MARC details
| 000 -LEADER |
|---|
| fixed length control field |
03127cam a2200469 4500 |
| 001 - CONTROL NUMBER |
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| control field |
9241561378 |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER |
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| International Standard Book Number |
9241561378 |
| 035 ## - |
|---|
| -- |
(Sirsi) 9241561378 |
| 060 ## - NATIONAL LIBRARY OF MEDICINE CALL NUMBER |
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| Classification number |
WA 540.1 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
|---|
| fixed length control field |
900723s1990 1 0 eng |
| 242 10 - TRANSLATION OF TITLE BY CATALOGING AGENCY |
|---|
| Title |
La Décentralisation des systèmes de santé : |
| Remainder of title |
concepts, problèmes et expériences de quelques pays |
| 245 00 - TITLE STATEMENT |
|---|
| Title |
Health system decentralization : |
| Remainder of title |
concepts, issues and country experience / |
| Statement of responsibility, etc. |
edited by Anne Mills ... [et al.] |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. (IMPRINT) |
|---|
| Place of publication, distribution, etc. |
Geneva : |
| Name of publisher, distributor, etc. |
World Health Organization, |
| Date of publication, distribution, etc. |
1990. |
| 300 ## - PHYSICAL DESCRIPTION |
|---|
| Extent |
151 p. |
| 500 ## - GENERAL NOTE |
|---|
| General note |
ind published by: Yogyakarta : Gadjah Mada University Press. |
| 520 3# - SUMMARY, ETC. |
|---|
| Summary, etc. |
Evaluates the extent to which decentralization can serve as a policy instrument for the improvement of a nations health system. Addressed to policy-makers and administrators, the book combines a literature review with an analysis of country experiences to define what decentralization actually means when applied to the organization and management of health services. While noting the many theoretical benefits of a decentralized health system, the book concentrates on the gap between the intentions and the reality, stressing facts and arguments that show why decentralization is never easily implemented and rarely brings immediate gains. Problems identified include the resistance of civil servants to a change in the power structure, the difficulty of persuading staff and their families to accept peripheral posts, and the risk that greater local authority will mean greater opportunity for patronage and corruption. Throughout, emphasis is placed on the need to accept the fact that reform requires a long-term commitment. The main part of the book consists of case studies of decentralization as experienced in Botswana, Chile, Mexico, the Netherlands, New Zealand, Papua New Guinea, Senegal, Spain, Sri Lanka and Yugoslavia. Apart from illustrating the different legal and administrative mechanisms that support decentralization, these studies also provide a rich inventory of the many practical and human factors that ultimately determine the success of reforms. The book concludes with an analysis of lessons learned from these experiences. Policies for raising revenue and controlling expenditure are identified as the most sensitive issues, followed by a number of practical problems with personnel. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
eng fre spa. |
| 546 ## - LANGUAGE NOTE |
|---|
| Language note |
ind. |
| 550 ## - ISSUING BODY NOTE |
|---|
| Issuing body note |
WHODOC |
| 561 ## - OWNERSHIP AND CUSTODIAL HISTORY |
|---|
| History |
WHO monograph |
| 596 ## - |
|---|
| -- |
4 |
| 650 02 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Health services administration. |
| 650 02 - SUBJECT ADDED ENTRY--TOPICAL TERM |
|---|
| Topical term or geographic name as entry element |
Health policy. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Botswana. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Chile. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Mexico. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Netherlands. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
New Zealand. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Papua New Guinea. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Senegal. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Spain. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Sri Lanka. |
| 651 #2 - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
|---|
| Geographic name |
Serbia and Montenegro |
| 690 ## - LOCAL SUBJECT ADDED ENTRY--TOPICAL TERM (OCLC, RLIN) |
|---|
| Topical term or geographic name as entry element |
Health Management and Planning. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Mills, Anne. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Vaughan, J. Patrick. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Smith, Duane L. |
| 700 1# - ADDED ENTRY--PERSONAL NAME |
|---|
| Personal name |
Tabibzadeh, Iraj. |
| 710 2# - ADDED ENTRY--CORPORATE NAME |
|---|
| Corporate name or jurisdiction name as entry element |
World Health Organization. |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
|---|
| Uniform Resource Identifier |
<a href="https://apps.who.int/iris/">https://apps.who.int/iris/</a> |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
|---|
| Source of classification or shelving scheme |
NLM Classification Scheme |
| Koha item type |
Books |
