Decentralization in health care : strategies and outcomes
著者
書誌事項
Decentralization in health care : strategies and outcomes
(European Observatory on Health Care Systems series / edited by Josep Figueras ... [et al.])
Open University Press, 2007
- : hbk
- : pbk
大学図書館所蔵 全10件
  青森
  岩手
  宮城
  秋田
  山形
  福島
  茨城
  栃木
  群馬
  埼玉
  千葉
  東京
  神奈川
  新潟
  富山
  石川
  福井
  山梨
  長野
  岐阜
  静岡
  愛知
  三重
  滋賀
  京都
  大阪
  兵庫
  奈良
  和歌山
  鳥取
  島根
  岡山
  広島
  山口
  徳島
  香川
  愛媛
  高知
  福岡
  佐賀
  長崎
  熊本
  大分
  宮崎
  鹿児島
  沖縄
  韓国
  中国
  タイ
  イギリス
  ドイツ
  スイス
  フランス
  ベルギー
  オランダ
  スウェーデン
  ノルウェー
  アメリカ
内容説明・目次
内容説明
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.
目次
Part one: Strategic DimensionsIntroduction
The question of decentralization
Central issues in the decentralization debate
Patterns of decentralization across European health systems
Towards a typology for decentralization in health care
Key factors in assessing decentralization and recentralization in health systems
Drawing lessons for policymaking
Part two: Assessing Recent Experience
Approaches to studying decentralization in health systems
Effects of decentralization and recentralization on economic dimensions of health systems
Effects of decentralization and recentralization on political dimensions of health systems
Effects of decentralization on managerial dimensions of health systems
Effects of decentralization on clinical dimensions of health systems
Effects of decentralization and recentralization on equity dimensions of health systems
Information strategies for decentralization
Implementation of health care decentralization
Privatization as decentralization strategy
Annex
Description of the structure and development of decentralization in health care in selected countries in Europe and Canada
Index
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