In this paper, we shall discuss some notions of decentralization and coordination in the control of large-scale dynamic systems. Decentralization and coordination have always been important concepts in the study of large systems. Roughly speaking, decentralization is the process of dividing a large problem into subproblems so that it can be handled more easily. Coordination is the manipulation ...

Nepal's efforts to decentralize its governance date back to over half a century. These efforts remained incomplete due to different reasons including administrative responses and political development affecting its implementation. The Local Self Governance Act (LSGA), 1999 envisaged, for the first time, to decentralize governance in the health sector through devolution of responsibilities, auth...

abstract: decentralization is a process in which local affairs are administrated by local authorities outside of activities of the central government. today, decentralization policy is considered as one of the ways that most countries adopted to improve public sector performance. in this paper using geometric analysis, innovation that this paper represents, an econometric model is considered to...

Abstract Decentralization of power has brought sweeping changes to governance systems of many developing countries over the past few decades. During 1997-2007 the World Bank has given $22 billion to its client countries to facilitate this process. However, the empirical evidence on the effects of decentralization on welfare outcomes has been both limited and ambiguous. Additionally, empirical c...

Strong primary care systems are often viewed as the bedrock of health care systems that provide high-quality care, but the evidence supporting this view is somewhat limited. We analyzed comparative primary care data collected in 2009-10 as part of a European Union-funded project, the Primary Health Care Activity Monitor for Europe. Our analysis showed that strong primary care was associated wit...

background: primary health care is the major infrastructure of health care systems. it is clear that making and improving primary health care information systems would not be possible without awareness of their condition. therefore, this comparative study was conducted in order to determine the situation of primary health care information systems in health centers of tehran, iran. methods: this...

In a wide-ranging look at many aspects of health care financing and delivery, the concepts of glasnost and perestroika are used as a framework for presenting ideas from the American system that may have value for European health care planners. These include more uniform approaches to data collection and cost reporting, patient outcome studies, evaluation of service and access standards, publica...