Arguably, the government's aim of using the reward of 'earned autonomy'and Foundation
Trust status as an incentive to improve performance in the NHS will only be effective if Trust …

In an attempt to provide high quality medical care, despite limited resources, health care
providers in various countries have introduced decentralization into their health care …

Decentralization is often presented as a “magic bullet” that can address a wide variety of
different problems in health systems. This chapter explores the driving forces behind …

This paper explores the impact of health care decentralisation on a characteristic of human
development: the overall level of a population's health. While much of the literature on …

Based on an OECD survey, this paper presents quantitative and qualitative data on the
decentralisation of health systems, focusing on how they vary according to different …

This chapter examines available evidence relating decentralization and recentralization to
improved health status, as indicated by process and outcome measures. Regrettably, the …

The optimal balance between central governmental authority and the degree of autonomy of
local public bodies is an enduring issue in public policy. The UK National Health Service is …

Hospitals have been relatively neglected in the debate over health system development in
low-income countries, perhaps because of the recognition that those services most effective …