Federalism and Decentralization in Health Care

Federalism and Decentralization in Health Care PDF

Author: Gregory P. Marchildon

Publisher: University of Toronto Press

Published: 2018-01-01

Total Pages: 270

ISBN-13: 1487521545

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Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines the overall organization of the health system.

Federalism and Decentralization

Federalism and Decentralization PDF

Author: Jürgen Rose

Publisher: Macmillan

Published: 2002

Total Pages: 388

ISBN-13: 9780312295899

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Federal systems have proven essential to the integration of many states. In an increasingly interdependent world, today's problems are so global and complex in nature that they can be solved adequately only by means of international and regional cooperation and integration. Federalism, as a feature of political problem-solving, will likely become even more important in the future. Federalism emphasizes the principle of non-violence in political affairs, and it creates the opportunity to realize the so-called right of nations to self-determination below the level of national independence.

Federalism And Decentralization

Federalism And Decentralization PDF

Author: Thomas Fleiner-Gerster

Publisher: Routledge

Published: 2019-03-06

Total Pages: 426

ISBN-13: 0429709994

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This book is an outcome of the round table conference held in 1984 in Switzerland. It deals with decision of decentralization, structure of decentralized units, external power of decentralized unit, financial autonomy and decentralization and the protection of the basic rights.

Constitutional Engineering in Brazil

Constitutional Engineering in Brazil PDF

Author: Celina Souza

Publisher: Springer

Published: 2016-07-27

Total Pages: 225

ISBN-13: 1349256943

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The book investigates why a country facing issues that needed to be tackled nationwide chose to decentralize when it moved from authoritarianism to democracy. It discusses the events of the Brazilian constituent assembly and investigates the results of decentralization at the subnational sphere. The results suggest that there was a lack of social consensus on what was to be achieved by decentralization. They suggest that political and economic factors influence the outcomes of decentralization, thus exposing the limits of decentralization on policy results.

Federalism and Decentralization in Sub-Saharan Africa

Federalism and Decentralization in Sub-Saharan Africa PDF

Author: Jan Erk

Publisher: Routledge

Published: 2018-12-07

Total Pages: 208

ISBN-13: 1351718819

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The 1990s were marked by democratic reforms throughout Africa, which went in tandem with decentralization reforms. The chapters of the volume all highlight the gradual changes that have taken place since. Long-term structural uncodified factors – be it societal, economic, geographic, demographic – seem to have interacted with the constitutional clauses introduced during the reforms. Some chapters look at how decentralization slowly gave way to recentralization because none of the new subnational entities were politically and economically strong enough to balance off the center; some look at how inherent deficiencies in infrastructure and personnel at the subnational level brought the central government back in; some look at how different subnational units ended up working differently due to differences in demographic and social factors; some look at how uncodified factors came to determine how national politics functioned; some look at how decentralization created new conflicts between ethnic groups competing for the control of the new entities; some look at how decentralization blew new life into traditional authorities. This book was original published as a special issue of Regional and Federal Studies.

Fiscal Federalism and Political Decentralization

Fiscal Federalism and Political Decentralization PDF

Author: Nuria Bosch

Publisher: Edward Elgar Publishing

Published: 2008-01-01

Total Pages: 279

ISBN-13: 1848442718

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This highly original book analyzes political decentralization and fiscal federalism in Canada and Germany, both traditional federal countries, and in Spain, a unitarian country engaged in the last two decades in a process of decentralization. The three key issues required for a well designed financing system are analyzed in depth herein, namely: tax assignment, equalization grants (i.e. redistribution of money from the wealthy regions or the national government to poorer regions) and the role of regional government in the administration of taxes. Fiscal Federalism and Political Decentralization will be of particular interest to academics and researchers of economics, public economics, public finance and public choice. It will also appeal to politicians and policy makers as well as organizations and agencies related to the economy and fiscal federalism.

Decentralisation in Africa

Decentralisation in Africa PDF

Author: Gordon Crawford

Publisher: Amsterdam University Press

Published: 2008

Total Pages: 261

ISBN-13: 9053569340

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'Decentralisation in Afrika' is een sobere beoordeling van wat decentralisatie precies kan bereiken. Decentralisatie van overheden in Afrikaanse landen en elders in de derde wereld krijgt de laatste tijd een impuls, vaak gedreven door Multilaterale en bilaterale instanties (de 'donoren'). Maar worden de voordelen hiervan wel gerealiseerd? In dit boek worden vraagtekens gezet bij de kwestie of decentralisatie wel een gunstige uitweg biedt voor de armoede en het conflict in Afrika.

Federalism and Decentralization in Health Care

Federalism and Decentralization in Health Care PDF

Author: Gregory Marchildon

Publisher: University of Toronto Press

Published: 2018-04-13

Total Pages: 270

ISBN-13: 1487513577

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While health system decentralization is often associated with federations, there has been limited study on the connection between federalism and the organization of publicly financed or mandated health services. Federalism and Decentralization in Health Care examines eight federations that differ in terms of their geography, history and constitutional and political development. Looking at Canada, Brazil, Germany, Mexico, Nigeria, Pakistan, South Africa and Switzerland, Federalism and Decentralization in Health Care examines constitutional responsibility for health care, the national laws establishing a right to health care, the predominant sources and organization of public revenues directed to health care, and the overall organization of the health system. In additional to these structural features, each country case study is subjected to a "decision space analysis" to determine the actual degree of health system decentralization. This involves determining whether national and subnational governments have narrow, moderate or broad discretion in their decisions on governance, access, human resources, health system organization and financing. This comparative approach highlights the similarities and differences among these federations. Offering reflections on recent trends in centralization or decentralizations for the health system as a whole, Federalism and Decentralization in Health Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.

Federalism and Decentralization in European Health and Social Care

Federalism and Decentralization in European Health and Social Care PDF

Author: J. Costa-Font

Publisher: Springer

Published: 2016-01-12

Total Pages: 380

ISBN-13: 1137291877

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This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.