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

The prevailing belief is that local governments, which are closer to their citizens, can deliver
public goods much more efficiently than a central government can. Yet skeptics argue that …

Introduction Nepal's move to a federal system was a major constitutional and political
change, with significant devolution of power and resources from the central government to …

The Italian National Health Service began experimenting with a significant regionalisation
process during the 1990s. The purpose of this article is to assess the effects that this …

In many European countries, since the World War II, there has been a trend towards
decentralization of health policy to lower levels of governments, while more recently there …

This study investigates the determinants of regional variations in health care expenditures
(HCE) in Switzerland, since there are significant differences between cantons per capita …

This book analyses recent reform trends of European health care systems. Using eight
European countries case studies it connects policy reforms with a healthcare quadrilemma …

High absenteeism, low quality in clinical care, low satisfaction levels with care and rampant
corruption plague public health services in India. This has led to mistrust of the system and …

Background: Decentralisation aims to bring services closer to the community and has been
advocated in the health sector to improve quality, access and equity, and to empower local …

Decentralization is a cornerstone of health policy reforms across Europe and beyond. This
article analyses some of the effects of decentralization using the Italian National Health …