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Decentralization and Health System Governance

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The Palgrave International Handbook of Healthcare Policy and Governance

Abstract

The contribution of health policy research to both the theory and the practice of decentralization has been voluminous but often disappointing. This chapter argues that the challenge for health systems analysts is to adopt and use cat- egories from other social sciences, especially economics, political science, and comparative social policy, in a thoughtful way. Their concepts and analyses engage with fundamental issues of institutional design that explain the causes and consequences of decentralization in meaningful ways.

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Author information

Authors and Affiliations

  1. University of Michigan School of Public Health, USA

    Scott L. Greer (Associate Professor of Health Management and Policy, Research Associate of the European Observatory on Health Systems and Policies)

  2. Brussels, Belgium

    Scott L. Greer (Associate Professor of Health Management and Policy, Research Associate of the European Observatory on Health Systems and Policies)

  3. Business Administration School of Säo Paulo, Getulio Vargas Foundation (EAESP-FGV), Brazil

    Elize Massard da Fonseca

Authors
  1. Scott L. Greer
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  2. Elize Massard da Fonseca
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Editor information

Editors and Affiliations

  1. Karolinska Institutet, Sweden

    Ellen Kuhlmann

  2. University of Canterbury, Christchurch, New Zealand

    Robert H. Blank (Adjunct Professor) (Adjunct Professor)

  3. Institute of Population Health and the Telfer School of Management, University of Ottawa, Canada

    Ivy Lynn Bourgeault (Professor) (Professor)

  4. University of Siegen, Germany

    Claus Wendt (Professor of Sociology of Health and Healthcare Systems) (Professor of Sociology of Health and Healthcare Systems)

Copyright information

© 2015 Scott L. Greer and Elize Massard da Fonseca

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Cite this chapter

Greer, S.L., da Fonseca, E.M. (2015). Decentralization and Health System Governance. In: Kuhlmann, E., Blank, R.H., Bourgeault, I.L., Wendt, C. (eds) The Palgrave International Handbook of Healthcare Policy and Governance. Palgrave Macmillan, London. https://doi.org/10.1057/9781137384935_25

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