In England recent health reforms have resulted in a shift of emphasis from targets to
outcomes, and to the provision of healthcare by any willing provider. The outcomes …

The decentralization policy in Canada was initially aimed at decentralizing the management
of services by creating regional bodies within which interested parties would participate in …

Because of the poor state of the Swedish economy, publicly provided health care services,
like other welfare services, are increasingly vulnerable to possible cutbacks. A growing …

Before the election of May 1997, Britain's Conservative government was committed to giving
general practitioners a lead role in health service development. However, a qualitative study …

The transfer of authority and responsibility for some public functions from one level of
government, especially national government, to a second sphere (provincial) or a third …

The thesis of this paper is that the future development of health services, crossnationally, is
likely to be influenced more by changes in organisational, managerial and information …

Decentralized forms of government are becoming more common in Western European
countries. The effects of decentralization of public health services are explored in this article …

Decentralization is typically a central plank of health sector reform. It is seen as an effective
means to stimulate improvements in the delivery of services, to secure better allocation of …

This article analyses the relationship between different modes of accountability in New
Zealand's publicly funded health sector since 2001. It adopts a 'multiple modes of …

The history of the National Health Service in England is marked by a paradox. Even while
successive governments used the rhetoric of power to the periphery, the exhort‐and‐hope …