve complex issues without making mistakes. Multi-Criteria Decision Analysis in Management provides innovative insights into the rationale behind using MCDM techniques to solve decision-making problems and provides comprehensive discussions on these techniques from their inception, development, and growth to their advancements and applications. The content within this publication examines hybrid multicriteria models, value theory, and data envelopment. Ideal for researchers, management professionals, students, operations scholars, and academicians, this scholarly work supports and enhances the decision-making process.

Is Decentralization Good for Development?

Author : Jean-Paul Faguet
Publisher : Oxford University Press, USA
ISBN 13 : 0198737505
Total Pages : 352 pages
Book Rating : 4.1/5 (987 download)

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Book Synopsis Is Decentralization Good for Development? by : Jean-Paul Faguet

Download or read book Is Decentralization Good for Development? written by Jean-Paul Faguet and published by Oxford University Press, USA. This book was released on 2015 with total page 352 pages. Available in PDF, EPUB and Kindle. Book excerpt: "This book is a product of the Initiative for Policy Dialogue's Decentralization Task Force, and was first conceived at a conference held at Columbia University in New York in 2009"--Page vii.

Decentralizing Governance

Author : G. Shabbir Cheema
Publisher : Brookings Institution Press
ISBN 13 : 0815713908
Total Pages : 338 pages
Book Rating : 4.8/5 (157 download)

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Book Synopsis Decentralizing Governance by : G. Shabbir Cheema

Download or read book Decentralizing Governance written by G. Shabbir Cheema and published by Brookings Institution Press. This book was released on 2007-08-01 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: The trend toward greater decentralization of governance activities, now accepted as commonplace in the West, has become a worldwide movement. This international development—largely a product of globalization and democratization—is clearly one of the key factors reshaping economic, political, and social conditions throughout the world. Rather than the top-down, centralized decisionmaking that characterized communist economies and Third World dictatorships in the twentieth century, today's world demands flexibility, adaptability, and the autonomy to bring those qualities to bear. In this thought-provoking book, the first in a new series on Innovations in Governance, experts in government and public management trace the evolution and performance of decentralization concepts, from the transfer of authority within government to the sharing of power, authority, and responsibilities among broader governance institutions. This movement is not limited to national government—it also affects subnational governments, NGOs, private corporations, and even civil associations. The contributors assess the emerging concepts of decentralization (e.g., devolution, empowerment, capacity building, and democratic governance). They detail the factors driving the movement, including political changes such as the fall of the Iron Curtain and the ascendance of democracy; economic factors such as globalization and outsourcing; and technological advances (e.g. increased information technology and electronic commerce). Their analysis covers many different contexts and regions. For example, William Ascher of Claremont McKenna College chronicles how decentralization concepts are playing out in natural resources policy, while Kadmeil Wekwete (United Nations) outlines the specific challenges to decentralizing governance in sub-Saharan Africa. In each case, contributors explore the objectives of a decentralizing strategy as well as the benefits and difficulties that will likely result.

Rethinking Decentralization in Developing Countries

Author : Jennie Ilene Litvack
Publisher : World Bank Publications
ISBN 13 : 9780821343500
Total Pages : 52 pages
Book Rating : 4.3/5 (435 download)

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Book Synopsis Rethinking Decentralization in Developing Countries by : Jennie Ilene Litvack

Download or read book Rethinking Decentralization in Developing Countries written by Jennie Ilene Litvack and published by World Bank Publications. This book was released on 1998-01-01 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: In an effort to reduce poverty and improve nutrition, this Bank operation assisted the Indian program Operation Flood to develop the dairy industry in India. This study examines the policy changes instituted to support the aid flow to the dairy sector and discusses the lessons learned and benefits realized through improved dairy production. It also presents suggestions for improvement. This program differs from other Bank efforts in that it focuses on a single commodity to alleviate poverty and raise living standards.

Civil Society and Health

Author : Scott L. Greer
Publisher : World Health Organization
ISBN 13 : 9289050438
Total Pages : 191 pages
Book Rating : 4.2/5 (89 download)

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Book Synopsis Civil Society and Health by : Scott L. Greer

Download or read book Civil Society and Health written by Scott L. Greer and published by World Health Organization. This book was released on 2017-11-20 with total page 191 pages. Available in PDF, EPUB and Kindle. Book excerpt: Civil Society Organizations (CSOs) can make a vital contribution to public health and health systems but harnessing their potential is complex in a Europe where government-CSO relations vary so profoundly. This study is intended to outline some of the challenges and assist policy-makers in furthering their understanding of the part CSOs can play in tandem and alongside government. To this end it analyses existing evidence and draws on a set of seven thematic chapters and six mini case studies. They examine experiences from Austria Bosnia-Herzegovina Belgium Cyprus Finland Germany Malta the Netherlands Poland the Russian Federation Slovenia Turkey and the European Union and make use of a single assessment framework to understand the diverse contexts in which CSOs operate. The evidence shows that CSOs are ubiquitous varied and beneficial and the topics covered in this study reflect such diversity of aims and means: anti-tobacco advocacy food banks refugee health HIV/AIDS prevention and cure and social partnership. CSOs make a substantial contribution to public health and health systems with regards to policy development service delivery and governance. This includes evidence provision advocacy mobilization consensus building provision of medical services and of services related to the social determinants of health standard setting self-regulation and fostering social partnership. However in order to engage successfully with CSOs governments do need to make use of adequate tools and create contexts conducive to collaboration. To guide policy-makers working with CSOs through such complications and help avoid some potential pitfalls the book outlines a practical framework for such collaboration. This suggests identifying key CSOs in a given area; clarifying why there should be engagement with civil society; being realistic as to what CSOs can or will achieve; and an understanding of how CSOs can be helped to deliver.

Federalism and Decentralization in European Health and Social Care

Author : J. Costa-Font
Publisher : Springer
ISBN 13 : 1137291877
Total Pages : 380 pages
Book Rating : 4.1/5 (372 download)

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Book Synopsis Federalism and Decentralization in European Health and Social Care by : J. Costa-Font

Download or read book Federalism and Decentralization in European Health and Social Care written by J. Costa-Font and published by Springer. This book was released on 2016-01-12 with total page 380 pages. Available in PDF, EPUB and Kindle. Book excerpt: This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.

Decentralization and Local Governance in Developing Countries

Author : Pranab Bardhan
Publisher : MIT Press
ISBN 13 : 0262524546
Total Pages : 375 pages
Book Rating : 4.2/5 (625 download)

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Book Synopsis Decentralization and Local Governance in Developing Countries by : Pranab Bardhan

Download or read book Decentralization and Local Governance in Developing Countries written by Pranab Bardhan and published by MIT Press. This book was released on 2006-06-16 with total page 375 pages. Available in PDF, EPUB and Kindle. Book excerpt: Over the past three decades the developing world has seen increasing devolution of political and economic power to local governments. Decentralization is considered an important element of participatory democracy and, along with privatization and deregulation, represents a substantial reduction in the authority of national governments over economic policy. The contributors to Decentralization and Local Governance in Developing Countries examine this institutional transformation from comparative and interdisciplinary perspectives, offering detailed case studies of decentralization in eight countries: Bolivia, Brazil, China, India, Indonesia, Pakistan, South Africa, and Uganda. Some of these countries witnessed an unprecedented "big bang" shift toward comprehensive political and economic decentralization: Bolivia in 1995 and Indonesia after the fall of Suharto in 1998. Brazil and India decentralized in an uneven and more gradual manner. In some other countries (such as Pakistan), devolution represented an instrument for consolidation of power of a nondemocratic national government. In China, local governments were granted much economic but little political power. South Africa made the transition from the undemocratic decentralization of apartheid to decentralization under a democratic constitution. The studies provide a comparative perspective on the political and economic context within which decentralization took place, and how this shaped its design and possible impact. Contributors Omar Azfar, Gianpaolo Baiocchi, Pranab Bardhan, Shubham Chaudhuri, Ali Cheema, Jean-Paul Faguet, Bert Hofman, Kai Kaiser, Philip E. Keefer, Asim Ijaz Khwaja, Justin Yifu Lin, Mingxing Liu, Jeffrey Livingston, Patrick Meagher, Dilip Mookherjee, Ambar Narayan, Adnan Qadir, Ran Tao, Tara Vishwanath, Martin Wittenberg