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
policyDifferentiate between political, fiscal, and administrative
decentralization in health care systemsConsider public/private
partnerships in health systemsExplain how the effects of
decentralization can be evaluated.Present the newest data on the
health outcomes of decentralizationExplore some challenges and
global issues of health systems in the 21st centuryAnd 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"
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