Local Governments and Health Services: How Can They Be Reconciled?
نویسنده
چکیده
The article discusses the concepts of centralisation and decentralisation in theory. There are various criteria that can be used to assess the advantages and disadvantages of decentralisation, and the paper will discuss these. In addition, empirical examples are presented. Next the article moves on to a case study of Finland. Finland has strong municipalities in the comparative European aspect, but there are problems, too. There are plenty of small municipalities which cannot carry all the responsibility by themselves; hence the national government would like to see more amalgamations. The final section discusses in more general terms how local autonomy can be combined with coordination, and which new options there are.
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