Health System Decentralization and Recentralization

Ideational and Institutional Dynamics in Italy and Denmark

  • Andrea¬†Terlizzi

Part of the International Series on Public Policy book series (ISPP)

Table of contents

About this book


This book explores the dynamics of health system decentralization and recentralization, investigating why and how the territorial organization of health systems changes or remains stable over time. Drawing from historical and discursive institutionalism, the explanatory framework revolves around the role of ideas, discourse and institutions. Through the analysis of the Italian and Danish health systems, the book corroborates the value of combining ideational and institutional accounts in explaining institutional continuity and change, offering new empirical and theoretical insights into the study of public policy making. The book will be of use to students and scholars interested in health politics and policy, federalism and decentralization, and theories of institutional change.

Andrea Terlizzi is Researcher at the Department of Legal Sciences, University of Florence, Italy. His main research interests include health systems and policy, migration dynamics and policy, federalism and decentralization, and institutional and policy change.


Health systems decentralization recentralization National Health Service institutions institutional change mechanisms Ideas discourse bricolage process tracing fiscal federalism New Public Management ideational and institutional bricolage evolutionary change Denmark Italy health systems policy implications

Authors and affiliations

  • Andrea¬†Terlizzi
    • 1
  1. 1.University of FlorenceFlorenceItaly

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