This work combines and extends previous work on breast cancer screening models by explicitly incorporating, for the first time, aspects of the dynamics of health care states, program outreach, and the screening volume-quality relationship in a service system model to examine the effect of public health policy and service capacity decisions on public health outcomes. We consider the impact of in...

Modern computing environments, such as enterprise data centers, Grids, and PlanetLab, introduce distributed services to address scalability, locality, and reliability. Web Services (WS), in particular, improve decoupling, decentralization, and autonomicity within distributed systems. Unfortunately, scale and decentralization introduce additional problems in distributed services management, such...

An important piece of the major fiscal and structural reforms undertaken in Argentina in the early 1990’s was the decentralization of education services from the federal government to the provincial governments. The theoretical literature does not find absolute superiority of centralization or decentralization in the provision of public services. We evaluate empirically the effect of the decent...

it is dawn clear that empowered employees in public sector perform a critical role in their organizational service quality. by the same token, currently competitive advantages stem from employees’ high self-confidence and their commitment toward the goals rather than application of high technologies. this study summarizes twenty influencing factors on employees empowerment including information...

The most important theoretical argument concerning decentralization is that it can improve governance by making government more accountable and responsive to the governed. Improving governance is also central to the motivations of real-world reformers, who bear risks and costs in the interest of devolution. But the literature has mostly focused instead on policy-relevant outcomes, such as educa...

This study examines the impact of political decentralization on an essential public service provided in almost all countries: childhood immunization. The relationship is examined empirically using a time-series data set of 140 low- and middle-income countries from 1980 to 1997. The study finds that decentralization has different effects in low- and middle-income countries. In the low-income gro...

Both Senegal and Ethiopia have recently undertaken changes in the political and financial administration of government services, decentralizing decisionmaking power to local levels. In Senegal, decentralization of health service planning and implementation to the district level poses both challenges and opportunities to the financing, treatment, and prevention of HIV. The positive consequences ...

decentralization is the process of dispersing decision-making closer to the point of peripheral area, service or action. basically decentralized governance, if properly planned and implemented, offers important opportunities for enhanced human development. the studies about this issue in different countries show that most of the decentralizations have been implemented in european countries and ...