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Federalism And Decentralization In European Health And Social Care

Author: J. Costa-Font
Publisher: Springer
ISBN: 1137291877
Size: 75.16 MB
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This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.

Federalism And Decentralization In European Health And Social Care

Author: J. Costa-Font
Publisher: Springer
ISBN: 1137291877
Size: 27.61 MB
Format: PDF, Mobi
View: 3077
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This is the first book to examine the processes of territorial federalization and decentralization of health systems in Europe drawing from an interdisciplinary economics, public policy and political science approach. It contains key theoretical and empirical features that allow an understanding of when health care decentralization is successful.

Federalism And Decentralization In European Health And Social Care

Author: Joan Costa-Font
Publisher: Palgrave Macmillan
ISBN: 0230285244
Size: 30.37 MB
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This book integrates two disciplines- economics and political science- to map the past, present and future of the territorial allocation of authority in the decentralized big countries of Western Europe. By comparing different states, attention is drawn to the interesting similarities and differences that exist in the health and social case policies of varying countries in Europe. The result is an analysis that highlights the ubiquity of territorial politics and the necessarily territorial nature of many health and social care policies. By clarifying assumptions that economists, political scientists and practitioners have often introduced into their analyses of decentralization and the allocation of authority in health, this book brings to the fore theoretical discussions from second generation fiscal federalism and new politics of the welfare state alongside both quantitative and qualitative empirical evidence of different European countries that differ widely in institutional design and historical inertias.

Federalism And Decentralization In Health Care

Author: Gregory Marchildon
Publisher: University of Toronto Press
ISBN: 1487513577
Size: 11.82 MB
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While 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 Care, is a valuable resource for those studying health care policy in federal systems and especially those interested in comparative aspects of the topic.

The Regional Dimension Of The European Union

Author: Charlie Jeffery
Publisher: Routledge
ISBN: 1136310932
Size: 64.31 MB
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Decision-making within the EU has moved to a third (regional) level of government emerging in the EU policy process alongside the first (Union) and second (member state) levels. Multi-level governance can increasingly be identified. These papers describe and analyse this third level.

Federalism And The Welfare State

Author: Herbert Obinger
Publisher: Cambridge University Press
ISBN: 9780521611848
Size: 55.73 MB
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This volume, first published in 2005, focuses on more than a century of interaction between political institutions and social policy outcomes.

Regional Interests And Regional Actors

Author: Jörg Mathias
Publisher: Routledge
ISBN: 1135768544
Size: 77.68 MB
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The question of how to organize and manage sustainable regional development has recently come to the fore in many places across the industrialized countries of Central and Western Europe, and especially within the European Union (EU). This book looks at the home-grown natural, economic and social, socio-political, political and administrative conditions which policy makers face, while also being subjected to numerous external influences. Political actors in less important EU regions attempt to create and implement strategies of regional development in the context of regional policy-making by EU institutions, national governments and the globalization process.

Federalism Beyond Federations

Author: Mr Klaus-Jürgen Nagel
Publisher: Ashgate Publishing, Ltd.
ISBN: 1409489116
Size: 12.18 MB
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Since the end of the Second World War, a set of democratic European countries have established a decentralized system of government based on federal or regional patterns. Some of these systems initially displayed an asymmetrical trend, however, some democracies have implemented a subsequent process of re-symmetrization that changes the structure and the legitimization of the previous political agreements. Charting the evolution of decentralization processes and asymmetries implemented in Belgium, Denmark, Finland, France, Italy, Portugal, Russia, Spain, Ukraine and the United Kingdom, leading international scholars illustrate which countries have evolved more symmetrically, why this is so and what the role of political actors in these processes have been. In doing so, each case study: – Examines the causes of the legal and constitutional asymmetries and the main political cleavages. – Analyses the main institutions, actors and factors that influence the political dynamics of the territorial debate. – Questions whether there is such a process of re-symmetrization – Presents the main actors in favour of the process of re-symmetrization and of maintaining the constitutional and legal asymmetries Written accessibly and contributing to key debates on federalism and asymmetry, Federalism beyond Federations appeals to academics, politicians, decision-makers and all those interested in the political problems facing modern democracies.

Federalism And Regional Policy In Contemporary Russia

Author: Andrey Starodubtsev
Publisher: Routledge
ISBN: 1317136144
Size: 51.69 MB
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How do Russian leaders balance the need to decentralize governance in a socially and politically complex country with the need to guarantee political control of the state? Since the early 2000s Russian federal authorities have arranged a system of political control on regional elites and their leaders, providing a "police control" of special bodies subordinated by the federal center on policy implementation in the regions. Different mechanisms of fiscal federalism and investment policy have been used to ensure regional elites’ loyalty and a politically centralized but administratively decentralized system has been created. Asking clear, direct, and theoretically informed questions about the relationship between federalism, decentralization and authoritarianism, this book explores the political survival of authoritarian leaders, the determinants of policy formulation, and theories of federalism and decentralization, to reach a new understanding of territorial governance in contemporary Russia. As such, it is an important work for students and researchers in Russian studies and regional and federal studies.

Decentralization In Health Care

Author: Saltman
Publisher: McGraw-Hill Education (UK)
ISBN: 0335230210
Size: 19.23 MB
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·What are the characteristics that define a Social Health Insurance system? ·How is success measured in SHI systems? ·How are SHI systems developing in response to external pressures? Using the seven Social Health Insurance countries in western Europe - Austria, Belgium, France, Germany, Luxembourg, the Netherlands and Switzerland - as well as Israel, this important book reviews core structural and organizational dimensions, as well as recent reforms and innovations. Covering a wide range of policy issues, the book: ·Explores the pressures these health systems confront to be more efficient, more effective, and more responsive ·Reviews their success in addressing these pressures ·Examines the implications of change on the structure of SHI's as they are currently defined ·Draws out policy lessons about past experience and likely future developments in SHI systems in a manner useful to policymakers in Europe and elsewhere Social Health Insurance Systems in Western Europe will be of interest to students of health policy and management as well as health managers and policy-makers. Contributors: Helmut Brand, Jan Bultman, Reinhard Busse, Laurent Chambaud, David Chinitz, Diana M.J. Delnoij, André P. den Exter, Aad A. de Roo, Anna Dixon, Isabelle Durand-Zaleski, Hans F.W. Dubois, Josep Figueras, Bernhard Gibis, Stefan Greß, Bernhard J. Güntert, Jean Hermesse, Maria M. Hofmarcher, Martin McKee, Pedro W. Koch-Wulkan, Claude Le Pen, Kieke G.H. Okma, Martin Pfaff, Richard B. Saltman, Wendy G.M. van der Kraan, Jürgen Wasem, Manfred Wildner, Matthias Wismar.