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Decentralizing Health Services A Global Perspective Krishna Regmi, editor Current economic, demographic, and environmental shifts are presenting major challenges to health care systems around the world. In response, decentralization--the transfer of control from central to local authorities--is emerging as a successful means of meeting these challenges and reducing inequities of care. But as with health care itself, one size does not fit all, and care systems must be responsive to global reality as well as local demand. Decentralizing Health Services explores a variety of applications of decentralization to health care delivery in both the developing and developed worlds. Outfitted with principles, blueprints, and examples, this ambitious text clearly sets out the potential role of decentralized care as a major player in public health. Its models of service delivery illustrate care that is effective, inclusive, flexible, and in tune with the current era of preventive and evidence-based healthcare . Contributors point out opportunities, caveats, and controversies as they: * Clarify the relationships among decentralization, politics, and policy* Differentiate between political, fiscal, and administrative decentralization in health care systems* Consider public/private partnerships in health systems* Explain how the effects of decentralization can be evaluated.* Present the newest data on the health outcomes of decentralization* Explore some challenges and global issues of health systems in the 21st century* And each chapter features learning goals, discussion questions, activities, and recommendations for further reading Heralding changes poised to revolutionize care, Decentralizing Health Services will broaden the horizons of researchers and administrators in health services, health economics, and health policy
Driving away from home, at 38, for the first time in her whole life, Samantha and her daughter were on an adventure. After reading an article on the prettiest little ghost towns in America, one of the towns seem to call to Samantha's heart. So, Samantha researched, on the internet, the picturesque, gold-rush, ghost town. It was literally a population of zero and for sale: lock, stock and barrel for a steal...Sam wasn't leading this town hall so she took the first chair and sat down to listen. She looked around but Lexie wasn't in the hall. She was in an empty room that was full to capacity. Sam couldn't hear the conversations. The people seemed to be hazy balls of mist and the voices seemed like a muffled, far off rumble...Josh was having real trouble keeping a train of thought in this place. He kept wanting to kiss Samantha every time he looked at her. She wasn't small and petite, like his normal type. She was sturdy and strong. She was also clear headed and intelligent with the exception of believing there are ghosts. She was pretty, though. She had long beautiful brown hair, that looked so soft he wanted to reach out and touch it. She had piercing light blue eyes and a smile that was seriously hard not to respond to. Her smile brought out the dimples in her cheeks, which made it exceedingly hard not to kiss her. Besides that he felt like he was being pushed toward her. When she had kept him from falling earlier he had kept his hands down, but the urge to hold her was almost unmanageable. There was a teenager hanging around and the lady was crazy. She really believed there were ghosts here. He had to get out of here... To bad he was so very drawn to her...
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