Decentralization has become a popular management strategy in many European health care systems. The term describes a wide variety of power transfer arrangements and accountability systems. The logic of decentralization is grounded in an intrinsically powerful idea; that smaller organizations, properly structured and steered, are inherently more agile and accountable than larger organizations. In a world where large organizations control wide swathes of both public and private sector activity, the possibility of establishing more locally operated, locally responsible institutions holds out great attraction.
In: Saltman, R.; Bankauskaite, V.; Vrangbaek, K. (eds), Decentralisation in Health Care: strategies and outcomes, Milton Keynes, UK., Open University Press, ISBN: 9780335219254, 352 pp.