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[Operationalizing the categories access and decentralization in health systems analysis]
V A Hortale1, M Pedroza, M L Rosa
1Departamento de Administração e Planejamento em Saúde, Escola Nacional de Saúde Pública, Fundação Oswaldo Cruz, Rio de Janeiro, Brasil. virginia@ensp.fiocruz.br
Cadernos De Saude Publica
|March 30, 2000
Summary
Decentralization in health systems improves user access. This study proposes a model to link decentralization and access to real-world health system observations.
Area of Science:
- Health Systems Analysis
- Public Health Policy
- Healthcare Management
Context:
- Decentralization is a key health system reform.
- Understanding its impact on access is crucial.
- Existing models may not fully capture this relationship.
Purpose:
- To operationalize access and decentralization within a health systems model.
- To test the hypothesis that decentralization enhances user access.
- To bridge the gap between theoretical concepts and empirical evidence.
Summary:
- Proposes an analytical model for health systems focusing on decentralization and access.
- Hypothesizes a positive correlation between health system decentralization and improved user access.
- Aims to connect theoretical constructs of decentralization and access with observable outcomes.
Impact:
- Provides a framework for analyzing health system performance.
- Informs policy decisions regarding health system decentralization.
- Contributes to a better understanding of factors influencing healthcare access.