Abstract
Although decentralization is based on the simple idea that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations, in the health system this idea requires much more exploration (Saltman et al. 2007). Health systems are large and composed of several subsystems, including health care providers, health financing, and public administration. All of them have their own organizational patterns and values. Furthermore, inside each of them are further divisions, sometimes with almost opposite approaches: health promotion, disease prevention, clinical medicine, or palliative care. All of these subsystems and divisions could recognize decentralization as an opportunity or a threat.
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References
Rechel, B. and McKee, M. (2009) ‘Health Reform in Central and Eastern Europe and the Former Soviet Union’, Lancet, Vol. 374–9696. p. 1120.
De Vries, M. (2000) ‘The Rise and Fall of Decentralization: A Comparative Analysis of Arguments and Practices in European Countries’, European Journal of Political Research, 38: 193–224.
Džakula, A., Orešković, S., Brborović, O. and Vončina, L. (2005) ‘Decentralization and Healthcare Reform in Croatia 1980–2002’, in E. Shakarishvili (ed.) Decentralization in Healthcare – Analyses and Experiences in Central and Eastern Europe in the 1990s. Budapest: Local Government and Public Service Reform Initiative and Open Society Institute; pp. 133–73.
Džakula, A. and Vončina, L. (2007) The European Union's CARDS Programme for Croatia. Capacity Strengthening for Administrative Decentralisation (Nr. 663083–2287–3886). Final Report on the Health Sector, Zagreb.
Ham, C. and Honigsbaum, F. (1998) ‘Priority Setting and Rationing Health Services’, in R. B. Saltman, J. Figueras, and C. Sakellarides (eds) Critical Challenges for Health Care Reform in Europe. Buckingham: Open University Press; pp. 113–34.
Hebrang, A. (1994) ‘Reorganization of the Croatian Health Care System’, Croatian Medical Journal; 35: 130–6.
Letica, S. (1989) Zdravstvena politika u doba krize. Zagreb: Naprijed (in Croatian).
Saltman, R. B., Bankauskaite, V., and Vrangbæk, (eds) Decentralization in Health Care. Maidenhead: Open University Press, 2007.
Saric, M. and Rodwin, V. G. (1993) The Once and Future Health System in the Former Yugoslavia: Myths and Realities. Journal of Public Health Policy, 14: 220–3.
Šogorić, S., Rukavina, T. V., Brborović, O., Vlahugic, A., Zganec, N., and Oreskovic, S. (2005) Counties Selecting Public Health Priorities – a ‘Bottom-Up’ Approach (Croatian experience). Collegium Antropologicum, 29: 111–9.
Šogorić, S., Džakula, A., Vukušić, R. T., Grozić-Živolić, S., Lazarić-Zec, D., Džono-Boban, A., Brborović, O., Lang, S., and Vuletić, S. (2009) ‘Evaluation of Croatian Model of Polycentric Health Planning and Decision Making’, Health Policy, 98: 3; 271–8.
Vončina, L., Jemiai, N., Merkur, S., Golna, C., Maeda, A., Chao, S., and Džakula, A. (2006) ‘Croatia: Health System Review’, Health Systems in Transition, 8(7): 1–108.
World Bank. Zdravstvena reforma u Hrvatskoj. Revija za socijalnu politiku, Svezak 7, Br. 3 (2000) (in Croatian).
Žarković, G., Mielck, A., John, J., and Beckmann, M. (1994). Reform of the Health Care Systems in Former Socialist Countries: Problems, Options Scenarios. Neuherberg: GSF
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© 2012 Aleksandar Džakula, Selma Šogorić, and Luka Vončina
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Džakula, A., Šogorić, S., Vončina, L. (2012). Decentralization in Croatia's Health System. In: Bartlett, W., Božikov, J., Rechel, B. (eds) Health Reforms in South East Europe. New Perspectives on South-East Europe Series. Palgrave Macmillan, London. https://doi.org/10.1057/9781137264770_4
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DOI: https://doi.org/10.1057/9781137264770_4
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