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Aug 8, 2023 · Devolution of health systems from national to local levels is a common focus of policymakers across the world. The overarching aim is to improve population health by better meeting the specific needs of local citizens.
- Reflections From The Systematic Review by Sumah, Baatiema, and Abimbola
1. Introduction. We read with interest a recent publication...
- The Colombian Case
Introduction. Colombia has one of the most decentralised...
- Reflections From The Systematic Review by Sumah, Baatiema, and Abimbola
By focusing on changes occurring in Greater Manchester, we not only provide new evidence on the impact of so-called soft devolution of health and social care services, but also evidence on the devolution of powers over other wider determinants of health and the interaction between the two.
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Does devolution affect health system performance?
Can devolution Improve Population Health?
How will a coordinated devolution affect health and care services?
Does soft devolution affect health and social care services?
Aug 18, 2020 · In the UK, the National Health Service (NHS) is the umbrella term for the four health systems of England, Scotland, Wales and Northern Ireland. Health has been a primarily devolved matter since powers were transferred to the Scottish parliament and Welsh Senedd on 1 July 1999, and to the Northern Ireland assembly on 2 December 1999.
Dec 1, 2020 · The present study aimed to systematically review the progress and challenges on the devolved healthcare system in Kenya. The findings were presented and discussed under three thematic domains: (1) localised decision-making process, (2) improvement in structural development and (3) inadequate resources/funds/staff.
- B.B. Masaba, J.K. Moturi, J. Taiswa, R.M. Mmusi-Phetoe
- 2020
Dec 22, 2023 · Abstract. Background. 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.
- 10.1136/bmjgh-2023-013317
- 2023
- BMJ Glob Health. 2023; 8(12): e013317.
The majority of the literature analysed the impact of health system devolution in low-income and middle-income countries, or in Spain or Italy. These studies generally established positive associations between devolution and population health, particularly in relation to infant mortality.
Sep 15, 2017 · 17k Accesses. 50 Citations. 19 Altmetric. Metrics. Abstract. Background. Decentralisation is argued to promote community participation, accountability, technical efficiency, and equity in the management of resources, and has been a recurring theme in health system reforms for several decades.
