Impact Of Decentralization On Health Care
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The impact of decentralisation on health systems: a systematic …
(4 days ago) WEBA range of positive and negative impacts of decentralisation on health system building blocks were identified; yet, overall, the impacts were more negative. Federalism and decentralization in health care. In: Federalism and decentralization in …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10749071/
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The impact of decentralisation on the performance of health care
(3 days ago) WEBThe administrative decentralisation indicator and indicators for other institutional features of health care systems such as financial incentives to improve quality and depth of basic coverage are used in a country-level analysis of the impact of policy changes on public spending on health care and life expectancy.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8520686/
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The impact of decentralisation on the performance of health care
(Just Now) WEBThis paper examines the role of institutions—notably the degree of administrative decentralisation across levels of government—in health care decision-making and health spending as well as life expectancy. The empirical analysis builds on a new methodology to analyse health sector performance. In particular, the present …
https://link.springer.com/article/10.1007/s10198-021-01390-1
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The Impacts of Health Decentralization on Equity, Efficiency, and
(9 days ago) WEBDecentralization is considered an important component of participatory democracy. However, despite its widespread implementation in the healthcare sector, its impact on health systems’ performance remains unclear. Using a theoretical framework based on the World Health Organization’s five decentralization variables—geography …
https://www.mdpi.com/2071-1050/16/1/386
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The impacts of decentralization on health system equity, efficiency …
(1 days ago) WEB2 National Primary Health Care Development Agency, Abuja, FCT, Nigeria. 3 The George Institute for Global Health, Sydney, NSW, Australia. By moving beyond findings that the effects of decentralization on health systems and outcomes are mixed, this review presents mechanisms and contextual factors to which policymakers and …
https://pubmed.ncbi.nlm.nih.gov/31378811/
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Impact of Decentralization on Health Systems: Existing Evidence
(1 days ago) WEBThere are two related conceptual paradigms for the study of decentralization affecting any health system structure and functioning (Asfaw et al. 2007; Jiménez-Rubio 2010).Both are based on how widely or narrowly decentralization is applied amongst institutionalised and organised sectors of society in different low-, middle- and high …
https://link.springer.com/chapter/10.1007/978-1-4614-9071-5_8
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Review The impacts of decentralisation on health-related equity: A
(1 days ago) WEBA universal objective of health systems should be to reduce inequality in health and promote equity [15], but the impact of decentralisation of health system governance on equity has been questioned [16]. A number of studies report negative or ambiguous effects of decentralisation on health care, citing inequity as a major …
https://www.sciencedirect.com/science/article/abs/pii/S0168851016302330
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The impact of decentralisation on the performance of health care
(1 days ago) WEBUnder moderate decentralisation, public spending in health care is lower, while life expectancy is higher, compared with more centralised systems; however, in highly decentralised systems, public spending is higher and life expectancy is lower. This finding of a "fish-shaped" relationship for decentralisation and outcomes also helps to
https://pubmed.ncbi.nlm.nih.gov/34657202/
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Perceived consequences of healthcare service decentralization on …
(8 days ago) WEBSince the 1990s there has been a substantial increase in the number of countries implementing health system decentralization [].Decentralization has become an integral component of health system reform packages focusing upon improving access, efficiency and the quality of care [].Enforcing governance and responsibilities at local …
https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-021-06479-0
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Decentralization International Health Systems Program Harvard …
(3 days ago) WEBDecentralization. Decentralization of health systems is a common pillar of health sector reform initiatives and is often viewed as a means to improve efficiency and quality of services as well as promoting accountability and local governance of the health system. Despite many years of health decentralization initiatives in many countries
https://www.hsph.harvard.edu/international-health-systems-program/decentralization/
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Optimising decentralisation for the health sector by exploring the
(2 days ago) WEBSumah AM, Baatiema L, Abimbola S. The impacts of decentralisation on health-related equity: a systematic review of the evidence. Health Policy. 2016;120(10):1183–92. Setiawati EP, Koyama H. Distribution trends of Indonesia’s health care resources in the decentralization era. Int J Health Plann Manage. …
https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-018-0402-1
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The impact of decentralisation on health systems in fragile and …
(9 days ago) WEBA health system has three key stakeholders, the State—at national and subnational levels—the health service providers and the citizens. In most settings and especially in peacetime, these stakeholders are typically well-defined. In contrast, during conflict and crisis as well as during ceasefire and post-conflict peacebuilding, …
https://conflictandhealth.biomedcentral.com/articles/10.1186/s13031-023-00528-7
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Centralization and Decentralization in health systems
(2 days ago) WEBPlacing governance tasks at the right level may have beneficial effects for health systems. The positive side of decentralization is associated in the literature with improved technical and allocative efficiency, empowerment of local actors, stimulus to innovation, increased accountability, and improved quality and equity.
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The impact of decentralization of health care administration …
(7 days ago) WEBThe impact of decentralization of health care administration 221 West and Wong 1995) used rather rudimentary statistical tools such as group comparisons to measure inequities. Thirdly, most studies consider only intra-region inequity or inter-region
https://www.jstor.org/stable/40930939
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The impact of decentralisation on health systems: a systematic …
(9 days ago) WEBBackground Decentralisation is a common mechanism for health system reform; yet, evidence of how it impacts health systems remains fragmented. Despite published findings from primary and secondary research illustrating range of impacts, a comprehensive and clear understanding is currently lacking. This review synthesised the existing evidence to …
https://gh.bmj.com/content/8/12/e013317
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The impact of decentralisation on the performance of health care
(3 days ago) WEBThe impact of decentralisation on the performance of health care systems A non-linear relationship This paper examines the relationship between the degree of administrative decentralisation across levels of government in health care decision-making and health care spending, life expectancy as well as hospital costs.
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Integrating blockchain and ZK-ROLLUP for efficient healthcare
(Just Now) WEBThe impact of digital health on traditional healthcare system architecture using a software-based secure data field. in 2011 Tenth International Symposium on Autonomous Decentralized
https://www.nature.com/articles/s41598-024-62292-9
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The impact of decentralization of health care administration on …
(1 days ago) WEBIn this paper, we examine the impact of decentralization of health care administration on inequity in health care access in Canada. We extend previous studies in two ways. First, to explore the spatial dimension of inequity, we adopt a perfect decomposable inequality measure--the Theil index--in our analysis.
https://pubmed.ncbi.nlm.nih.gov/20217473/
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Does Decentralization Improve Health System Performance and …
(3 days ago) WEBIn terms of the effects of decentralization on health system inputs, 2 of the 3 studies showed adverse effects of decentralization,26, 40 and 1 study did not find significant effects of decentralization on corruption.35 The impact of decentralization on health system performance was investigated in 7 studies and showed mixed …
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5987820/
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European Observatory on Health Systems and Policies
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Decentralization of the health system – experiences from Pakistan
(3 days ago) WEBDecentralization of a health system is a complex and multidimensional phenomenon that demands thorough investigation of its process logistics, predisposing factors and implementation mechanisms, within the broader socio-political environment of each nation. Despite its wide adoption across both high-income countries (HICs) and …
https://health-policy-systems.biomedcentral.com/articles/10.1186/s12961-024-01145-3
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‘Time To Claim The Future’: The Hospital-At-Home Model’s …
(Just Now) WEB“Over decades, researchers have developed and tested multiple home-based care delivery models that can now be brought together into a distributed, decentralized health care system that puts the patient at the center of care at home, where they have more agency and power to affect their care,” Leff and his co-authors continued. “Hospital
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Decentralisation — “The fundamental challenge in the Pakistan is
(6 days ago) WEBDecentralisation — “The fundamental challenge in the Pakistan is Decentralisation of health care” My focus is on the impact of 2010 18th Amendment on regional power and the management of
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Site-neutral payment and the battle for healthcare’s soul
(7 days ago) WEBIn applying these ideas to medical care, we can see how disruptive innovations are fueling decentralized delivery of healthcare: Stage zero. Physicians, nurses and family take care of the sick in homes. Growth wave 1. Patients go to general hospitals where physicians and nurses provide care. Growth wave 2.
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Fast Facts: Health and Economic Costs of Chronic Conditions
(2 days ago) WEBIn 2019, total health care costs (epilepsy-attributable and other health-related costs) for noninstitutionalized people with epilepsy was $13.4 billion, of which $5.4 billion were directly attributable to epilepsy. 11. Tooth decay. Cavities (also called tooth decay) are one of the most common chronic diseases in the United States. One in six
https://www.cdc.gov/chronic-disease/data-research/facts-stats/index.html
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Damaging hacks expose the weak underbelly of America’s health …
(9 days ago) WEBA pair of recent ransomware attacks crippled computer systems at two major American health care firms, disrupting patient care and exposing fundamental weaknesses in the US health care system’s
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The effect of health-care privatisation on the quality of care
(8 days ago) WEBOver the past 40 years, many health-care systems that were once publicly owned or financed have moved towards privatising their services, primarily through outsourcing to the private sector. But what has the impact been of privatisation on the quality of care? A key aim of this transition is to improve quality of care through increased market competition …
https://www.thelancet.com/journals/lanpub/article/PIIS2468-2667(24)00003-3/fulltext?s=08
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Effects of the Affordable Care Act Medicaid Expansions on the
(3 days ago) WEBWe examine the effects of the Affordable Care Act Medicaid expansions on the employment and work hours of nursing assistants (NAs). We use the 2011–2019 American Community Survey data to identify NAs likely to be affected by Medicaid expansions (income up to 138% of the federal poverty level) in nursing homes and …
https://journals.sagepub.com/doi/full/10.1177/07334648241254259
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Human and financial resource needs for universal access to WHO …
(4 days ago) WEBEswatini faces persistent challenges in providing care for diabetes and hypertension, exacerbated by a shortage of healthcare workers. The implementation of WHO-PEN interventions aimed to address these issues, yet their effects on healthcare worker time requirements and associated costs remain unclear. This study employed a …
https://human-resources-health.biomedcentral.com/articles/10.1186/s12960-024-00913-0
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Exploring Health Care Pathways: Inspiring high school students to
(7 days ago) WEBThe Office of Admissions and Improving Primary Care for the Rural Community through Medical Education (IMPACT the RACE) are conducting the third annual Exploring Health Care Pathways Outreach Program. The program is designed to provide students with the opportunity to learn about careers in medicine, dentistry, pharmacy, nursing, health …
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New strategies are needed to tackle the oral health crisis World
(5 days ago) WEBThe impact of poor oral health also extends beyond the healthcare system. It leads to lost school days and working time and impacts productivity. This impact is more pronounced for low-income, vulnerable populations, meaning improving the oral healthcare system can also help close health equity gaps.
https://www.weforum.org/agenda/2024/05/oral-health-crisis-global-equity-affordable-dental-care/
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House Budget Committee Holds Hearing to Examine Budgetary Effects …
(1 days ago) WEBAdditionally, 41% of physicians are now vertically integrated with a hospital or health systems, at an increase of 12% over 10 years. In cancer care alone, over 700 independent cancer clinics were acquired by hospitals over the period of 2008 to 2020.” Health Care Task Force Chair Michael Burgess (R-TX):
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impacts of decentralization on health system equity, efficiency and
(6 days ago) WEBBy moving beyond findings that the effects of decentralization on health systems and outcomes are mixed, this review presents mechanisms and contextual factors to which policymakers and implementers need to pay attention in their efforts to maximize the positive and minimize the negative impact of decentralized governance. and …
https://academic.oup.com/heapol/article/34/8/605/5543691
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Efficient Use of Biological Data in the Web 3.0 Era by Applying
(4 days ago) WEBCryptoKitties, a trendy game on Ethereum that is an open-source public blockchain platform with a smart contract function, brought nonfungible tokens (NFTs) into the public eye in 2017. NFTs are popular because of their nonfungible properties and their unique and irreplaceable nature in the real world. The embryonic form of NFTs can be …
https://www.jmir.org/2024/1/e46160
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Webinar Summary – A Thousand Cuts: Social Protection in the Age …
(8 days ago) WEBControversy surrounding the social impacts of these reforms has spanned the In Ghana, wage and personnel caps kept the country from adequately remunerating and retaining health care professionals, which led to the country’s loss of highly trained and qualified professionals. where IMF-mandated decentralization of health systems …
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How noncompete ban could shake up health care landscape
(4 days ago) WEBThe Federal Trade Commission’s (FTC) vote to ban noncompete agreements is set to have an outsized impact on the health care sector, empowering clinicians and raising anxiety among private
https://thehill.com/homenews/4680912-non-compete-ban-healthcare-landscape/
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How We Analyzed the Impact of State Bans on Gender-Affirming …
(2 days ago) WEBTo get a better understanding of how gender-affirming care for youths is being impacted by state bans, MedPage Today analyzed prescription data from Symphony Health, which captures 85% of retail pharmacy prescriptions and three-quarters of specialty and mail-order prescriptions in the U.S.. We chose to focus on puberty-blocking drugs …
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