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"Bossert, Thomas J., editor"
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Federalism and decentralization in health care : a decision space approach
\"A unique scholarly contribution to the field of comparative federalism, decentralization, and health care policy. This collection offers a systematic perspective on health care decentralization in a diverse group of federal countries that includes high-income (Switzerland, Canada, & Germany), high middle-income (Brazil, Mexico and South Africa) and low middle income (Nigeria & Pakistan) countries. This collecton should be a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.\"-- Provided by publisher.
Federalism and Decentralization in Health Care
by
Marchildon, Gregory
,
Bossert, Thomas J
in
Comparative Politics
,
Decentralization
,
Decentralization in government
2018
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 Health Care
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.