PHA-Exchange> Evidences on weaknesses and strengths from health financing after decentralization

[claudio at hcmc.netnam.vn]

 from "Ruggiero, Mrs. Ana Lucia (WDC)" <ruglucia at PAHO.ORG> -----
 
Evidences on weaknesses and strengths from health financing after
decentralization: lessons from Latin America countries

Armando Arredondo, Emanuel Orozco y Esteban De Icaza 

 International Journal of Health Planning and Management 2005; 20:
181-204. 

http://www3.interscience.wiley.com/cgi-bin/abstract/110528955/ABSTRACT
<http://www3.interscience.wiley.com/cgi-bin/abstract/110528955/ABSTRACT>

'...The main objective was to identify trends and evidence on health
financing after health care decentralization. Evaluative research with a
 before-after design integrating qualitative and quantitative analysis.
Taking into account feasibility, political and technical criteria, three
 Latin American countries were selected as study populations: Mexico,
Nicaragua and Peru...Weaknesses: a lack of human resources
trained in health economics who can implement changes, a lack of
financial resource independence between the local and central
levels.....
Strengths: the sharing between the central level and local levels of
responsibility for financing health services, the implementation o
new organizational structures for the follow-up of financial changes at
the local level..."


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