Decentralized Government In Healthcare

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Decentralisation in the health sector and responsibilities across

(3 days ago) People also askWhy is decentralization important in health sector reform?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.Decentralization International Health Systems Program Harvard T.H hsph.harvard.eduDoes decentralization affect health system governance?Since the 1980s, decentralization reforms have been adopted in many countries ( Manor, 1999 ), with significant impact on health system governance. But long before and since, most countries have experienced some form of decentralization.The impacts of decentralization on health system equity, efficiency and ncbi.nlm.nih.govShould health systems be decentralized?Health systems thus comprise norms, rules and practices rather than formal organization. This perspective would seem to offer a rich vein for future work on decentralization in health systems. The centrality given to values keeps the spot-light on the contextualized and constructed nature of the concepts current in health system debates.Decentralization in health care - World Health Organizationeurohealthobservatory.who.intWhat is decentralised governance of Health Services?Thus decentralised governance of health services means transfer of authority in planning, management and decision making from national to sub‐national level (i.e. to the regional, state, district/municipal level), or in general from higher levels to lower levels in the hierarchy of governance ( Robalino 2001 ).Decentralised versus centralised governance of health servicesncbi.nlm.nih.govFeedbackNational Center for Biotechnology Informationhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC6794566The impacts of decentralization on health system equity, efficiency …WebWe adapted these to decentralized health system governance, such that ‘Exit’ occur by health workers or patients moving across communities or sub-national jurisdictions or between health service providers within a community or sub-national …

https://one.oecd.org/document/COM/DELSA/GOV(2019)2/en/pdf#:~:text=Decentralisation%20is%20a%20fundamental%20characteristic%20of%20many%20health,degree%20of%20decentralisation%20varies%20markedly%20across%20OECD%20countries.

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Decentralization International Health Systems Program Harvard …

(3 days ago) WebDecentralization. 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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The impact of decentralisation on the performance of health care

(Just Now) WebWith regard to the “degree of decentralisation across levels of government”, countries were asked to indicate the level of government that is responsible for thirteen policy or service areas, covering setting decision-making on funding sources and budgets, allocation of resources, remuneration of physicians, financing and investment in hospitals …

https://link.springer.com/article/10.1007/s10198-021-01390-1

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The Impacts of Health Decentralization on Equity, Efficiency, and

(9 days ago) WebDecentralization is considered an important component of participatory democracy. However, despite its widespread implementation in the healthcare sector, its impact on health systems’ performance remains unclear. Using a theoretical framework based on the World Health Organization’s five decentralization variables—geography …

https://www.mdpi.com/2071-1050/16/1/386

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Decentralisation in the health sector and responsibilities …

(7 days ago) WebDecision-making in health care tends to rest largely with the central government on average, which has considerable power across many aspects of the delivery of health services. More specifically, central governments are more likely to be responsible for decisions regarding the policy aspects of health care. But they have

https://one.oecd.org/document/COM/DELSA/GOV(2019)2/en/pdf

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Decentralization and health system performance – a focused …

(7 days ago) WebOne 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 …

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

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Health Service Decentralization: An Overview SpringerLink

(1 days ago) WebDecentralization concerns how government should be structured and where power, authority and responsibilities should be located (SOAS 2009).This involves bringing ‘local governments closer to the people to be able to address local needs appropriately’ (Smith 1985, pp. 8–9; Work 2002, p. 4).Hadenius argues that when decentralization …

https://link.springer.com/chapter/10.1007/978-1-4614-9071-5_1

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Decentralization in health care - World Health Organization

(2 days ago) WebDecentralization 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 …

https://eurohealthobservatory.who.int/docs/librariesprovider3/studies---external/decentralization-in-health-care.pdf?sfvrsn=1f1d5377_3&download=true

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Optimising decentralisation for the health sector by exploring the

(2 days ago) WebThe Philippines decentralised government health services in 1992 through devolution with the implementation of the Local Government Code . At that time, the Philippine Department of Health (DOH), the ministry primarily responsible for the government health sector nationwide, split the administration of health services into the …

https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-018-0402-1

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What conditions enable decentralization to improve the health …

(5 days ago) WebBackground Decentralization is promoted as a strategy to improve health system performance by bringing decision-making closer to service delivery. Some studies have investigated if decentralization actually improves the health system. However, few have explored the conditions that enable it to be effective. To determine these …

https://journals.plos.org/plosone/article?id=10.1371%2Fjournal.pone.0206809

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The impact of decentralisation on health systems in fragile and …

(9 days ago) WebA health system has three key stakeholders, the State—at national and subnational levels—the health service providers and the citizens. In most settings and especially in peacetime, these stakeholders are typically well-defined. In contrast, during conflict and crisis as well as during ceasefire and post-conflict peacebuilding, …

https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-023-00528-7

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Who should decide for local health services? A mixed methods …

(8 days ago) WebThe Philippines decentralized government health services through devolution to local governments in 1992. Over the years, opinions varied on the impact of devolved governance to decision-making for local health services. The objective of this study was to analyze decision-makers’ perspectives on who should be making decisions …

https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-020-05174-w

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The Costs Of Regulation And Centralization In Health Care

(1 days ago) WebGovernment-centralized single-payer systems actively hold down health care expenditures mainly by sweeping restrictions on the utilization and payment for medical procedures, drugs, and technology under the single authority of the central government. The alternative approach involves rule elimination and decentralization, that is, strategic

https://www.hoover.org/research/costs-regulation-and-centralization-health-care-0

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4 Challenges in Decentralized Healthcare Within3

(4 days ago) WebCountries that have adopted decentralized healthcare as a core tenet—including the United States, the United Kingdom, Spain, Italy, Chile, India, Nepal, and more – have experienced four primary challenges: Poorly-optimized policy design – Policy design severely impacts the transition from a centralized to a decentralized model.

https://within3.com/blog/challenges-in-decentralized-health-care

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The impact of decentralisation on health systems: a systematic …

(9 days ago) WebBackground Decentralisation is a common mechanism for health system reform; yet, evidence of how it impacts health systems remains fragmented. Despite published findings from primary and secondary research illustrating range of impacts, a comprehensive and clear understanding is currently lacking. This review synthesised the existing evidence to …

https://gh.bmj.com/content/8/12/e013317

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Decentralization of the health system – experiences from Pakistan

(3 days ago) WebDecentralization of a health system is a complex and multidimensional phenomenon that demands thorough investigation of its process logistics, predisposing factors and implementation mechanisms, within the broader socio-political environment of each nation. Despite its wide adoption across both high-income countries (HICs) and low …

https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-024-01145-3

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Reconciling devolution with health financing and public financial

(8 days ago) WebThe interplay between devolution, health financing and public financial management processes in health—or the lack of coherence between them—can have profound implications for a country’s progress towards universal health coverage. This paper explores this relationship in seven Asian and African countries (Burkina Faso, …

https://gh.bmj.com/content/9/5/e015216

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The impact of decentralisation on the performance of health care

(3 days ago) WebThis paper examines the role of institutions—notably the degree of administrative decentralisation across levels of government—in health care decision-making and health spending as well as life expectancy. The empirical analysis builds on a new methodology to analyse health sector performance. In particular, the present …

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520686/

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Human and financial resource needs for universal access to WHO …

(4 days ago) WebIn response to the COVID-19 pandemic and its strain on tertiary healthcare facilities, the Government of Eswatini decentralized diabetes and hypertension care to PHCs. Furthermore, the economic burden of managing diabetes and hypertension affects both patients and the healthcare systems that provide their care.

https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-024-00913-0

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Congress and the Executive Branch and Health Policy KFF

(Just Now) WebThe federal government is not the only place health policy is made in the U.S., but it is by far the most influential. Of the $4.5 trillion the U.S. spent on health in 2022, the federal government

https://www.kff.org/health-policy-101-congress-and-the-executive-branch-and-health-policy/

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Chief of Party, USAID/Nigeria/Strengthening Quality of Care …

(2 days ago) WebThe proposed program will support USAID’s approaches to strengthening Quality of Care (QoC) through Primary Healthcare (PHC) with an emphasis on reproductive, maternal, newborn, and child health

https://reliefweb.int/job/4066398/chief-party-usaidnigeriastrengthening-quality-care-through-primary-health-care

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Musk's Neuralink seeks to enroll three patients in brain implant …

(Just Now) WebNeuralink Corp. Follow. May 28 (Reuters) - Neuralink, Elon Musk's brain-chip company, aims to enroll three patients to evaluate its device in a study expected to take several years to complete

https://www.reuters.com/business/healthcare-pharmaceuticals/musks-neuralink-registers-brain-implant-study-us-government-database-2024-05-28/

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Some drugmakers to cap cost of asthma inhalers at $35 a month

(8 days ago) WebCaycee Shapland, pictured with her husband and children, can spend up to $350 a month on her son Jackson's asthma medications. Kailee Marie / Courtesy Shapland family. “Going down from at least

https://www.nbcnews.com/health/health-news/drugmakers-cap-cost-asthma-inhalers-35-month-rcna154536

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Beyond Blockchain: Diverse Approaches to Safeguarding Trade …

(8 days ago) WebBlockchain technology is celebrated for its decentralized, immutable, and transparent record-keeping. These features are particularly beneficial for trade secret protection, offering a secure

https://ipwatchdog.com/2024/05/31/beyond-blockchain-diverse-approaches-safeguarding-trade-secrets/id=176902/

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As bird flu spreads in cows, US close to funding Moderna’s mRNA …

(4 days ago) Web61. The US government is nearing an agreement to bankroll a late-stage trial of Moderna’s mRNA pandemic bird flu vaccine, hoping to bolster its pandemic jab stockpile as an H5N1 outbreak spreads

https://arstechnica.com/health/2024/05/as-bird-flu-spreads-in-cows-us-close-to-funding-modernas-mrna-h5n1-vaccine/

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Attorney General Todd Rokita warns local leaders: Immediately …

(8 days ago) WebAttorney General Todd Rokita warns local leaders: Immediately rescind illegal ‘sanctuary city’ policies Attorney General Todd Rokita cautioned local officials in several Indiana cities and counties that he will pursue legal action against them after July 1 if they refuse to follow laws aimed at apprehending illegal immigrants. Attorney General …

https://events.in.gov/event/attorney-general-todd-rokita-warns-local-leaders-immediately-rescind-illegal-sanctuary-city-policies

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impacts of decentralization on health system equity, efficiency and

(6 days ago) WebThe national government, may then over time, progressively cease to cover the deficit, imposing a sanction which compels sub-national governments which are unable to contain health expenditure to generate additional resources by increasing local taxes and/or user fees; decisions with political consequences for sub-national governments. …

https://academic.oup.com/heapol/article/34/8/605/5543691

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Governor Lamont Signs Legislation Expanding Connecticut’s Paid …

(1 days ago) WebConnecticut’s existing paid sick days laws require employers with more than 50 employees that are mostly in specific retail and service occupations (such as food service workers, health care workers, and others) to provide their employees with up to 40 hours of paid sick leave annually.

https://portal.ct.gov/office-of-the-governor/news/press-releases/2024/05-2024/governor-lamont-signs-legislation-expanding-paid-sick-days-laws

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VCAT rules Victorian government must release documents behind …

(6 days ago) WebThe Department of Health is considering whether to appeal the decision. The Victorian government will be forced to publicly release thousands of pages of secret briefings behind the state's COVID

https://www.abc.net.au/news/2024-06-01/victoria-melbourne-lockdown-documents-opposition-foi-vcat/103923118

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Health System Decentralization: Creating as Many Problems Than …

(Just Now) WebHealth System Decentralization: A Popular Reform. Decentralization has been undertaken in many high- and low-income countries in recent decades. For instance, according to recent OECD (Organisation for Economic Co-operation and Development) data available for 22 countries, almost half of them reported a higher level of administrative

https://ncbi.nlm.nih.gov/pmc/articles/PMC10125203/

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Slovak Prime Minister Fico’s health is improving, government says

(Just Now) WebAFP - Getty Images. Slovak Prime Minister Robert Fico’s condition after an assassination attempt earlier this month is improving, the government and hospital said on Monday. An attacker hit Fico

https://www.nbcnews.com/news/world/slovak-prime-minister-ficos-health-improving-rcna154156

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Calls to include newer menopause drugs on PBS, as $60-a-month …

(6 days ago) WebShare article. In short: A women's health doctor wants Australians experiencing menopause symptoms to have better access to an effective hormone replacement therapy drug, and is calling on the

https://www.abc.net.au/news/2024-06-01/menopause-medications-hrt-drug-prometrium-not-on-pbs-list/103892048

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‘New Territory’ for Americans: Deadly Heat in the Workplace

(6 days ago) WebFor more than two years, a group of health experts, economists and lawyers in the U.S. government has worked to address a growing public health crisis: people dying on the job from extreme heat.

https://www.nytimes.com/2024/05/25/climate/extreme-heat-biden-workplace.html

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North Korea's Cryptocurrency Threat Aids its Foreign Policy GJIA

(7 days ago) WebDylan Stent. May 27, 2024. In 2022, North Korea escalated its theft of cryptocurrency and digital assets, surpassing previous years’ illicit activities. This alarming trend has likely enabled the North Korean administration to advance its capabilities in both missile and nuclear weapons technology. To counter North Korea’s efforts, a

https://gjia.georgetown.edu/2024/05/27/how-north-koreas-cryptocurrency-theft-supports-foreign-policy-goals/

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