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Public Health | Decentralizing Health Services - A Global Perspective

Decentralizing Health Services

A Global Perspective

Regmi, Krishna (Ed.)

2014, XV, 214 p. 24 illus.

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  • ​Timely book on health care reform in practice, in both developed and developing countries
  • Addresses core debates and cross-cutting themes in health care reform and health service improvement
  • Includes case studies, discussion points, and exercises to engage the reader

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 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.


Content Level » Research

Keywords » decentralization and health policy - health care management - health policy - health sector reform - health services research - public health administration

Related subjects » Public Health - Social Policy / Labor / Population Economics

Table of contents 

Health Service Decentralization: An Overview.-Health systems and decentralization.-Decentralisation and public health.-Decentralization and good governance.-Fiscal decentralization of health services.-Decentralised Planning Processes.-Measuring health services – problems and potentials.-Impact of decentralization in health – existing evidences.-Participation in the new Public Health Landscape.-Public-Private Partnerships as Decentralisation Strategy in Health Sector.-Gender analysis and use of intersectionality in health.-Decentralization - Challenges and Global Issues of the 21st Century.

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