NDLI: Organizational innovations and health care decentralization: a perspective from Spain.

Please wait, while we are loading the content...

Organizational innovations and health care decentralization: a perspective from Spain.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	López-Casasanovas, Guillem
Spatial Coverage	Spain
Description	Country affiliation: Spain Author Affiliation: López-Casasanovas G ( Department of Economics and Business, Universitat Pompeu Fabra, Barcelona, Spain. guillem.lopez@upf.edu)
Abstract	Recent policy developments in public health care systems lead to a greater diversity in health care. Decentralization, either geographically or at an institutional level, is the key force, because it encourages innovation and local initiatives in health care provision. The devolution of responsibilities allows for a sort of 'deconstruction' of the status quo by changing both organizational forms and service provision. The new organizations enjoy greater freedom in the way they pay their staff, and are judged according to the results. These organizations may retain financial surpluses, develop 'spin-off' companies, and commission a range of specialized services (such as Diagnostic and Treatment Centres in UK) from providers outside the institutional setting in order to have more access to capital markets. However, this diversity may generate a feeling of a lack of commitment to a national health service and ultimately a loss of social cohesion. Through fiscal decentralization to regional authorities or planned delegation of financial agreements to providers, financial incentives are more explicit and may seem to place profit making above a commitment to better health care. An evaluation of the 'myths and realities' of the decentralization process is needed. Here, I offer an assessment of the 'pros' and 'cons' of the health care decentralization process in Spain, drawing on the experience of regional reforms from the pioneering organizational innovations implemented in Catalonia in 1981, up to the currently observed dispersion of health care spending per capita across the regions.
File Format	HTM / HTML
ISSN	17441331
Issue Number	Pt 2
Volume Number	2
e-ISSN	1744134X
Journal	Health Economics, Policy and Law
Language	English
Publisher	Cambridge University Press
Publisher Date	2007-04-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Discipline Jurisprudence Discipline Health Services Health Care Reform National Health Programs Organization & Administration Politics Humans Organizational Innovation Public Health Spain Journal Article
Content Type	Text
Resource Type	Article
Subject	Health Policy

Sl.	Authority	Responsibilities	Communication Details
1	Ministry of Education (GoI), Department of Higher Education	Sanctioning Authority	https://www.education.gov.in/ict-initiatives
2	Indian Institute of Technology Kharagpur	Host Institute of the Project: The host institute of the project is responsible for providing infrastructure support and hosting the project	https://www.iitkgp.ac.in
3	National Digital Library of India Office, Indian Institute of Technology Kharagpur	The administrative and infrastructural headquarters of the project	Dr. B. Sutradhar bsutra@ndl.gov.in
4	Project PI / Joint PI	Principal Investigator and Joint Principal Investigators of the project	Dr. B. Sutradhar bsutra@ndl.gov.in Prof. Saswat Chakrabarti will be added soon
5	Website/Portal (Helpdesk)	Queries regarding NDLI and its services	support@ndl.gov.in
6	Contents and Copyright Issues	Queries related to content curation and copyright issues	content@ndl.gov.in
7	National Digital Library of India Club (NDLI Club)	Queries related to NDLI Club formation, support, user awareness program, seminar/symposium, collaboration, social media, promotion, and outreach	clubsupport@ndl.gov.in
8	Digital Preservation Centre (DPC)	Assistance with digitizing and archiving copyright-free printed books	dpc@ndl.gov.in
9	IDR Setup or Support	Queries related to establishment and support of Institutional Digital Repository (IDR) and IDR workshops	idr@ndl.gov.in

Stewardship of the Spanish national health system.

Conceptualizing decentralization in European health systems: a functional perspective.

Governing decentralization in health care under tough budget constraint: what can we learn from the Italian experience?

The politics of health-care reform in the Netherlands since 2006.

Pathways towards chronic care-focused healthcare systems: evidence from Spain.

The crisis as catalyst for reframing health care policies in the European Union.

New Zealand's post-2008 health system reforms: toward re-centralization of organizational arrangements.

Fiscal decentralization in the Italian NHS: what happens to interregional redistribution?

Are public health authorities able to 'steer' rather than 'row'? An empirical analysis in the Italian National Health Service.

Organizational innovations and health care decentralization: a perspective from Spain.

Similar Documents

Stewardship of the Spanish national health system.

Conceptualizing decentralization in European health systems: a functional perspective.

Governing decentralization in health care under tough budget constraint: what can we learn from the Italian experience?

The politics of health-care reform in the Netherlands since 2006.

Pathways towards chronic care-focused healthcare systems: evidence from Spain.

The crisis as catalyst for reframing health care policies in the European Union.

New Zealand's post-2008 health system reforms: toward re-centralization of organizational arrangements.

Fiscal decentralization in the Italian NHS: what happens to interregional redistribution?

Are public health authorities able to 'steer' rather than 'row'? An empirical analysis in the Italian National Health Service.

Organizational innovations and health care decentralization: a perspective from Spain.