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Decentralizing Health Services: A Global Perspective

Krishna Regmi, editor ; foreword by Prof. David J. Hunter
EBook; Book; Online
New York, NY : Springer, 2014.
9781461490715, 1461490715, 9781461490708
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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.
  • Health Service Decentralization: An Overview
  • Health Systems and Decentralization
  • Decentralization and Public Health: An Analysis of the Health System in Five Latin American Countries: Argentina, Brazil, Chile, Colombia and Mexico
  • Decentralization and Governance in Health Care
  • Fiscal Decentralization of Health Services
  • Decentralized Planning Processes
  • Measuring Health and Health Services
  • Impact of Decentralization on Health Systems: Existing Evidence
  • Participation in the New Public Health Landscape
  • Public?Private Partnerships as Decentralization Strategy in Health Sector
  • Gender Analysis and Use of Intersectionality in Health
  • Decentralization of Health Systems: Challenges and Global Issues of the Twenty- First Century.
1 online resource (xv, 214 pages) : illustrations
Includes index.
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