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OverviewWhile 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 Careis a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic. Full Product DetailsAuthor: Gregory Marchildon , Thomas J. Bossert , Michael NaydanPublisher: University of Toronto Press Imprint: University of Toronto Press Volume: 75 Dimensions: Width: 15.20cm , Height: 1.70cm , Length: 22.90cm Weight: 0.410kg ISBN: 9781487521547ISBN 10: 1487521545 Pages: 272 Publication Date: 08 March 2018 Audience: College/higher education , Professional and scholarly , Tertiary & Higher Education , Professional & Vocational Format: Paperback Publisher's Status: Active Availability: Temporarily unavailable  The supplier advises that this item is temporarily unavailable. It will be ordered for you and placed on backorder. Once it does come back in stock, we will ship it out to you. Table of ContentsReviewsIn providing a systematic and comprehensive description of health system decentralization in eight different countries, Federalism and Decentralization in Health Care achieves an ambitious goal, and will be of interest to scholars of both health policy and federalism. This book provides a snapshot of both federal and health policy institutions in a wide variety of cases, and uses a framework that makes them comparable. - Katherine Boothe, Department of Political Science, McMaster University ""In providing a systematic and comprehensive description of health system decentralization in eight different countries, Federalism and Decentralization in Health Care achieves an ambitious goal, and will be of interest to scholars of both health policy and federalism. This book provides a snapshot of both federal and health policy institutions in a wide variety of cases, and uses a framework that makes them comparable."" --Katherine Boothe, Department of Political Science, McMaster University Author InformationGregory P. Marchildon is a professor emeritus at the Institute of Health Policy, Management, and Evaluation at the University of Toronto and the founding director of the North American Observatory on Health Systems and Policies. Thomas J. Bossert is a senior lecturer and the Director of the International Health Systems Program of the Harvard T.H. Chan School of Public Health. Tab Content 6Author Website:Countries AvailableAll regions |
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