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Federalism and Decentralization in Health Care

Federalism and Decentralization in Health Care
Author: Gregory Marchildon
Publisher: University of Toronto Press
Total Pages: 270
Release: 2018-04-13
Genre: Health & Fitness
ISBN: 1487513577

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While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.


Federalism and Decentralization in European Health and Social Care

Federalism and Decentralization in European Health and Social Care
Author: J. Costa-Font
Publisher: Springer
Total Pages: 380
Release: 2016-01-12
Genre: Social Science
ISBN: 1137291877

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This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.


Health Policy, Federalism, and the American States

Health Policy, Federalism, and the American States
Author: Robert F. Rich
Publisher: The Urban Insitute
Total Pages: 340
Release: 1996
Genre: Federal government
ISBN: 9780877666608

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In the ongoing struggle between those favoring centralized and those favoring decentralized government, health care policy is an important issue. This book has three goals: (1) to illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to "divide up the job" in the health care area, (2) to assess the capacity of the states to actually implement health care policy changes, and (3) to weigh the merits of alternative visions of the future role of states and the federal government in health care policy.


Comparative Health Care Federalism

Comparative Health Care Federalism
Author: Katherine Fierlbeck
Publisher: Routledge
Total Pages: 374
Release: 2016-03-09
Genre: Political Science
ISBN: 1317163117

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Examining the changing nature of health care federalism within a competitive global context, Comparative Health Care Federalism provides a rich and nuanced account of the way in which the interplay of federal relationships impact health care within an array of systems. The editors have gathered together some of the leading international health policy scholars to provide detailed accounts of the dynamics of federal health policy-making within their respective jurisdictions. Complementing the theoretical and methodological objectives, this book provides a detailed, empirical description of the challenges faced by different states and the ways in which health policy-making works within the federal, quasi-federal, and functional federal systems presented. In chapters on the United States, Australia, Canada, Germany, Spain, Italy, Austria, the United Kingdom, the EU, India, China, Brazil, and the Russian Federation the authors consider what variables contribute to, and stand in the way of, the formation of robust and sustainable health care systems.


Decentralization In Health Care: Strategies And Outcomes

Decentralization In Health Care: Strategies And Outcomes
Author: Saltman, Richard
Publisher: McGraw-Hill Education (UK)
Total Pages: 327
Release: 2006-12-01
Genre: Education
ISBN: 033521925X

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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.


Health Policy, Federalism and the American States

Health Policy, Federalism and the American States
Author: ROBERT F.. WHITE RICH (WILLIAM D.)
Publisher: Routledge
Total Pages: 329
Release: 2020-04-02
Genre:
ISBN: 9781138385856

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First published in 1997, this volume emerged in the ongoing struggle between those favouring centralized and those favouring decentralized government, and has three goals: 1) To illustrate how theories of federalism and intergovernmental relations can provide a useful framework for examining how to 'divide up the job in the health care area'; 2) To assess the capacity of the states to actually implement health care policy changes; 3) To weigh the merits of alternative visions of the future roles of states and the federal government in health care policy.


Primary Healthcare Spending

Primary Healthcare Spending
Author: Okore Apia Okorafor
Publisher: Juta and Company Ltd
Total Pages: 196
Release: 2010
Genre: Social Science
ISBN: 9781919895215

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This book explores the implications of a wide range of intergovernmental fiscal arrangements found in fiscal federal systems and how they impact on the equitable distribution of primary health care resources. The issues raised in the book are relevant to all countries operating under a fiscal federal system and those that operate a decentralized health system.


Health Policy and Federalism

Health Policy and Federalism
Author: Queen's University (Kingston, Ont.). Institute of Intergovernmental Relations
Publisher: IIGR, Queen's University
Total Pages: 200
Release: 2002
Genre: Medical
ISBN: 0889118590

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An examination of whether federal institutions influence policy outcomes in the health sector.


Health System Decentralization and Recentralization

Health System Decentralization and Recentralization
Author: Andrea Terlizzi
Publisher: Springer
Total Pages: 228
Release: 2019-04-02
Genre: Political Science
ISBN: 303011757X

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This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change.


Decentralizing Health Services in Mexico

Decentralizing Health Services in Mexico
Author: Nuria Homedes
Publisher: Lynne Rienner Publishers
Total Pages: 360
Release: 2006
Genre: Health care reform
ISBN:

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?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.