SciELO - Scientific Electronic Library Online

vol.4 issue1The negative social representation of health/sickness/care process in printing pressUse of and spending in health services by individuals in Argentina in 2005: international comparisons of socio-economic differentials in health author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




  • Have no cited articlesCited by SciELO

Related links

  • Have no similar articlesSimilars in SciELO


Salud colectiva

Print version ISSN 1669-2381On-line version ISSN 1851-8265


UGALDE, Antonio  and  HOMEDES, Núria. Health services decentralization: from theory to practice. Salud colectiva [online]. 2008, vol.4, n.1, pp.31-56. ISSN 1669-2381.

The current promoters of the decentralization of health services affirm that its implementation will improve the quality, equity and efficiency of health systems and at the same time will increase users' satisfaction. Additionally, those who advocate decentralization believe that it will facilitate community participation in health decisionmaking, and as a result it will strengthen the democratic process. In this study we discuss first the lack of consensus regarding the meaning of decentralization and the difficulties of measuring the degree of decentralization of a health system. We also identify the actors who have formulated the above hypotheses, examine the reasons behind its formulation, and analyze if the outcome of the decentralization of the Latin American health services confirm the hypotheses.

Keywords : Health Sector Reform; Decentralization; Financing; Health; International Bank for Reconstruction and Development.

        · abstract in Spanish     · text in Spanish     · Spanish ( pdf )


Creative Commons License All the contents of this journal, except where otherwise noted, is licensed under a Creative Commons Attribution License