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Decentralisation and management autonomy?: evidence from the Catalonian hospital sector in a decentralised Spain

López Casasnovas, Guillem, McDaid, David and Costa-i-Font, Joan (2009) Decentralisation and management autonomy?: evidence from the Catalonian hospital sector in a decentralised Spain. International Public Management Review, 10 (2). pp. 103-119. ISSN 1662-1387

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Abstract

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.

Item Type: Article
Official URL: http://www.tandfonline.com/loi/upmj20
Additional Information: © 2009 International Public Management Network
Library of Congress subject classification: R Medicine > RA Public aspects of medicine
Sets: Departments > European Institute
Departments > Social Policy
Research centres and groups > Personal Social Services Research Unit (PSSRU)
Research centres and groups > LSE Health
Rights: http://www.lse.ac.uk/library/usingTheLibrary/academicSupport/OA/depositYourResearch.aspx
Date Deposited: 17 Feb 2011 16:53
URL: http://eprints.lse.ac.uk/32677/

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