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| Author | : William Jack |
| Publisher | : World Bank Publications |
| Total Pages | : 32 |
| Release | : 2000 |
| Genre | : Descentralizacion |
| ISBN | : |
How should central and local governments allocate authority for the planning, financing, and delivery of health services?
| Author | : Krishna Regmi |
| Publisher | : Springer Science & Business Media |
| Total Pages | : 222 |
| Release | : 2013-11-19 |
| Genre | : Medical |
| ISBN | : 1461490715 |
Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy
| Author | : Saltman, Richard |
| Publisher | : McGraw-Hill Education (UK) |
| Total Pages | : 327 |
| Release | : 2006-12-01 |
| Genre | : Education |
| ISBN | : 033521925X |
Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
| Author | : William Jack |
| Publisher | : |
| Total Pages | : 27 |
| Release | : 2016 |
| Genre | : |
| ISBN | : |
How should central and lo ...
| Author | : Nuria Homedes |
| Publisher | : Lynne Rienner Publishers |
| Total Pages | : 356 |
| Release | : 2006 |
| Genre | : Health care reform |
| ISBN | : |
?This academic but passionate and controversial work should be read by specialists on Mexico and Latin America, as well as by those interested in healthcare and social policy in general.??Carmelo Mesa-Lago, University of PittsburghHas Mexico, twenty years after beginning the process of decentralizing its health system, realized the anticipated benefits of increased community participation and improvements in efficiency and quality? Addressing this question, Decentralizing Health Services in Mexico presents a thorough historical and theoretical grounding, as well as representative case studies of decentralization at the state and local levels.The authors combine qualitative and quantitative data in their examination of the transfer of authority over fiscal, human, and physical resources in the health sector. The result is a major contribution to the ongoing debate over the advantages and disadvantages of decentralization in varying political, cultural, and economic contexts.Nuria Homedes is associate professor at the University of Texas School of Public Health-Houston. Antonio Ugalde is emeritus professor at the Department of Sociology, University of Texas at Austin. CONTENTS: Decentralization: Theory and History. Decentralization: The Long Road from Theory to Practice?the Editors. Decentralization of Health Services in Mexico: A Historical Review?the Editors. The First Attempt, 1983-1988. Decentralizing Health Services: Formulation, Implementaion, and Results?M. Gonzalez-Block, R. Leyva, O. Zapta, R. Loewe, and J. Alagon. Federalist Flirtations: The Politics and Execution of Health Services Decentralization for the Uninsured in Mexico, 1985-1995?A.-E. Birn. Trying Again, 1994-2004: Case Studies from Five States. ?Decentralized? in Quotes: Baja California Sur, 1996-2000?L. Olvera Santana. The Slow and Difficult Institutionalization of Health Care Reform in Sonora: 1982-2000?R. Abrantes Pego. Guanajuato: Invisible Results?S. Arjonilla Alday. Nuevo Leon and Tamaulipas: Opening and Closing a Window of Opportunity?the Editors. Decentralization at the Health District Level in Nuevo Leon?the Editors. Conclusions?the Editors.
| Author | : Bernard F Couttolenc |
| Publisher | : World Bank Publications |
| Total Pages | : 127 |
| Release | : 2012-06-29 |
| Genre | : Business & Economics |
| ISBN | : 0821395890 |
In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and/or other functions of the health system. In most cases, decentralization has been adopted to improve accountability to local population, efficiency in service provision, equity in access and resource distribution, or to increase resource mobilization. Ghana has a long history of local government, going back to pre-independence times of the nineteenth century. By 1859 Municipal Councils were established in the major coastal towns of the then Gold Coast. Native Authorities, Councils and Courts were also established to administer law and order under the indirect authority of the colonial government; the limitations of this system was repeatedly put forward in the 1930s and 1940s, and reforms were introduced in 1951 by the Local Government Ordinance (Ahwoi 2010). The government has embarked in a decentralization policy since independence, which was strengthened and amplified by the local government act of 1993 and other legislations. At the present the Government of Ghana (GOG) is committed to strengthen the implementation of decentralization and for that purpose revise and strengthen the policy and regulatory framework governing decentralization. In spite of this long history and successive waves of decentralization reforms, effective decentralization in the country still faces considerable challenges, especially in large social sectors involving large structures. The public health sector is one that has not fully embraced the decentralization model adopted by the GOG, decentralization by devolution to the districts, for a number of reasons that will be discussed in this report. Some functions and responsibilities have been decentralized, but others remain centralized or simply deconcentrated.
| Author | : Anne Mills |
| Publisher | : |
| Total Pages | : 151 |
| Release | : 1990 |
| Genre | : Decentralization in government |
| ISBN | : 9789241561372 |
| Author | : Jean-Paul Faguet |
| Publisher | : Oxford University Press, USA |
| Total Pages | : 352 |
| Release | : 2015 |
| Genre | : Business & Economics |
| ISBN | : 0198737505 |
"This book is a product of the Initiative for Policy Dialogue's Decentralization Task Force, and was first conceived at a conference held at Columbia University in New York in 2009"--Page vii.
| Author | : World Health Organization |
| Publisher | : World Health Organization |
| Total Pages | : 188 |
| Release | : 2022-05-31 |
| Genre | : Health & Fitness |
| ISBN | : 9240049231 |
A System of Health Accounts 2011 provides a systematic description of the financial flows related to the consumption of health care goods and services. As demands for information increase and more countries implement and institutionalise health accounts according to the system, the data produced are expected to be more comparable, more detailed and more policy relevant. This publication summarises the System of Health Accounts 2011 (SHA 2011) Manual, which was jointly produced by OECD, the European Commission and WHO. The SHA 2011 Manual itself draws inspiration from and builds on the original manual, published in 2000, and the Gui de to Producing National Health Accounts (2003) to create a single global framework for producing health expenditure accounts that can help track resource flows from sources to uses. The manual is the result of a four-year collaborative effort between OECD, Eurostat and WHO, and sets out in more detail the boundaries, the definitions and the concepts responding to health care systems around the globe - from the simplest to the more complicated.
| Author | : Richard Saltman |
| Publisher | : McGraw-Hill Education (UK) |
| Total Pages | : 327 |
| Release | : 2006-12-16 |
| Genre | : Medical |
| ISBN | : 0335230210 |
·What are the characteristics that define a Social Health Insurance system? ·How is success measured in SHI systems? ·How are SHI systems developing in response to external pressures? Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations. Covering a wide range of policy issues, the book: ·Explores the pressures these health systems confront to be more efficient, more effective, and more responsive ·Reviews their success in addressing these pressures ·Examines the implications of change on the structure of SHI’s as they are currently defined ·Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers. Contributors: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.
