Health System Decentralization: Concepts, Issues and Country Experience - Softcover

World Health Organization(WHO)

 
9789241561372: Health System Decentralization: Concepts, Issues and Country Experience

Synopsis

Evaluating the extent to which decentralization can serve as a policy instrument for the improvement of a nation's health system, this book is addressed to policy-makers and administrators. It combines a literature review with an analysis of country experiences to define what decentralization actuallly means when applied to the organization and management of health services. While noting the many theoretical benefits of a decentralized health system, the book concentrates on the gap between the intentions and the reality, stressing facts and arguments that show why decentralization is never easily implemented and rarely brings immediate gains. The book has three main parts. The first uses a literature review to examine the political process of decentralization within the larger context of public administration. The second and most extensive part consists of case studies of decentralization as experienced in Botswana, Chile, Mexico, the Netherlands, New Zealand, Papua New Guinea, Senegal, Spain, Sri Lanka and Yugoslavia.

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