The impacts of decentralization on health system equity, efficiency and resilience: a realist synthesis of the evidence

• Published in: Health policy and planning Vol. 34; no. 8; pp. 605 - 617
• Main Authors: Abimbola, Seye, Baatiema, Leonard, Bigdeli, Maryam
• Format: Journal Article
• Language: English
• Published: England Oxford University Press 01.10.2019; Oxford Publishing Limited (England)
• Subjects: Accountability; Committees; Community health; Decentralization; Delivery of Health Care - methods; Delivery of Health Care - organization & administration; Efficiency; Governance; Health boards; Health Equity; Health services; Health status; Humans; Intervention; Jurisdiction; Literature reviews; Local Government; Policy making; Politics; Qualitative research; Resilience; Review; Socioeconomic factors; Synthesis; Systematic review; Voting; efficiency; realist; health system; Decentralization; community; equity; resilience

Abstract One constant refrain in evaluations and reviews of decentralization is that the results are mixed. But given that decentralization is a complex intervention or phenomenon, what is more important is to generate evidence to inform implementation strategies. We therefore synthesized evidence f...