Analyzing the decentralization of health systems in developing countries
Decision Space, Innovation and Performance
Bibliographic Data
| ID | 4590403 |
|---|---|
| Authors | Thomas Bossert (0000-0002-3056-9543, Harvard University, corresponding author) |
| Year | 1998 |
| Volume | 47 |
| Issue | 10 |
| Pages | 1513-1527 |
| Publication date | 1998-11-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | Social Science & Medicine (JOURNAL) |
| Journal identifiers | ISSN: 0277-9536 • E-ISSN: 1873-5347 |
| Publisher | Elsevier BV (PUBLISHER) |
| DOI | 10.1016/s0277-9536(98)00234-2 |
| PMID | 9823047 |
| OpenAlex | W2110613307 |
| Language | EN |
| Citations received | 143 |
| References cited | 32 |
Business · Central government · Decentralization · Discretion · Economics · Equity (law · Incentive · Local government · Microeconomics · Political science · Public economics · Global Maternal and Child Health · Healthcare Systems and Reforms · Local Government Finance and Decentralization · Public Administration
Comparative Health Systems
Conceptualizing Discretion
Transnational social protection
Room for manoeuvre?
Ministry of Health user fees, equity and decentralization
Prevention and promotion in decentralized rural health systems
Decentralization in Zambia
Decentralization of health systems in Ghana, Zambia, Uganda and the Philippines
Intergovernmental health policy decisions in Brazil
Lumping and splitting
Is decentralization good for logistics systems? Evidence on essential medicine logistics in Ghana and Guatemala
Reimagining public–private partnerships for primary health care in Africa
Pakistani Police Governance and Accountability
Policy Capacity Under Decentralization
Decentralization and administrative discretion in Tanzania
The interplay between the state and non-state actors in healthcare provision in Tanzania, 1960s–2020s
The effect of administrative decentralization on quality public service delivery in Bahir Dar city administration
Digital reporting in a decentralized public health system
Reconciling devolution with health financing and public financial management
Level and determinants of district primary healthcare system technical efficiency in Ghana
The autonomy of public health facilities in decentralised contexts
Hospital allocation and politicians
Operationalizing Decentralized Governance Mechanisms in Health Systems with Insights from Decentralized Digital Technologies
Geographical, social, and political contexts of tuberculosis control and intervention, as reported by mid-level health managers in Uganda
The Political Economy of Improving Health Care for the Poor in Rural Africa
The quest for health care decentralization
Marketisation, Ethics and Healthcare
Global Health Action Supplement 1, 2013 Building NEW KNOWLEDGE
Political economy analysis of sub-national health sector planning and budgeting
Examining health sector stakeholder perceptions on the efficiency of county health systems in Kenya
Indigenous resurgence in the Blue Economy
Administrative integration of vertical HIV monitoring and evaluation into health systems
Effects of decentralization on the functionality of health facility governing committees in lower and middle-income countries
Legitimacy and fairness in priority setting in Tanzania
Challenges to the implementation of health sector decentralization in Tanzania
Health system performance at the district level in Indonesia after decentralization
The decentralisation-centralisation dilemma
Avaliação de programa de atenção à saúde
Does decentralization of health systems translate into decentralization of authority? A decision space analysis of Ugandan healthcare facilities
A descentralização no marco da Reforma Sanitária no Brasil
Decentralization of health systems in Latin America
Decentralization and Public Service Provision
Decentralizing the Health Service Delivery System in an Emerging Democracy
Enhancing the Effectiveness of Public Sector Performance Regimes
Decentralisation of Brazil’s HIV/Aids programme
Perceived Public Participation and Health Delivery in Local Government Districts in Uganda
Investigating the interface between health system reform and HIV/Aids in sub-Saharan Africa
We are toothless and hanging, but optimistic”
Tracking health sector priority setting processes and outcomes for human resources for health, five-years after political devolution
Why are pro-poor exemption policies in Tanzania better implemented in some districts than in others
Devolution and its effects on health workforce and commodities management – early implementation experiences in Kilifi County, Kenya
Postings and transfers in the Ghanaian health system
Accountability mechanisms for implementing a health financing option
The experience of Tunisian public healthcare system toward decentralization to the reduction of health inequalities in low-, middle- income countries
How does decentralisation affect health sector planning and financial management? a case study of early effects of devolution in Kilifi County, Kenya
National Rural Health Mission reforms in light of decentralised planning in Kerala, India
Bottom-up innovation for health management capacity development
Political economy analysis of subnational health management in Kenya, Malawi and Uganda
Characterizing the implementation of performance management interventions in a primary health care system
Theorizing community health governance for strengthening primary healthcare in LMICs
Reforma psiquiátrica, federalismo e descentralização da saúde pública no Brasil
Gobernanza y economía política de las políticas de APS en América Latina
A Estratégia de Saúde da Família, a atenção primária e o desafio das metrópoles brasileiras
Decision spaces in agricultural risk management
Setting healthcare priorities in hospitals
Community accountability at peripheral health facilities
Municipal health services provision by local governments
Toward Ethical Review of Health System Transformations
Federal Institutions and Strategic Policy Responses to Covid-19 Pandemic
Better service delivery, more satisfied citizens? The mediating effects of local government management capacity in South Korea
Transformative State Capacity in Post-Collective China
Recentralization and vertical alignment in the French health‐care system
Navigating justice tensions in managed retreat
Healthcare, borders, and boundaries
Giving power away? The ‘de- words’ and the downward transfer of power in mid-2010s England
Urban sanitation and health in the developing world
Hospital Policy in Sub-Saharan Africa and Post-Colonial Development Impasse
Primary education, teachers’ professionalism and social class about motivation and demotivation of government school teachers in India
Making social services work better for the poor
Public management and the essential public health functions
Policy to tackle the social determinants of health
Governance in managing public health resources in Brazilian municipalities
Decision space for health workforce management in decentralized settings
Priority setting for health in the context of devolution in Kenya
Tracking implementation and (un)intended consequences
Decision space and participation of primary healthcare facility managers in the Ideal Clinic Realisation and Maintenance programme in two South African provinces
Decentralization in India’s health sector
District decision-making for health in low-income settings
Exploring the nature of governance at the level of implementation for health system strengthening
Strengthening the implementation of Health in All Policies
The impacts of decentralization on health system equity, efficiency and resilience
Studying the link between institutions and health system performance
The role of social networks in the governance of health systems
Decentralization and decision space in the health sector
Incorporating costing study results into district and service planning to enhance immunization programme performance
Organizations matter in local governance
The path dependence of district manager decision-space in Ghana
Institutional analysis of health system governance
Health system decentralization and recentralization in Italy
Street-level quasi-bureaucracy and professional discretion
Organizations
Local organizations
Public finance in theory and practice
The Dangers of Decentralization
Making Democracy Work
Trust in a rent-seeking world
Implementation of Civil Rights Policy
Health services decentralization in Mexico
The Interaction Effect of Information Asymmetry and Decentralization on Managers' Job Satisfaction
Making Democracy Work
Presidential Control versus Bureaucratic Power
Decentralization of health services in Western Highlands Province, Papua New Guinea
Geographically-decentralized planning and management in health care
The Political Economy of Federalism
The Principal-Agent Model and Regulatory Federalism
| Unique citing works | 143 |
|---|---|
| Citations per year | 5,5 |
| Citation span | 2000 - 2026 (27) |
| Citation velocity | current |
| Highly cited | Yes |
| Citation types | Neutral: 143 |