Advocates of local government often argue that when decentralisation is accompanied by
adequate mechanisms of accountability, particularly those responsive to local preferences …

Across the world, the appropriate role of government in the planning and delivery of public
services has been the subject of intense debate: how should the state control the provision …

A paradox of the 1991 British NHS reforms is that increased central control over policy and
strategy goes hand in hand with greater operational de‐centralisation. Some commentators …

In this study, models for decentralization of responsibility for costs of subsidised outpatient
prescription pharmaceuticals within the county councils in Sweden were studied. The aims …

Background Decentralised governance of health care has been widely adopted globally
over the past three decades. But despite being implemented as a management strategy …

The aim of this thesis is to develop analytic methods to support the implementation of
decentralization in primary health care. Decentralization may be defined as the delegation of …

Decentralisation has been described as an empty concept that lacks clarity. Yet there is an
enduring interest in the process of decentralisation within health systems and public …

This paper argues that planned health care provision and market regulation play distinct
roles in relation to the effective provision of equitable health care. Governmental planned …

Decentralization has held an honoured place in the strategic thinking of European health
policy-makers for many years. It has been an integral part of social health insurance systems …

The political pressure to change how hospital governance is currently organized comes from
a mix of sources, including increasing costs, technological advances, changing patterns of …