Decentralisation and performance: autonomy and incentives in local health economies

M Exworthy, F Frosini, L Jones, S Peckham, M Powell… - 2010 - researchonline.lshtm.ac.uk
This project will examine the inter-relationship between governance mechanisms, autonomy
and incentives in local health economies (LHEs). This interaction shapes decentralisation …

Room for manoeuvre?: Explaining local autonomy in the English National Health Service

M Exworthy, F Frosini - Health policy, 2008 - Elsevier
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 …

Decentralisation, centralisation and devolution in publicly funded health services: decentralisation as an organisational model for health-care in England.

S Peckham, M Exworthy, M Powell, I Greener - 2005 - researchonline.lshtm.ac.uk
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 …

Decentralisation strategies and provider incentives in healthcare: evidence from the English National Health Service

R Mannion, M Goddard, M Kuhn, A Bate - Applied health economics and …, 2005 - Springer
Introduction This article examines the incentive effects of delegating operational and
financial decision making from central government to local healthcare providers. It …

Decentralising the NHS: rhetoric, reality and paradox

M Goddard, R Mannion - Journal of health organization and …, 2006 - emerald.com
Purpose–The purpose of this research is to examine the issues of decentralisation in the
NHS. Design/methodology/approach–Evidence was gathered from an empirical study in …

The impacts of decentralization on health system equity, efficiency and resilience: a realist synthesis of the evidence

S Abimbola, L Baatiema, M Bigdeli - Health policy and planning, 2019 - academic.oup.com
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 …

[HTML][HTML] The impact of decentralisation on the performance of health care systems: a non-linear relationship

S Dougherty, L Lorenzoni, A Marino… - The European Journal of …, 2022 - Springer
This paper examines the role of institutions—notably the degree of administrative
decentralisation across levels of government—in health care decision-making and health …

[HTML][HTML] Optimising decentralisation for the health sector by exploring the synergy of decision space, capacity and accountability: insights from the Philippines

HJ Liwanag, K Wyss - Health Research Policy and Systems, 2019 - Springer
Background Several studies on decentralisation have used the 'decision space'approach to
assess the breadth of space made available to decision-makers at lower levels of the health …

The impact of decentralisation on the performance of health care systems: A non-linear relationship

S Dougherty, L Lorenzoni, A Marino, F Murtin - 2019 - oecd-ilibrary.org
This paper examines the relationship between the degree of administrative decentralisation
across levels of government in health care decision-making and health care spending, life …

Decentralisation, governance and health‐system performance:'where you stand depends on where you sit'

A Mitchell, TJ Bossert - Development Policy Review, 2010 - Wiley Online Library
Advocates of local government often argue that when decentralisation is accompanied by
adequate mechanisms of accountability, particularly those responsive to local preferences …