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The impacts of decentralisation on health-related equity: A systematic review of the evidence

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  • Sumah, Anthony Mwinkaara
  • Baatiema, Leonard
  • Abimbola, Seye

Abstract

Decentralised governance of health care has been widely adopted globally over the past three decades. But despite being implemented as a management strategy across many health systems, its impact on health equity is yet unclear.

Suggested Citation

  • Sumah, Anthony Mwinkaara & Baatiema, Leonard & Abimbola, Seye, 2016. "The impacts of decentralisation on health-related equity: A systematic review of the evidence," Health Policy, Elsevier, vol. 120(10), pages 1183-1192.
    • Handle: RePEc:eee:hepoli:v:120:y:2016:i:10:p:1183-1192
    DOI: 10.1016/j.healthpol.2016.09.003
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    2. Wei, Yao & Anselmi, Laura & Munford, Luke & Sutton, Matt, 2023. "The impact of devolution on experienced health and well-being," Social Science & Medicine, Elsevier, vol. 333(C).
    3. Abrigo, Michael Ralph M. & Ortiz, Danica Aisa P. & Tam, Zhandra C, 2017. "Decentralization and Health in the Philippines: A Systematic Review of Empirical Evidences," Discussion Papers DP 2017-58, Philippine Institute for Development Studies.
    4. Degeling, Chris & Carroll, Jane & Denholm, Justin & Marais, Ben & Dawson, Angus, 2020. "Ending TB in Australia: Organizational challenges for regional tuberculosis programs," Health Policy, Elsevier, vol. 124(1), pages 106-112.
    5. Gordon Dugle & Stephen Debar Kpinpuo & Benjamin Baisie Ghartey, 2021. "From paper to practice: an exploratory study of policy making and implementation in alternative forms of healthcare public‐private partnership in Ghana," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(3), pages 866-884, May.
    6. Andreas P Kyriacou & Oriol Roca-Sagalés, 2024. "Fiscal Decentralization and Health Care Access and Quality: Evidence from Local Governments around the World," Publius: The Journal of Federalism, CSF Associates Inc., vol. 54(2), pages 313-338.
    7. Hilaire Zon & Milena Pavlova & Wim Groot, 2020. "Regional health disparities in Burkina Faso during the period of health care decentralization. Results of a macro‐level analysis," International Journal of Health Planning and Management, Wiley Blackwell, vol. 35(4), pages 939-959, July.
    8. Niccol? Persiani & Martina Giusti & Maria Jose Caldes & Afef Hagi, 2022. "Il contributo del management alla definizione della strategia di decentramento del Servizio Sanitario: il caso del Servizio Sanitario Tunisino," MECOSAN, FrancoAngeli Editore, vol. 2022(122), pages 85-103.
    9. Koch, Kira Johanna & Cid Pedraza, Camilo & Schmid, Andreas, 2017. "Out-of-pocket expenditure and financial protection in the Chilean health care system—A systematic review," Health Policy, Elsevier, vol. 121(5), pages 481-494.
    10. Smith, Robert William & Jarvis, Tamika & Sandhu, Harman Singh & Pinto, Andrew D. & O'Neill, Meghan & Di Ruggiero, Erica & Pawa, Jasmine & Rosella, Laura & Allin, Sara, 2023. "Centralization and integration of public health systems: Perspectives of public health leaders on factors facilitating and impeding COVID-19 responses in three Canadian provinces," Health Policy, Elsevier, vol. 127(C), pages 19-28.
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    12. Lupton, Ruth & Hughes, Ceri & Peake-Jones, Sian & Cooper, Kerris Maya Louise, 2018. "City-region devolution in England," LSE Research Online Documents on Economics 121546, London School of Economics and Political Science, LSE Library.
    13. Mikael Ohrling & John Øvretveit & Mats Brommels, 2021. "Can management decentralisation resolve challenges faced by healthcare service delivery organisations? Findings for managers and researchers from a scoping review," International Journal of Health Planning and Management, Wiley Blackwell, vol. 36(1), pages 30-41, January.
    14. Gonçalo Santinha & Alexandre Fernandes & Rafaela Oliveira & Nelson Pacheco Rocha, 2023. "Designing a Health Strategy at Local Level: A Conceptual Framework for Local Governments," IJERPH, MDPI, vol. 20(13), pages 1-22, June.
    15. Harvy Joy Liwanag & Kaspar Wyss, 2018. "What conditions enable decentralization to improve the health system? Qualitative analysis of perspectives on decision space after 25 years of devolution in the Philippines," PLOS ONE, Public Library of Science, vol. 13(11), pages 1-20, November.
    16. Yue Dong & Dipanwita Sarkar & Jayanta Sarkar, 2021. "Decentralization and health resource allocation: Quasi-experimental evidence from China," QuBE Working Papers 060, QUT Business School.

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