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Health System Decentralization
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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 2012-07-06 with total page 126 pages. Available in PDF, EPUB and Kindle. Book excerpt: Ghana's government has embarked on a decentralization process since the 1980s, but the intended devolution of the health system faces important challenges and shortfalls. This study analyzes the strengths and weaknesses of the decentralization of the Ghanaian health system.
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.
Book Synopsis Health System Decentralization and Recentralization by : Andrea Terlizzi
Download or read book Health System Decentralization and Recentralization written by Andrea Terlizzi and published by Springer. This book was released on 2019-04-02 with total page 228 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change.
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
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.
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.
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:
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.
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.
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
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.
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.
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.
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.
Book Synopsis Health Systems in Transition Third Edition by : Gregory P. Marchildon
Download or read book Health Systems in Transition Third Edition written by Gregory P. Marchildon and published by University of Toronto Press. This book was released on 2021-04-21 with total page 235 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book provides insight into how the Canadian health care system is financed and organized, how it has evolved over time, and how well it performs relative to peer countries.
Book Synopsis Fiscal Decentralization and Development by : H. Uchimura
Download or read book Fiscal Decentralization and Development written by H. Uchimura and published by Springer. This book was released on 2012-05-30 with total page 207 pages. Available in PDF, EPUB and Kindle. Book excerpt: An in-depth analysis of the fundamental role that decentralization plays in developing countries, using detailed statistical data to examine the actual fiscal structure between tiers of government, and the effects of decentralization at the local, national and international levels.
Book Synopsis Decentralization in Regional Fiscal Systems in Russia by : Lev M. Freinkman
Download or read book Decentralization in Regional Fiscal Systems in Russia written by Lev M. Freinkman and published by World Bank Publications. This book was released on 1999 with total page 57 pages. Available in PDF, EPUB and Kindle. Book excerpt: Abstract: April 1999 - Considering the positive impact decentralization has had on regional economic performance and expenditure structure, Russia's federal government should: Decisively protect local self-governance and budget autonomy; Make intergovernmental fiscal relations more transparent; Develop universal models of interactions between regional and municipal governments; Impose stricter limits on total debt and budget deficits of subnational governments. To shed light on decentralization in Russia, Freinkman and Yossifov examine intergovernmental fiscal relations within regions. To analyze trends, they review channels of fiscal allocation within regions-tax sharing and local transfer schemes. To evaluate the potential impact of various fiscal decentralization patterns on regional economic performance (including growth and the budget deficit), they study data on the structure of 89 Russian consolidated regional budgets for 1992-96. They find that local governments' relative share of Russia's consolidated budget, although substantive (roughly a quarter of the total budget), did not expand after 1994. The federal government's relative role in financing public goods and services declined as the relative role of local governments increased substantially. Local governments collected more revenues in 1996 (6.4 percent of GDP) and spent more than regional governments. They also substantially increased social financing (including health, education, and social protection). Russia made no progress toward a more transparent system for tax assignments. The average level of expenditure decentralization is similar for ethnically Russian regions and national republics and okrugs but revenue arrangements differ greatly. True decentralization has taken place in oblasts and krais, where local authorities are provided with a bigger share of subnational tax revenues. A redistribution model applies in republics and autonomous okrugs, where greater local outlays have been financed through larger transfers from regional governments. Regions near each other tend to have similar budget arrangements-the result of intensive interactions between neighbors and probably supported by the activities of regional associations. The size of a region's territory does not influence decentralization outcomes. Fiscal decentralization seems positively related to the share of education spending in regional budgets. And regions with more decentralized finances tend to experience less economic decline. But budget control is weaker in more decentralized regions. Instability and lack of transparency in intergovernmental fiscal relations provide subnational governments little incentive for responsible fiscal policy. Further decentralization without greater transparency could bring greater debt and deficits. This paper-a product of the Poverty Reduction and Economic Management Sector Unit, Europe and Central Asia Region - is part of a larger effort in the unit to study fiscal decentralization in transition economies. Lev Freinkman may be contacted at [email protected].
