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

Background Decentralisation is a common mechanism for health system reform; yet,
evidence of how it impacts health systems remains fragmented. Despite published findings …

The impact of administrative decentralisation on equity in health and health care is an
important unresolved issue in the health policy debate. Predictions from the limited …

One constant refrain in evaluations and reviews of decentralization is that the results are
mixed. But given that decentralization is a complex intervention or phenomenon, what is …

Policy Points: For more than 3 decades, international development agencies have
advocated health system decentralization to improve health system performance in low‐and …

This paper examines the role of institutions—notably the degree of administrative
decentralisation across levels of government—in health care decision-making and health …

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 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 …

Objectives A substantial number of low and middle income countries (LMICs) have
implemented health sector reforms in the last 40 years, and the majority of them have …

The regional organization of the Spanish national health system offers a 'unique field'for
exploring the sources of health inequalities as well as for testing the effects of political …