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.
Download or read book Decentralization and Recentralization in the Developing World written by James Tyler Dickovick and published by Penn State Press. This book was released on 2011 with total page 256 pages. Available in PDF, EPUB and Kindle. Book excerpt: "Examines decentralization and recentralization in the developing world, focusing on a comparison of Brazil and South Africa in the 1990s. Argues that decentralization follows declines in executive power, while subsequent recentralization is contingent upon presidents gaining exceptional governing opportunities, especially by resolving economic crises"--Provided by publisher.
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
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.
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:
Download or read book Federalism and Decentralization in Health Care written by Gregory Marchildon and published by University of Toronto Press. This book was released on 2018-04-13 with total page 270 pages. Available in PDF, EPUB and Kindle. Book excerpt: While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.
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 278 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.
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.
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.
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.
Download or read book EBOOK Decentralization in Health Care Strategies and Outcomes written by Richard Saltman and published by McGraw-Hill Education (UK). This book was released on 2006-12-16 with total page 327 pages. Available in PDF, EPUB and Kindle. Book excerpt: ·What are the characteristics that define a Social Health Insurance system? ·How is success measured in SHI systems? ·How are SHI systems developing in response to external pressures? Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations. Covering a wide range of policy issues, the book: ·Explores the pressures these health systems confront to be more efficient, more effective, and more responsive ·Reviews their success in addressing these pressures ·Examines the implications of change on the structure of SHI’s as they are currently defined ·Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers. Contributors: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.
Download or read book Governance in the Americas written by Robert Hines Wilson and published by . This book was released on 2008 with total page 356 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers important new insights about decentralization, federalism, and democratic change in the three largest federal nations in the Americas: Brazil, Mexico, and the United States.
Download or read book Health Systems Health Wealth And Societal Well Being Assessing The Case For Investing In Health Systems written by McKee , Martin and published by McGraw-Hill Education (UK). This book was released on 2011-05-01 with total page 330 pages. Available in PDF, EPUB and Kindle. Book excerpt: This book argues that health systems are not, as is often believed, simply a drag on resources, but rather part and parcel of improving health and achieving better economic growth.
Download or read book Beyond the Center written by Shahid Javed Burki and published by World Bank Publications. This book was released on 1999-01-01 with total page 124 pages. Available in PDF, EPUB and Kindle. Book excerpt: Annotation This report examines the impact of decentralization and its effect on the efficiency of public services, on equity, and on macroeconomic stability.
Download or read book Handbook on the Political Economy of Health Systems written by Joan Costa-Font and published by Edward Elgar Publishing. This book was released on 2023-06-01 with total page 475 pages. Available in PDF, EPUB and Kindle. Book excerpt: This ground breaking Handbook brings together a number of chapters into one comprehensive book on the timely subject matter of the political economy of health and health care. The book contains up-to-date discussion on the state of the art of the key questions of the subject matter, and it provides a unique understanding of health policy making by drawing on an interdisciplinary approach to political economy.
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.
Download or read book Health Systems in Transition written by Thomas Rice and published by University of Toronto Press. This book was released on 2021-10-20 with total page 505 pages. Available in PDF, EPUB and Kindle. Book excerpt: The book provides a thorough review of the U.S. health care system, including its organization and financing, care delivery, recent reforms, and an evaluation of the system's performance.
