The public disservice in health has become part of the daily lives citizens, even with policies humanization and decentralization services, representing an exceptional milestone for Brazilian health. Thus, this research will investigate proposal services to users, line article 6 Federal Constitution Brazil (1988), Universal Declaration Human Rights. It consists a bibliographic survey, which it ...

vii 1. Why Should We Worry about Decentralization? 1 2. Decentralization: A Complex Phenomenon 4 Why Is Decentralization Happening? 4 What Is Decentralization? 4 What Are the Implications of Decentralization? 6 Successful Decentralization Depends on Institution-Specific Design 7 3. Designing Decentralization: The Building Blocks of Fiscal Federalism 10 Assigning Expenditure Responsibilities 10 ...

INTRODUCTION In 1991 the Philippines Government introduced a major devolution of national government services, which included the first wave of health sector reform, through the introduction of the Local Government Code of 1991. The Code devolved basic services for agriculture extension, forest management, health services, barangay (township) roads and social welfare to Local Government Units. ...

BACKGROUND Assessments over the last two decades have showed an overall low level of performance of the health system in Indonesia with wide variation between districts. The reasons advanced for these low levels of performance include the low level of public funding for health and the lack of discretion for health system managers at the district level. When, in 2001, Indonesia implemented a rad...

This article discusses the trends and limits of the Brazilian health system decentralization process, identifying the three elements that constitute the strategic induction performed by the national system administrator in accordance with the guidelines contained in the Operational Norms of the Unified National Health System: systemic rationality, intergovernmental and service provider financin...

The Chilean health care system has been intensively reformed in the past 20 years. Reforms under the Pinochet government (1973-1990) aimed mainly at the decentralization of the system and the development of a private sector. Decentralization involved both a deconcentration process and the devolution of primary health care to municipalities. The democratic governments after 1990 chose to preserv...

Spain’s Transition to Democracy set the stage for the organization of a national healthcare system. The adoption of the Spanish Constitution of 1978 was a political milestone that led to the recognition of every citizen’s right to healthcare and the right of autonomy of the various regions that make up the Spanish State. The most distinctive characteristic of the healthcare model set up in thos...