Decentralisation, Decision Space and Directions for Future Research Comment on "Decentralisation of Health Services in Fiji: A Decision Space Analysis"

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decentralisation, decision space and directions for future research; comment on “decentralisation of health services in fiji: a decision space analysis”

decentralisation continues to re-appear in health system reform across the world. evaluation of these reforms reveals how research on decentralisation continues to evolve. in this paper, we examine the theoretical foundations and empirical references which underpin current approaches to studying decentralisation in health systems.

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Decentralisation, Decision Space and Directions for Future Research Comment on "Decentralisation of Health Services in Fiji: A Decision Space Analysis".

Decentralisation continues to re-appear in health system reform across the world. Evaluation of these reforms reveals how research on decentralisation continues to evolve. In this paper, we examine the theoretical foundations and empirical references which underpin current approaches to studying decentralisation in health systems.

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Decentralisation of Health Services in Fiji: A Decision Space Analysis

Background Decentralisation aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. Fiji has attempted two approaches to decentralisation. The current approach refl...

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Low Decision Space Means No Decentralization in Fiji; Comment on “Decentralisation of Health Services in Fiji: A Decision Space Analysis”

Mohammed, North, and Ashton find that decentralization in Fiji shifted health-sector workloads from tertiary hospitals to peripheral health centres, but with little transfer of administrative authority from the centre. Decisionmaking in five functional areas analysed remains highly centralized. They surmise that the benefits of decentralization in terms of services and outcomes will be limited....

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ژورنال

عنوان ژورنال: International Journal of Health Policy and Management

سال: 2016

ISSN: 2322-5939

DOI: 10.15171/ijhpm.2016.76