文章基本信息

标题：Decentralization and Management Autonomy? Evidence from the Catalonian Hospital Sector in a Decentralized Spain
其他标题：Decentralization and Management Autonomy? Evidence from the Catalonian Hospital Sector in a Decentralized Spain
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作者：Guillem López Casasnovas ; David McDaid ; Joan Costa-Font 等
期刊名称：International Public Management Review (IPMR)
出版年度：2009
卷号：10
期号：2
页码：103-119
语种：English
出版社：International Public Management Network
摘要：The organization of inpatient care provision has undergone significant reform in many southern European countries although the success of the underlying incentives relies on the institutional design with respect to achieving efficiency and promoting policy innovation without harming the essential principle of ‘equal access for equal need’ that grounds National Health Systems (NHS). This article explores some of the specific organizational developments of decentralizations structures drawing from the Catalonian experiences. We find that the coincidence of both managerial and political decentralization is associated with the mergence of organization and policy innovation resulting from policy experimentation at the regional level might be an additional feature to take into account when examining the benefits of decentralization.