Open-access The reorganization of health services: reflections on the relationship between decentralization, local autonomy and citizens' participation

Abstract

This paper discusses certain historical and theoretical aspects pertaining to the concepts of decentralization, local autonomy, and citizens' participation in studies on the reorganization of health services. Further studies should be undertaken to identify determinants of and limits to the reorganization of health services, greater local autonomy and citizens' participation. Various hypotheses and future courses of study are proposed.

Reorganization of Health Services; Decentralization of Health Services


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