Decentralisation; The Question of Management Capacity: A Response to Recent Commentaries

Document Type : Correspondence

Authors

Health Systems Section, School of Population Health, The University of Auckland, Auckland, New Zealand

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Whilst decentralisation as an instrument of healthcare reform remains popular, commentaries1-5 to our paper titled “Decentralisation of health services in Fiji: A decision space analysis”6 highlight the complexity in understanding decentralisation, with the significant body of research on decentralisation lacking consensus on its definition,7 differing on what constitutes decentralisation,7-11 emphasising different theoretical underpinnings and frameworks,7,12-14 and reporting varying applications and outcomes of decentralisation... (Read more...)

References

  1. Bossert TJ. Decision space and capacities in the decentralization of health services in Fiji: Comment on “Decentralisation of health services in Fiji: a decision space analysis.” Int J Health Policy Manag. 2016;5(7):443-444. doi:10.15171/ijhpm.2016.51
  2. Bustamante AV. U-form vs. M-form: how to understand decision autonomy under healthcare decentralization? Comment on “Decentralisation of health services in Fiji: a decision space analysis.” Int J Health Policy Manag. 2016;5(9):561-563. doi:10.15171/ijhpm.2016.73
  3. Zahmatkesh M, Exworthy M. Decentralisation, decision space and directions for future research: Comment on “Decentralisation of health services in Fiji: a decision space analysis.” Int J Health Policy Manag. 2016;5(10):607-608. doi:10.15171/ijhpm.2016.76
  4. Faguet JP. Low decision space means no decentralization in Fiji: Comment on “Decentralisation of health services in Fiji: a decision space analysis.” Int J Health Policy Manag. 2016;5(11):663-665. doi:10.15171/ijhpm.2016.82
  5. Peckham S. Decentralisation–a portmanteau concept that promises much but fails to deliver? Comment on “Decentralisation of health services in Fiji: a decision space analysis.” Int J Health Policy Manag. 2016; Forthcoming.  doi:10.15171/ijhpm.2016.88
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History

  • Receive Date: 20 September 2016
  • Revise Date: 04 October 2016
  • Accept Date: 01 October 2016
  • First Publish Date: 01 January 2017

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