Decentralization In Health Care: Strategies And Outcomes

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Author :
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 Service Delivery

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Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 29 pages
Book Rating : 4./5 ( download)

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Book Synopsis Decentralization and Service Delivery by :

Download or read book Decentralization and Service Delivery written by and published by World Bank Publications. This book was released on 2005 with total page 29 pages. Available in PDF, EPUB and Kindle. Book excerpt: Dissatisfied with centralized approaches to delivering local public services, a large number of countries are decentralizing responsibility for these services to lower-level, locally elected governments. The results have been mixed. The paper provides a framework for evaluating the benefits and costs, in terms of service delivery, of different approaches to decentralization, based on relationships of accountability between different actors in the delivery chain. Moving from a model of central provision to that of decentralization to local governments introduces a new relationship of accountability-between national and local policymakers-while altering existing relationships, such as that between citizens and elected politicians. Only by examining how these relationships change can we understand why decentralization can, and sometimes cannot, lead to better service delivery. In particular, the various instruments of decentralization-fiscal, administrative, regulatory, market, and financial-can affect the incentives facing service providers, even though they relate only to local policymakers. Likewise, and perhaps more significantly, the incentives facing local and national politicians can have a profound effect on the provision of local services. Finally, the process of implementing decentralization can be as important as the design of the system in influencing service delivery outcomes.

The Theories of Decentralization and Local Government

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Author :
Publisher : Stephen F. Austin University Press
ISBN 13 :
Total Pages : 308 pages
Book Rating : 4.:/5 (891 download)

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Book Synopsis The Theories of Decentralization and Local Government by : Kwame Badu Antwi-Boasiako

Download or read book The Theories of Decentralization and Local Government written by Kwame Badu Antwi-Boasiako and published by Stephen F. Austin University Press. This book was released on 2014 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt: Theories of Decentralization and Local Government brings fresh perspective to the debate and comparative analysis of vertical division of power; i.e. processes of decentralization and relations between central and local (self) governments. The multiple author book is not just one of many similar around the globe, as it encompasses contributions from many different academics from not only different countries, but also different continents and even more importantly, very different political traditions and cultures. This way, the book deepens and strengthens knowledge of the role of local governments in the contemporary world, and brings new value to discussions on the relationship between decentralization and development. Contributors include: Ahmed Mustafa Elhussein Mansour, Hong Pang, Abdulfattah Yaghi, Jose Neftali Recinos, Gariela Miranda-Recinos, Lee Payne, Heather Wyatt Nichol, Ed Gibson, James Newman, Kwame Asamoah, Minerva Cruz, and Alexandra Tsvetkova.

Public Service Decentralisation

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Publisher : Institute of Public Administration
ISBN 13 : 1904541402
Total Pages : 75 pages
Book Rating : 4.9/5 (45 download)

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Book Synopsis Public Service Decentralisation by : Peter C. Humphreys

Download or read book Public Service Decentralisation written by Peter C. Humphreys and published by Institute of Public Administration. This book was released on 2006 with total page 75 pages. Available in PDF, EPUB and Kindle. Book excerpt: This title includes chapters on decentralisation and reform, an international perspective on decentralisation, opportunities and challenges for leadership and collegiality and moving forward, amongst others, in a geographically decentralised Irish public service.

Decentralization and Popular Democracy

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Publisher : University of Michigan Press
ISBN 13 : 0472118196
Total Pages : 373 pages
Book Rating : 4.4/5 (721 download)

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Book Synopsis Decentralization and Popular Democracy by : Jean-Paul Faguet

Download or read book Decentralization and Popular Democracy written by Jean-Paul Faguet and published by University of Michigan Press. This book was released on 2012-06-04 with total page 373 pages. Available in PDF, EPUB and Kindle. Book excerpt: Faguet identifies the factors that determine the outcomes of national decentralization on the local level

Is Decentralization Good for Development?

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Author :
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: Is decentralisation good for development? This book explains when the answer is 'Yes' and when it is 'No'. It shows how decentralisation can be designed to drive development forward, and focuses on the institutional incentives that can strengthen democracy, boost economies, and improve public sector performance.

Decentralizing Governance

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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: A Brookings Institution Press and Ash Center for Democratic Governance and Innovation publication 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.

Dangers of Decentralization

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Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 43 pages
Book Rating : 4./5 ( download)

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Book Synopsis Dangers of Decentralization by : Remy Prud'homme

Download or read book Dangers of Decentralization written by Remy Prud'homme and published by World Bank Publications. This book was released on 1994 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: Demand for decentralization is strong in most parts of the world. This close look at the negative side effects of improperly appled decentralization is not an attack on decentralization but an effort to prevent its misapplication -- and to promote fuller understanding and wiser use of this potentially desirable policy.

Fiscal Federalism 2022 Making Decentralisation Work

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Author :
Publisher : OECD Publishing
ISBN 13 : 9264912959
Total Pages : 290 pages
Book Rating : 4.2/5 (649 download)

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Book Synopsis Fiscal Federalism 2022 Making Decentralisation Work by : OECD

Download or read book Fiscal Federalism 2022 Making Decentralisation Work written by OECD and published by OECD Publishing. This book was released on 2021-12-20 with total page 290 pages. Available in PDF, EPUB and Kindle. Book excerpt: Fiscal Federalism 2022 surveys recent trends and policies in intergovernmental fiscal relations and subnational government. Accessible and easy-to-read chapters provide insight into: good practices in fiscal federalism; the design of fiscal equalisation systems; measuring subnational tax and spending autonomy; promoting public sector performance across levels of government; digitalisation challenges and opportunities; the role of subnational accounting and insolvency frameworks; funding and financing of local government public investment; and early lessons from the COVID-19 crisis for intergovernmental fiscal relations.

Fiscal Decentralization and the Efficiency of Public Service Delivery

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Author :
Publisher : International Monetary Fund
ISBN 13 : 1475564031
Total Pages : 30 pages
Book Rating : 4.4/5 (755 download)

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Book Synopsis Fiscal Decentralization and the Efficiency of Public Service Delivery by : Moussé Sow

Download or read book Fiscal Decentralization and the Efficiency of Public Service Delivery written by Moussé Sow and published by International Monetary Fund. This book was released on 2015-03-17 with total page 30 pages. Available in PDF, EPUB and Kindle. Book excerpt: This paper explores the impact of fiscal decentralization on the efficiency of public service delivery. It uses a stochastic frontier method to estimate time-varying efficiency coefficients and analyzes the impact of fiscal decentralization on those efficiency coefficients. The findings indicate that fiscal decentralization can improve the efficiency of public service delivery but only under specific conditions. First, the decentralization process requires adequate political and institutional environments. Second, a sufficient degree of expenditure decentralization seems necessary to obtain favorable outcomes. Third, decentralization of expenditure needs to be accompanied by sufficient decentralization of revenue. Absent those conditions, fiscal decentralization can worsen the efficiency of public service delivery.

Decentralization of Education

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Author :
Publisher : World Bank Publications
ISBN 13 : 9780821339336
Total Pages : 52 pages
Book Rating : 4.3/5 (393 download)

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Book Synopsis Decentralization of Education by : Ketleen Florestal

Download or read book Decentralization of Education written by Ketleen Florestal and published by World Bank Publications. This book was released on 1997-01-01 with total page 52 pages. Available in PDF, EPUB and Kindle. Book excerpt: In practice, most education systems have both centralized and decentralized elements. Planners involved in a decentralizing reform must identify which components of the system are more appropriately managed at the central level and which at the local level. This book is intended to inform education policymakers, planners, and practitioners about international experience in the legal aspects of decentralizing basic education. It also provides a basic understanding of how laws and regulations can be used for education reform. For purposes of the discussion, decentralization is used to describe efforts to transfer decision making power in basic education from the administrative center of a country to authorities closer to users. The term is also used in a more technical sense to describe one of the many forms this type of reform can take, and in this sense it is contrasted with deconcentration and devolution as educational reforms. The first section examines the general legal aspects of decentralization, and the second looks more closely at decentralization laws and regulations. The third section is, in effect, a checklist of items that should be included in decentralization laws, and the fourth section provides a road map to help the planner prepare and implement the laws required for reform. Although an effort has been made to keep the discussion general enough for use in many countries, the analysis is based on the legal systems of the Western world or those that they inspired. (Contains 35 references.) (SLD)

Making Decentralisation Work

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Publisher :
ISBN 13 : 9789264626980
Total Pages : 188 pages
Book Rating : 4.6/5 (269 download)

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Book Synopsis Making Decentralisation Work by : Organisation for Economic Co-operation and Development

Download or read book Making Decentralisation Work written by Organisation for Economic Co-operation and Development and published by . This book was released on 2019 with total page 188 pages. Available in PDF, EPUB and Kindle. Book excerpt: This report offers a comprehensive overview of decentralisation policies and reforms in OECD countries and beyond. Sometimes called a "silent" or "quiet" revolution, decentralisation is among the most important reforms of the past 50 years. The report argues that decentralisation outcomes - in terms of democracy, efficiency, accountability, regional and local development - depend greatly on the way it is designed and implemented. Making the most of decentralisation systems is particularly crucial in the context of a "geography of discontent" and growing divides between places that feel left behind by globalisation and technological change and those that may benefit from the opportunities offered by megatrends. The report identifies 10 guidelines for making decentralisation work and allowing it to be conducive to regional development. Beyond the guidelines, the report proposes concrete tools for policy-makers, including detailed sets of recommendations, checklists, pitfalls to avoid and examples of good practices, both in unitary and federal countries.

The Political Economy of Democratic Decentralization

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Author :
Publisher : World Bank Publications
ISBN 13 :
Total Pages : 152 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Political Economy of Democratic Decentralization by : James Manor

Download or read book The Political Economy of Democratic Decentralization written by James Manor and published by World Bank Publications. This book was released on 1999 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly all countries worldwide are now experimenting with decentralization. Their motivation are diverse. Many countries are decentralizing because they believe this can help stimulate economic growth or reduce rural poverty, goals central government interventions have failed to achieve. Some countries see it as a way to strengthen civil society and deepen democracy. Some perceive it as a way to off-load expensive responsibilities onto lower level governments. Thus, decentralization is seen as a solution to many different kinds of problems. This report examines the origins and implications decentralization from a political economy perspective, with a focus on its promise and limitations. It explores why countries have often chosen not to decentralize, even when evidence suggests that doing so would be in the interests of the government. It seeks to explain why since the early 1980s many countries have undertaken some form of decentralization. This report also evaluates the evidence to understand where decentralization has considerable promise and where it does not. It identifies conditions needed for decentralization to succeed. It identifies the ways in which decentralization can promote rural development. And it names the goals which decentralization will probably not help achieve.

Federalism and Decentralization in Health Care

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Author :
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.

Fiscal Decentralization Reforms

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Publisher : Springer Nature
ISBN 13 : 3030467589
Total Pages : 214 pages
Book Rating : 4.0/5 (34 download)

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Book Synopsis Fiscal Decentralization Reforms by : Michal Plaček

Download or read book Fiscal Decentralization Reforms written by Michal Plaček and published by Springer Nature. This book was released on 2020-05-05 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book examines the impacts of fiscal decentralization reforms on the efficiency of local governments in Central and Eastern European (CEE) countries. By offering a comparative perspective and by applying econometric methods and regression models, it analyses various reform trajectories and their effects on individual CEE countries. Furthermore, the book discusses input and output indicators for evaluating the efficiency of municipalities. Readers will learn about the common features of these countries, the impact of path dependence, and future prospects for decentralization reforms. In closing, the book discusses modern management and administration methods, opportunities for cooperation between municipalities, co-creative service delivery, and other measures that could improve the efficiency of public service provision.

Decentralized Governance and Accountability

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Author :
Publisher : Cambridge University Press
ISBN 13 : 110849790X
Total Pages : 313 pages
Book Rating : 4.1/5 (84 download)

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Book Synopsis Decentralized Governance and Accountability by : Jonathan A. Rodden

Download or read book Decentralized Governance and Accountability written by Jonathan A. Rodden and published by Cambridge University Press. This book was released on 2019-02-28 with total page 313 pages. Available in PDF, EPUB and Kindle. Book excerpt: Reviews recent lessons about decentralized governance and implications for future development programs and policies.

Decentralisation, Local Governance and Development: An Aspect of Development

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Author :
Publisher : Anchor Academic Publishing (aap_verlag)
ISBN 13 : 3954896338
Total Pages : 34 pages
Book Rating : 4.9/5 (548 download)

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Book Synopsis Decentralisation, Local Governance and Development: An Aspect of Development by : Akampurira Abraham

Download or read book Decentralisation, Local Governance and Development: An Aspect of Development written by Akampurira Abraham and published by Anchor Academic Publishing (aap_verlag). This book was released on 2014-02-01 with total page 34 pages. Available in PDF, EPUB and Kindle. Book excerpt: Communities need a holistic approach to address the problems that affect the people at the grass root. The planning of the direct beneficiaries involves decentralization in order to allow the lower power centers to widely take part in the development of society. Concerns of the grass root people form the need for decentralization and local governance. People’s involvement in the planning on the village level and all local government units, makes the identification and solving of the problem easier. High participatory levels of all the people especially the marginalized, encourages innovation to source for the appropriate solutions to the common problems that face society. It therefore calls a decentralized system that caters for the voters’ preferences while providing for their services. The people’s concerns call for local planning and the transfer of power to the public so that services are brought nearer to the people. This study will cover the aspects of local government and decentralization such as good governance, democratization, civil society, deconcentration, devolution and delegation, and its relation to the development of societies.