Decentralized Health Care System

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Decentralization International Health Systems Program

(3 days ago) Decentralization. Decentralization of health systems is a common pillar of health sector reform initiatives and is often viewed as a means to improve efficiency and quality of services as well as promoting accountability and local governance of the health system. Despite many years of health decentralization initiatives in many countries

https://www.hsph.harvard.edu/international-health-systems-program/decentralization/

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Decentralization in Healthcare: Rationale & Benefits

(7 days ago) Decentralization in Healthcare. Centralization in healthcare is a system in which the federal government makes healthcare decisions that must be followed by the entire country. Under a centralized

https://study.com/academy/lesson/decentralization-in-healthcare-rationale-benefits.html

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Federative patient organizations in a decentralized health

(1 days ago) Federative patient organizations in a decentralized health-care system: A challenge for representation? Health (London). 2020 Mar 19;1363459320912807. doi: 10.1177/1363459320912807. Online ahead of print. Authors Anna Mankell 1 , Mio Fredriksson 2 Affiliations 1 Ersta

https://pubmed.ncbi.nlm.nih.gov/32191125/

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The impacts of decentralization on health system equity

(1 days ago) The impacts of decentralization on health system equity, efficiency and resilience: a realist synthesis of the evidence Health Policy Plan . 2019 Oct 1;34(8):605-617. doi: 10.1093/heapol/czz055.

https://pubmed.ncbi.nlm.nih.gov/31378811/

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Effective Management of Decentralized Health Systems

(6 days ago) Health system strengthening using primary health care approach. Regional Conference on “Revitalizing Primary Health Care”, WHO SEARO Measuring decentralization Hutchison, Paul L., LaFond, Anne K. Monitoring and evaluation of decentralization reforms in developing country health sectors. Partners for Health ReformPlus Health systems

https://www.who.int/pmnch/media/news/2012/implementation_decentralisation_04112012.pdf

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Decentralization and health system performance – a …

(7 days ago) One of the principal goals of any health care system is to improve health through the provision of clinical and public health services. Decentralization as a reform measure aims to improve inputs, management processes and health outcomes, and has political, administrative and financial connotations. It is argued that the robustness of a health system in achieving …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-016-1784-9

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What Actually is Decentralization in Health? - Public

(7 days ago) Decentralization is the restructuring of authority so that there is system of co-responsibility between institutions of governance at the central, regional and local levels according to the principle of solidarity, thus increasing the overall quality and effectiveness of the systems of governance, while increasing the authority and capabilities

https://www.publichealthnotes.com/actually-decentralization-health/

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Transforming Health: Decentralized and connected

(7 days ago) Contact. Transforming Health: Toward decentralized and connected care. September 16, 2014. This is the fifth report in the Connected World Market Insights Series. This report is also part of the Transforming Health Market Insights Series. Download the PDF of this report. The big shift in Canadian healthcare: connected, integrated and community

https://www.marsdd.com/news/transforming-health-decentralized-connected-care/

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Hospital Impact—Now's the time to move to a decentralized

(6 days ago) The authors describe a decentralized care delivery model that is not centered around the hospital and features: Virtual health and remote monitoring as care migrates away from the hospital

https://www.fiercehealthcare.com/hospitals/hospital-impact-now-s-time-to-move-to-a-decentralized-care-delivery-model

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Decentralization in health care - World Health Organization

(9 days ago) Decentralization in health care Edited by Richard B. Saltman Vaida Bankauskaite Karsten Vrangbaek D e c e n t r a l i z a t i o n in h e a l t h c a r e Edited by Saltman / Bankauskaite / Vrangbaek Decentralization in health care Strategies and outcomes Decentralization has become a popular management strategy in many European health care systems.

https://www.euro.who.int/__data/assets/pdf_file/0004/98275/E89891.pdf

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Health Care Organization Centralized And Decentralized

(6 days ago) Health Care Organization Centralized And Decentralized. The implementation of decentralisation reforms in the health sector of started in the 1980s. These reforms were intended to relinquish substantial powers and resources to districts to improve the development of the health sector. Little is known about the impact of decentralisation on

https://www.researchomatic.com/Health-Care-Organization-Centralized-And-Decentralized-14924.html

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Assessing Healthcare Value: The Need for a Decentralized

(6 days ago) The American healthcare system is at a crossroads. Shifting to a system that reimburses based on value, rather than volume, of care requires changes in how we evaluate healthcare and make spending

https://www.forbes.com/sites/tomasphilipson/2016/12/01/assessing-health-care-value-the-need-for-a-decentralized-and-scientific-approach/

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1. An Overview on Health System Decentralization in Cameroon

(9 days ago) and palliative care services, through the different levels and sites of care within the health system, and according to their needs throughout the life (1) course. In recent years, many countries, both developed and developing, have engaged in a process of decentralization of health service delivery and other functions of the health care system.

https://nkafu.org/wp-content/uploads/2019/08/Health-care-Decentralisation-in-Cameroon.pdf

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Decentralization Of Healthcare In Health System

(2 days ago) Decentralization is an opportunity to improve public–private partnership as well as regulation of the private health care sector. There is also an opportunity to reduce the need for referral care by improving community healthcare centers in the era of epidemiological transition and increasing double disease burden.

https://gnlm.com.mm/decentralization-of-healthcare-in-health-system-development-perspective/

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Decentralization & Health Care - CIESIN

(5 days ago) Decentralization & Health Care The general argument for decentralizing health care is the potential for improved service quality and coverage; yet the issues of, one, exactly how these benefits can be realized, and two, the specific impact of different health system reforms are not well understood.

http://www.ciesin.org/decentralization/English/Issues/Health.html

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Federative patient organizations in a decentralized health

(7 days ago) Federative patient organizations in a decentralized health-care system: A challenge for representation? Anna Mankell and Mio Fredriksson Health 0 10.1177/1363459320912807

https://journals.sagepub.com/doi/10.1177/1363459320912807

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Decentralization of the Health System in Zambia

(2 days ago) Development Associates, Inc. n Harvard School of Public Health n Howard University International Affairs Center n University Research Co., LLC Funded by: U.S. Agency for International Development Major Applied Research 6 Technical Report 2 Decentralization of the Health System in Zambia December 2000 Prepared by: Thomas Bossert, Ph.D.

https://cdn1.sph.harvard.edu/wp-content/uploads/sites/1989/2020/01/DecentralizationOftheHealthSystemInZambia.pdf

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20 Pros and Cons of Centralized Health Care – Vittana.org

(3 days ago) 7. Spending increases for health care have been similar in free-market and centralized systems in recent years. Most of the cost differences found between the U.S. health care system and the centralized systems of Canada, the UK, and others occurred in the 1980s.

https://vittana.org/20-pros-and-cons-of-centralized-health-care

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Organization and governance - Trends in health systems in

(5 days ago) Some countries, including Armenia, Georgia and Uzbekistan, decentralized their health systems more gradually (Rechel et al., 2013), while the health system in Azerbaijan (where no regional tier of government exists between the national and municipal level) has retained its centralized Soviet structure, with strict line-item budgets imposed by

https://www.ncbi.nlm.nih.gov/books/NBK458301/

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Health care system decentralization - SlideShare

(3 days ago) Health care system decentralization 1. Teaching & Training Decentralization in Health Care – is there evidence for it? Guest lecture at School of Public Health, National University of Kyiv-Mohyla Academy Kiev, 18 February 2014 Axel Hoffmann, PhD Swiss Tropical and Public Health Institute 2.

https://www.slideshare.net/MCH-org-ua/health-care-system-decentralization

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WHO Peru - World Health Organization

(5 days ago) Peru. Peru has a decentralized health care system administered by 5 entities: the Ministry of Health (MINSA), which provides health services for 60% of the population; EsSalud, which provides for 30% of the population; and the Armed Forces (FFAA), National Police (PNP), and the private sector together provide services to the remaining 10% (Recursos humanos en salud al …

https://www.who.int/workforcealliance/countries/per/en/

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Decentralization in health care: lessons from public economics

(2 days ago) Decentralization has also been an important unresolved element of health system design in many developing countries [3, 4]. Many health systems already delegate substantial powers. In Scandinavian countries a large degree of responsibility for the health system has traditionally been vested in local government.

https://www.york.ac.uk/che/pdf/levaggi.pdf

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WHO/Europe Decentralization in health care. Strategies

(2 days ago) Decentralization has become a popular management strategy in many European health care systems. The logic of decentralization is an intrinsically powerful idea: that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations.

https://www.euro.who.int/en/publications/abstracts/decentralization-in-health-care.-strategies-and-outcomes-2007

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Centralization / Decentralization - World Health Organization

(2 days ago) Placing governance tasks at the right level may have beneficial effects for health systems. The positive side of decentralization is associated in the literature with improved technical and allocative efficiency, empowerment of local actors, stimulus to innovation, increased accountability, and improved quality and equity.

https://eurohealthobservatory.who.int/themes/observatory-programmes/governance/centralization---decentralization

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Decentralized Care Everywherecare

(7 days ago) Decentralized Care. There is a growing body of evidence to suggest that the delivery of healthcare through mobile clinics, in home hospital care, telecommunication, and other novel methods can improve patient access, outcomes, and cost-effectiveness. The importance of these three areas; access, outcomes, and cost, are of vital significance to

https://everywherecare.wordpress.com/2012/07/04/decentralized-care/

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(PDF) Decentralization in health care. Brief overview of

(2 days ago) Within a decentralized health care system the central government cannot enjoy traditional instruments of vertical coordination of policies and their implementation. In many countries the position of local/regional self-government units is regulated in the national constitutions guaranteeing them extensive autonomy in terms of policy making

https://www.academia.edu/8196557/Decentralization_in_health_care_Brief_overview_of_the_European_debate

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Decentralization of health care systems and health

(7 days ago) Health care budgets in the non-foral regions have evolved from a complex system in which the budget was decided yearly by the Ministry of Health jointly with each of the autonomous regions in the early stages of decentralization, to a system implemented in 2002 in which health care funds are not earmarked, but are part of a general block grant

https://www.sciencedirect.com/science/article/pii/S0277953617304173

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Implementation of a "real-world" learning health care

(4 days ago) BACKGROUND: Learning health care systems apply the experiences of prior patients to inform care and help to guide decision making for current patients. These systems should help to deliver more effective, efficient, and appropriate care. Most examples of learning systems derive from integrated care delivery systems and examples of such systems

https://www.ncbi.nlm.nih.gov/pubmed/24787113

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State and Local Health Department Governance

(6 days ago) decentralized, or shared. Leadership of Local Health Units + Authorities =Classification of Governance Is 75% or more of the population served by a local health unit led by a state employee?* Do health units meet three or more of the criteria for having shared authority with local government?

https://www.astho.org/Research/Data-and-Analysis/State-and-Local-Governance-Classification-Tree/

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The Key To Health Care's Success Post-Pandemic

(1 days ago) Medical care is complex and fragmented, so in order for telehealth to support a decentralized health care system, the care should be integrated into the overall care delivery model with a central

https://www.forbes.com/sites/forbestechcouncil/2020/10/13/the-key-to-health-cares-success-post-pandemic-decentralization/

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Decentralized vs. Centralized Access at Health Systems

(6 days ago) In Scenario A, John is searching for a primary care provider (PCP) at a health system with decentralized access. In Scenario B, Amy is looking for a specialist at a health system that has invested in a centralized access center. The two scenarios highlight some of the key ways the patient experience can differ and what this means to patients on

https://www.kyruus.com/blog/decentralized-vs-centralized-access-at-health-systems-the-patients-perspective

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Health System Decentralization as A Critical Driver for

(5 days ago) By Odette Kibu, Health Policy Analyst (PDF Version). An Overview on Health System Decentralization in Cameroon; I ntegrated health services encompass the management and delivery of quality and safe health services. This will result to a continuum of health promotion, disease prevention, diagnosis, treatment, disease-management, rehabilitation and …

https://nkafu.org/health-system-decentralization-as-a-critical-driver-for-better-care-delivery/

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Decentralized Governance in the Management of Urban Health

(5 days ago) Enhanced Health care services address not only one of the key Sustainable Development Goals (SDG) which is goal No 3, but also the development strategies for most developing countries. Good governance is critical to improving health care systems. Many developing countries therefore have decentralized health care systems as a way of improving good governance …

https://www.scirp.org/journal/PaperInformation.aspx?PaperID=90026

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Decentralization and Health Care in India

(8 days ago) proposals on the provision of health care, in the context of decentralization. Section 6 offers a concluding assessment with suggestions for reform priorities to improve public health care delivery. 2. Health Care in India Within the broader context of public service delivery, health care has several special features. More so than any

https://mpra.ub.uni-muenchen.de/7869/1/MPRA_paper_7869.pdf

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Centralized vs decentralized staffing: Two case studies

(Just Now) Floating, cancellation, standby, vacations, and schedule lengths are universal for the health system, increasing adherence when the staffing office and charge nurses make in-the-moment staffing decisions. A centralized staffing approach isn’t without challenges. It can cause hospitals within a system to feel a loss of control and identity.

https://www.myamericannurse.com/centralized-vs-decentralized-staffing/

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Fragmented, decentralized health system plagues vaccine

(Just Now) The snakebitten COVID-19 vaccine launch, beset by supply shortages, unused doses, and vexing technical complexity, has brutally exposed the weaknesses in the US and Massachusetts health care

https://www.bostonglobe.com/2021/02/03/metro/slow-vaccine-rollout-exposes-shortcomings-fragmented-us-massachusetts-health-systems/

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Switzerland Commonwealth Fund

(9 days ago) By Isabelle Sturny, Swiss Health Observatory Switzerland’s universal health care system is highly decentralized, with the cantons, or states, playing a key role in its operation. The system is funded through enrollee premiums, taxes (mostly cantonal), social insurance contributions, and out-of-pocket payments. Residents are required to purchase insurance from …

https://www.commonwealthfund.org/international-health-policy-center/countries/switzerland

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Viewpoint – Health Care in Sweden: Decentralized

(7 days ago) Viewpoint – Health Care in Sweden: Decentralized, Autonomous, Competitive, and Universal. The Quebec government wants to centralize the health care system even more with Bill 130, giving the Health Minister more power over administrators and over the management and operation of hospitals.(1) The government would be better off following the …

https://www.iedm.org/70972-viewpoint-health-care-sweden-decentralized-autonomous-competitive-and-universal/

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Online HiT for United States Of America - HSPM

(6 days ago) Decentralization in the United States is complicated and includes devolution, delegation and privatization. The organization of the United States health-care system is influenced by the balance of power between the federal government and states. In addition, coordination among the centres of authority, administrative / financial capability of

https://www.hspm.org/countries/unitedstatesofamerica18112013/livinghit.aspx?Section=2.4%20Decentralization%20and%20centralization&Type=Section

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Decentralization of health care systems and health

(1 days ago) Impact of health care decentralization on health: infant and neonatal mortality. • Exploit timing in the devolution of health care to Spanish regions (1980–2010). • Heterogeneity: decentralization with political and fiscal powers vs political only. • Decentralization benefits concentrate in fully decentralized wealthier regions.

https://www.sciencedirect.com/science/article/abs/pii/S0277953617304173

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Feasibility of a Single Point of Contact System - Wa

(4 days ago) The Washington State Statistical Analysis Center is located in the Health and Washington’s current firearm background check system is decentralized, requiring local law the Washington Crime Information Center (WACIC) and the Health Care Authority (HCA). Local agencies may also check with other databases and systems, as deemed appropriate,

https://ofm.wa.gov/sites/default/files/public/publications/Feasibility_of_a_Single_Point_of_Contact_System_Nov2019_Final.pdf

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Health care in Sweden - Wikipedia

(Just Now) The Swedish health care system is mainly government-funded, universal for all citizens and decentralized, although private health care also exists. The health care system in Sweden is financed primarily through taxes levied by county councils and municipalities. A total of 21 councils are in charge with primary and hospital care within the country.

https://en.wikipedia.org/wiki/Healthcare_in_Sweden

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