Does decentralization of health systems translate into decentralization of authority? A decision space analysis of Ugandan healthcare facilities

J Chen, A Ssennyonjo… - Health policy and …, 2021 - academic.oup.com
Since the 1990s, following similar reforms to its general politico-administrative systems,
Uganda has decentralized its public healthcare system by shifting decision-making power …

Decentralisation trends in the management of New Zealand's health services

LA Malcolm - Health Policy, 1989 - Elsevier
New Zealand is in the process of implementing major changes in the organisation and
funding of its health services. Central to these changes is a largely elected area health …

[PDF][PDF] Drawing lessons for policy-making

RB Saltman, K Vrangbæk - … in Health Care, 2007 - eurohealthobservatory.who.int
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 …

Decentralization and decision space in the health sector: a case study from Karnataka, India

SR Seshadri, S Parab, S Kotte, N Latha… - Health policy and …, 2016 - academic.oup.com
Various attempts have been made in India with respect to decentralization, most significantly
the 73rd Amendment to the Constitution of India (1993) which provided the necessary legal …

[PDF][PDF] Decentralization and health systems change: a framework for analysis, revised working document

World Health Organization - 1995 - apps.who.int
-Decentralization is a term which is used to refer to a wide range of organisational structures
and processes, each of which may affect health systems differently. þ-Health systems …

[PDF][PDF] Decentralization of health systems: decision space, innovation and performance

T Bossert - Data for Decision Making (DDM) Working Paper, 1997 - academia.edu
Decentralization has long been advocated as a desirable process for improving health
systems. Recently, it has been seen as an integral part of broader health reforms to achieve …

Decentralization in an Inter-governmental Context: The UK Experience of Managing Local Service Delivery

C Pollitt, J Birchall, K Putman - Inter and Intra Government Arrangements …, 1998 - Springer
This chapter is not intended to provide either a definitive description of changes in the
management of local services, nor an exhaustive analysis of those changes. Instead, its …

Decentralizing resource allocation: early experiences with district health boards in New Zealand

T Ashton, T Tenbensel, J Cumming… - Journal of Health …, 2008 - journals.sagepub.com
Objectives In New Zealand in 2001, a system of purchasing health services by a centralized
purchasing agency was replaced by 21 district health boards (DHBs) which are responsible …

Decentralization and management autonomy? Evidence from the Catalonian hospital sector in a decentralized Spain

GL Casasnovas, D McDaid, J Costa-Font - … Public Management Review, 2009 - ipmr.net
The organization of inpatient care provision has undergone significant reform in many
southern European countries although the success of the underlying incentives relies on the …

Improving health system performance in a decentralized health system: capacity building in Pakistan

TJ Bossert, AD Mitchell, MA Janjua - Health Systems & Reform, 2015 - Taylor & Francis
Key policy questions on decentralization in health relate to whether and in which ways
health sector decentralization can improve health outcomes. Focusing on a maternal …