Introduction This article examines the incentive effects of delegating operational and
financial decision making from central government to local healthcare providers. It …

This project will examine the inter-relationship between governance mechanisms, autonomy
and incentives in local health economies (LHEs). This interaction shapes decentralisation …

The most appropriate decentralization of policymaking powers is an important unresolved
policy question for most health systems. At one extreme lies the UK National Health Service …

This paper is a first examination of the development of an alternative to activity-based
remuneration in public hospitals, which is currently being tested at nine hospital …

Delegating greater authority and decision making power to front line organisations,
including devolution of control through the system of 'Earned Autonomy'is a key component …

Decentralisation has returned as a key theme in English health policy in recent years in
policies such as Patient Choice and Foundation Trusts, among many others. The goal of …

Since 2004, English NHS hospitals have been given the opportunity to acquire a more
autonomous status known as a Foundation Trust (FT), whereby regulations and restrictions …

Health care systems increasingly aim to create value for money by simultaneous
incentivizing of quality along with classical goals such as activity increase and cost …

This review examines the nature and application of decentralisation as an organisational
model for health care in England. The study reviews the relevant theoretical literature from a …

Purpose: Decentralisation is considered a way to get managers more committed and more
prone to respond to local needs. This study analyses how managers perceive a …