Author: Nuria Homedes
Publisher: Lynne Rienner Publishers
ISBN:
Category : Health care reform
Languages : en
Pages : 360
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Book Description
?This academic but passionate and controversial work should be read by specialists on Mexico and Latin America, as well as by those interested in healthcare and social policy in general.??Carmelo Mesa-Lago, University of PittsburghHas Mexico, twenty years after beginning the process of decentralizing its health system, realized the anticipated benefits of increased community participation and improvements in efficiency and quality? Addressing this question, Decentralizing Health Services in Mexico presents a thorough historical and theoretical grounding, as well as representative case studies of decentralization at the state and local levels.The authors combine qualitative and quantitative data in their examination of the transfer of authority over fiscal, human, and physical resources in the health sector. The result is a major contribution to the ongoing debate over the advantages and disadvantages of decentralization in varying political, cultural, and economic contexts.Nuria Homedes is associate professor at the University of Texas School of Public Health-Houston. Antonio Ugalde is emeritus professor at the Department of Sociology, University of Texas at Austin. CONTENTS: Decentralization: Theory and History. Decentralization: The Long Road from Theory to Practice?the Editors. Decentralization of Health Services in Mexico: A Historical Review?the Editors. The First Attempt, 1983-1988. Decentralizing Health Services: Formulation, Implementaion, and Results?M. Gonzalez-Block, R. Leyva, O. Zapta, R. Loewe, and J. Alagon. Federalist Flirtations: The Politics and Execution of Health Services Decentralization for the Uninsured in Mexico, 1985-1995?A.-E. Birn. Trying Again, 1994-2004: Case Studies from Five States. ?Decentralized? in Quotes: Baja California Sur, 1996-2000?L. Olvera Santana. The Slow and Difficult Institutionalization of Health Care Reform in Sonora: 1982-2000?R. Abrantes Pego. Guanajuato: Invisible Results?S. Arjonilla Alday. Nuevo Leon and Tamaulipas: Opening and Closing a Window of Opportunity?the Editors. Decentralization at the Health District Level in Nuevo Leon?the Editors. Conclusions?the Editors.
Author: Krishna Regmi
Publisher: Springer Science & Business Media
ISBN: 1461490715
Category : Medical
Languages : en
Pages : 222
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Book Description
Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: Clarify the relationships among decentralization, politics, and policy Differentiate between political, fiscal, and administrative decentralization in health care systems Consider public/private partnerships in health systems Explain how the effects of decentralization can be evaluated. Present the newest data on the health outcomes of decentralization Explore some challenges and global issues of health systems in the 21st century And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy
Author: Gregory P. Marchildon
Publisher: University of Toronto Press
ISBN: 1487521545
Category : Business & Economics
Languages : en
Pages : 270
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Book Description
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.
Author: Saltman, Richard
Publisher: McGraw-Hill Education (UK)
ISBN: 033521925X
Category : Education
Languages : en
Pages : 327
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Book Description
Exploring the capacity and impact of decentralization within European health care systems, this book examines both the theoretical underpinnings as well as practical experience with decentralization.
Author: Anne Mills
Publisher:
ISBN: 9789241561372
Category : Decentralization in government
Languages : en
Pages : 151
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Book Description
Author: Miguel A. González Block
Publisher: University of Toronto Press
ISBN: 148753843X
Category : Medical
Languages : en
Pages : 271
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Book Description
This is the first book to fully review the Mexican health system, its organization and governance, health financing, health care provision, health reforms, and health system performance. The book is based on the most recent data and focuses on the three main components that constitute Mexico’s health system: 1) employment-based social insurance programs, 2) public assistance services for the uninsured, and 3) a private sector composed of service providers, insurers, and pharmaceutical and medical device manufacturers and distributors.
Author: Victoria Rodriguez
Publisher: Routledge
ISBN: 0429969651
Category : Political Science
Languages : en
Pages : 223
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Book Description
This book assesses the impact of decentralization on Mexico’s intergovernmental relations and examines the constraints upon the devolution of political power from the center to the lower levels of government. It also discusses the distribution of power and authority to governments of opposition parties within the context of a more open political space. Victoria Rodríguez uncovers a new paradox in the Mexican political system: retaining power by giving it away. She argues that since the de la Madrid presidency (1982–1988), the Mexican government has embarked upon a major effort of political and administrative decentralization as a means to increase its hold on power. That effort continued under Salinas, but paradoxically led to further centralization. However, since Zedillo assumed the presidency, it has become increasingly clear that the survival of the ruling party and, indeed, the viability of his own government require a genuine, de facto reduction of centralism.
Author: G. Shabbir Cheema
Publisher: Brookings Institution Press
ISBN: 0815713908
Category : Business & Economics
Languages : en
Pages : 338
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Book Description
A Brookings Institution Press and Ash Center for Democratic Governance and Innovation publication The trend toward greater decentralization of governance activities, now accepted as commonplace in the West, has become a worldwide movement. This international development—largely a product of globalization and democratization—is clearly one of the key factors reshaping economic, political, and social conditions throughout the world. Rather than the top-down, centralized decisionmaking that characterized communist economies and Third World dictatorships in the twentieth century, today's world demands flexibility, adaptability, and the autonomy to bring those qualities to bear. In this thought-provoking book, the first in a new series on Innovations in Governance, experts in government and public management trace the evolution and performance of decentralization concepts, from the transfer of authority within government to the sharing of power, authority, and responsibilities among broader governance institutions. This movement is not limited to national government—it also affects subnational governments, NGOs, private corporations, and even civil associations. The contributors assess the emerging concepts of decentralization (e.g., devolution, empowerment, capacity building, and democratic governance). They detail the factors driving the movement, including political changes such as the fall of the Iron Curtain and the ascendance of democracy; economic factors such as globalization and outsourcing; and technological advances (e.g. increased information technology and electronic commerce). Their analysis covers many different contexts and regions. For example, William Ascher of Claremont McKenna College chronicles how decentralization concepts are playing out in natural resources policy, while Kadmeil Wekwete (United Nations) outlines the specific challenges to decentralizing governance in sub-Saharan Africa. In each case, contributors explore the objectives of a decentralizing strategy as well as the benefits and difficulties that will likely result.
Author: John S. Akin
Publisher: World Bank Publications
ISBN: 9780821309001
Category : Business & Economics
Languages : en
Pages : 104
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Book Description
This report discusses several different approaches that support reforming health care services in developing countries. For some time now, health care services have been supported by government funds. As demands for improving health care services continue to increase additional demands will be placed on governments to respond. This, however, will not be easy. Slow economic growth and record budget deficits in the 1980's have forced reductions in public spending. Alternative approaches to finance health care services are needed. Such possible changes could involve: decentralization of federal government involvement; the promotion of nongovernment involvement; the imposition of user fees; and, establishing health insurance. Finally, the role of the Bank in pursuing new financing strategies is discussed.
Author: Eduardo Canel
Publisher: Penn State Press
ISBN: 0271037334
Category : Political Science
Languages : en
Pages : 262
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Book Description
The transition to democracy underway in Latin America since the 1980s has recently witnessed a resurgence of interest in experimenting with new forms of local governance emphasizing more participation by ordinary citizens. The hope is both to foster the spread of democracy and to improve equity in the distribution of resources. While participatory budgeting has been a favorite topic of many scholars studying this new phenomenon, there are many other types of ongoing experiments. In Barrio Democracy in Latin America, Eduardo Canel focuses our attention on the innovative participatory programs launched by the leftist government in Montevideo, Uruguay, in the early 1990s. Based on his extensive ethnographic fieldwork, Canel examines how local activists in three low-income neighborhoods in that city dealt with the opportunities and challenges of implementing democratic practices and building better relationships with sympathetic city officials.
