مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

video

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

sound

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Persian Version

مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

View:

231
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Download:

184
مرکز اطلاعات علمی Scientific Information Database (SID) - Trusted Source for Research and Academic Resources

Cites:

1

Information Journal Paper

Title

DECENTRALISATION OF HEALTH SERVICES IN FIJI: A DECISION SPACE ANALYSIS

Pages

  173-181

Abstract

 Background: DECENTRALISATION aims to bring services closer to the community and has been advocated in the health sector to improve quality, access and equity, and to empower local agencies, increase innovation and efficiency and bring healthcare and decision-making as close as possible to where people live and work. FIJI has attempted two approaches to DECENTRALISATION. The current approach reflects a model of deconcentration of outpatient services from the tertiary level hospital to the peripheral health centres in the Suva subdivision.Methods: Using a modified DECISION SPACE approach developed by Bossert, this study measures DECISION SPACE created in five broad categories (finance, service organisation, human resources, access rules, and governance rules) within the decentralised services.Results: FIJI’s centrally managed historical-based allocation of financial resources and management of human resources resulted in no DECISION SPACE for decentralised agents. Narrow DECISION SPACE was created in the service organisation category where, with limited DECISION SPACE created over access rules, FIJI has seen greater usage of its decentralised health centres. There remains limited DECISION SPACE in governance.Conclusion: The current wave of DECENTRALISATION reveals that, whilst the workload has shifted from the tertiary hospital to the peripheral health centres, it has been accompanied by limited transfer of administrative authority, suggesting that FIJI’s deconcentration reflects the transfer of workload only with decision-making in the five functional areas remaining largely centralised. As such, the benefits of DECENTRALISATION for users and providers are likely to be limited.

Cites

References

  • No record.

    • Cite

    APA: Copy

    MOHAMMED, JALAL, NORTH, NICOLA, & ASHTON, TONI. (2016). DECENTRALISATION OF HEALTH SERVICES IN FIJI: A DECISION SPACE ANALYSIS. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, 5(3), 173-181. SID. https://sid.ir/paper/338255/en

    Vancouver: Copy

    MOHAMMED JALAL, NORTH NICOLA, ASHTON TONI. DECENTRALISATION OF HEALTH SERVICES IN FIJI: A DECISION SPACE ANALYSIS. INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT[Internet]. 2016;5(3):173-181. Available from: https://sid.ir/paper/338255/en

    IEEE: Copy

    JALAL MOHAMMED, NICOLA NORTH, and TONI ASHTON, “DECENTRALISATION OF HEALTH SERVICES IN FIJI: A DECISION SPACE ANALYSIS,” INTERNATIONAL JOURNAL OF HEALTH POLICY AND MANAGEMENT, vol. 5, no. 3, pp. 173–181, 2016, [Online]. Available: https://sid.ir/paper/338255/en

    Related Journal Papers

  • No record.

    • Related Seminar Papers

  • No record.

    • Related Plans

  • No record.

    • Recommended Workshops






    Move to top
    telegram sharing button
    whatsapp sharing button
    linkedin sharing button
    twitter sharing button
    email sharing button
    email sharing button
    email sharing button
    sharethis sharing button