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- W2728699128 abstract "Decentralization raises the question, which affects many policy areas, how responsibilities should best be shared between various levels of action and government. The question is addressed here in one particular case, health services, on the basis of a comparative analysis of a series of countries. Based on a review of the conceptual frameworks and theoretical models used to analyze decentralization processes, this article proposes a typology of modes of health system decentralization, derived from the experiences of a number of countries. Available empirical data do not allow to draw general conclusions about the impact of decentralization on efficiency, equity, or cost control, but show that, beyond the levels and institutions by which steering is performed, the specific organization of health system plays a crucial role. Finally, the institutional set-up is rarely static. In many countries there has been extensive reform in the past decade, both towards greater decentralization and recentralization. Among emerging models, decentralization at the level of provider groups or networks appears to be a trend to follow." @default.
- W2728699128 created "2017-07-14" @default.
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- W2728699128 date "2004-01-01" @default.
- W2728699128 modified "2023-09-24" @default.
- W2728699128 title "Decentralizing Healthcare Systems: An International Perspective" @default.
- W2728699128 hasPublicationYear "2004" @default.
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