The book examines ongoing dynamics within the organizational fields of health and higher education, with a focus on collective (public universities and hospitals) and individual (professionals) actors, structures, processes and institutional logics. The fact that universities and hospitals share a number of important characteristics, both being hybrid organizations, professional bureaucracies, and operating within highly institutionalised environments, they are also characterised by their distinctive features such as the importance attributed to scientific autonomy and prestige (universities) and the needs and expectations of users and funders (hospitals). The volume brings together two relatively distinct scholarly traditions within the social sciences, namely, scholars - sociologists, educationalists, economists, political scientists and public administration researchers, etc. - involved with the study of change dynamics within the fields of health care and higher education in Europe and beyond. The authors resort to a variety of theoretical and conceptual perspectives emanating from the studies of organizational fields more generally and neo-institutionalism in particular.

Decentralization has become a popular management strategy in many European health care systems. The term describes a wide variety of power transfer arrangements and accountability systems. The logic of decentralization is grounded in an intrinsically powerful idea; that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations. In a world where large organizations control wide swathes of both public and private sector activity, the possibility of establishing more locally operated, locally responsible institutions holds out great attraction.

. . This text explores the capacity and impact of decentralization within European health care systems. It examines both the theoretical underpinnings as well as recent practical experiences, drawing upon both published literature and evidence collected directly from the field. The book also assesses the appropriateness of management processes within health systems for implementing a successful decentralization strategy.

. . "Decentralization in Health Care" will appeal to health policy makers, postgraduates taking courses in health services management, HR, health policy and health economics, and human resource professionals. .