Organizational innovations and health care decentralization: a perspective from Spain.

[Anthropological view of the decentralization of the Mexican health system].

OBJECTIVE To analyze organizational, political and economic changes resulting from the decentralization of the health system for those in Mexico without health insurance. METHODS Three states, selected by considering the percentage of the population living in poverty, the political party in power and their stage of decentralization (the first was in 1984 and the second in 1997) were included....

U-Form vs. M-Form: How to Understand Decision Autonomy Under Healthcare Decentralization?; Comment on “Decentralisation of Health Services in Fiji: A Decision Space Analysis”

For more than three decades healthcare decentralization has been promoted in developing countries as a way of improving the financing and delivery of public healthcare. Decision autonomy under healthcare decentralization would determine the role and scope of responsibility of local authorities. Jalal Mohammed, Nicola North, and Toni Ashton analyze decision autonomy within decentralized services...

Spain 2002. HiT summary

Recent history of the health care system Under dictatorship there was a means-tested and centralized health care system, rooted in a social security scheme. The Constitution established the right of all Spaniards to health protection and set out a new regionally based organizational framework. The creation of the National Health Institute in 1978 and the Ministry of Health in 1981 gave rise to ...

Future Directions for the Organizational Readiness for Knowledge Translation (OR4KT) Tool: Response to Recent Commentaries

Rejection of an innovation: health information management training materials in east Africa.

A shift towards decentralization in many low-income countries has meant more skills are demanded of primary health care managers, including data and information handling at all levels of the health care system. Ministries of Health are changing their central reporting health information systems to health management information systems with emphasis on managers utilizing information at the point...