Analiza wybranych kryteriów wartościujących dla oceny procesów decentralizacji i centralizacji w ochronie zdrowia

• Authors: Iwona Kowalska , Anna Mokrzycka

Title variants

EN

The analysis of the driving forces initiating the decentralization/centralization processes

• Languages of publication: PL

Abstracts

EN

Decentralization is often presented as a ‘magic bullet’ that can address a wide variety of different problems in health systems. The article explores the main driving forces behind the decentralization and centralization processes and the pro and cons often presented in this respect. The paper goal focuses on the analysis of the potential incentives (driving forces) initiating the processes of decentralization/centralization with the use of the arguments concerning the sphere of sciences in regard to the public administration, political sciences and management theories. The theoretical perspective offers the three concepts of the driving forces useful for the explanation of relationships between health systems and the realized decentralization strategy: (1) concerning the system’s performance issues; (2) the legitimacy questions, and (3) the self–interests of the given subject. The first category reflects the influence of vision of health systems functioning as organisms that can be adjusted to the new circumstances by the strategists and decision makers. The second perspective concentrates on the legitimacy. It concerns the vision of the organisations representing a particular social culture. Legitimacy and cultural adequacy are the important factors from the decision- makers perspective at all the organisational levels, enabling support and change. Self-interest (the third perspective) focuses on the personal and institutional engagement and real (material) interests as a driving forces for decentralization. It creates the image of health care organisations as politically related systems characte4rized by the conflict situation rather than unification of goals, plans and strategies

Keywords

PL

centralizacja w ochronie zdrowia; decentralizacja w ochronie zdrowia; system zdrowotny

EN

centralization in health care; decentralization in health care; health care system

• Publisher: Uniwersytet Jagielloński
• Journal: Zdrowie Publiczne i Zarządzanie
• Year: 2012
• Volume: 10
• Issue: 3
• Pages: 169–176

Dates

online

2013-06-30

Contributors

author

Iwona Kowalska

• 1Collegium Medicum Uniwersytetu Jagiellońskiego

author

Anna Mokrzycka

• 1Collegium Medicum Uniwersytetu Jagiellońskiego

Identifiers

DOI

10.4467/20842627OZ.13.018.1166