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Decentralizing Health Services in the UK: A New Conceptual Framework

Peckham, Stephen, Exworthy, Mark, Powell, Martin, Greener, Ian (2008) Decentralizing Health Services in the UK: A New Conceptual Framework. Public Administration, 86 (2). pp. 559-580. ISSN 1467-9299. (doi:10.1111/j.1467-9299.2007.00709.x) (The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided) (KAR id:40317)

The full text of this publication is not currently available from this repository. You may be able to access a copy if URLs are provided.
Official URL:
http://dx.doi.org/10.1111/j.1467-9299.2007.00709.x

Abstract

Decentralization is a central plank of current government health policy. However, it is possible to discern both centralist and decentralist movements in the UK. This paper examines existing frameworks of decentralization in relation to identifying whether policy is decentralist or not and identifies a number of problems that limit their value. Key problems relate to the way decentralization is conceptualized and defined. Existing frameworks are also highly contextualized and are therefore of limited value when applied in different contexts. The paper then presents a new framework which, it is argued, provides a more useful way of examining centralization and decentralization by providing a way of categorizing policies and actions and avoids the problems of being contextually constrained. The paper ends with a discussion of how the framework can be applied in a health context and shows how this framework helps avoid the problems found in previous discussions of decentralization.

Item Type: Article
DOI/Identification number: 10.1111/j.1467-9299.2007.00709.x
Additional information: number of additional authors: 3;
Subjects: R Medicine > RA Public aspects of medicine
R Medicine > RA Public aspects of medicine > RA421 Public health. Hygiene. Preventive Medicine
Divisions: Divisions > Division for the Study of Law, Society and Social Justice > School of Social Policy, Sociology and Social Research
Depositing User: Stewart Brownrigg
Date Deposited: 07 Mar 2014 00:05 UTC
Last Modified: 16 Nov 2021 10:15 UTC
Resource URI: https://kar.kent.ac.uk/id/eprint/40317 (The current URI for this page, for reference purposes)

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