Centralization and innovation: Competing priorities for health systems? Journal Articles

abstract

• AbstractOver the last 15 years, there has been a trend in Canada to centralise the provision of health services that were previously administratively and fiscally decentralised. Canadian policy rhetoric on centralisation often identifies improved innovation as an anticipated outcome. This paper challenges the assumed relationship between centralisation and innovation. We incorporate evidence from the management literature into the debate on the structure of health systems to explore the effects that centralisation is likely to have on innovation in health systems. The findings of this paper will be of interest to international policymakers, who are currently grappling with the prospect of maintaining a decentralised approach or adopting a more centralised health system structure in the future.

authors

• Scarffe, Andrew D
• Coates, Alison
• Evans, Jenna
• Grudniewicz, Agnes

status

• published 

publication date

• September 2022

has subject area

• 1117 Public Health and Health Services (FoR)
• 1605 Policy and Administration (FoR)
• Canada (MeSH)
• Health Policy & Services (Science Metrix)
• Health Services (MeSH)
• Organizational Innovation (MeSH)

published in

• International Journal of Health Planning and Management  Journal

keywords

• Canada
• Health Services
• Organizational Innovation
• centralisation
• health systems
• innovation
• management
• organizational structure

Digital Object Identifier (DOI)

• 10.1002/hpm.3531

start page

• 2534

end page

• 2541

volume

• 37

issue

• 5