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- W2343411034 abstract "An emphasis on decentralisation characterises most components of the international health sector reform agenda, from user fees and contracting out to more radical proposals for a purchaser/provider split. One of the most common reforms advocated by donors to improve management performance and efficiency is the decentralisation of Ministry of Health structures, usually to the district level, but also to large hospitals through the establishment of hospital management boards which have considerable management autonomy (McPake 1996; World Bank 1993). The latter reform, which can be seen as the introduction of more commercial styles of management into public bureaucracies and is often termed ‘hospital autonomy’, is the subject of this chapter." @default.
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- W2343411034 date "2001-01-01" @default.
- W2343411034 modified "2023-09-25" @default.
- W2343411034 title "Bureaucratic Commercialisation: Decentralisation of Hospital Management" @default.
- W2343411034 doi "https://doi.org/10.1057/9780230599819_4" @default.
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