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  • 1
    Language: English
    Pages: 1 Online-Ressource (circa 44 Seiten) , Illustrationen
    Series Statement: OECD working papers on fiscal federalism no. 33 (January 2021)
    Keywords: Coronavirus ; fiscal federalism ; intergovernmental coordination ; public health services ; subnational governments ; Governance ; Social Issues/Migration/Health ; Taxation ; Amtsdruckschrift ; Graue Literatur
    Abstract: The Coronavirus pandemic has put extreme pressure on public health services, often delivered at the local and regional levels of government. The paper focuses on how countries made changes to the configuration of federalism during the first wave of the pandemic. These changes typically have involved the centralisation and decentralisation of certain health-related activities, as well as the creation of new coordination and funding mechanisms. Specific tools that have been used include an enhanced role of the executive branch (“executive federalism”), the use of centres of government for vertical coordination, as well as the introduction of unique state-of-emergency laws. New horizontal coordination arrangements have also emerged with the more decentralised approaches. The strengths, weaknesses and implementation risks of various approaches are analysed using country examples.
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  • 2
    Online Resource
    Online Resource
    Paris : OECD Publishing
    In:  OECD journal on budgeting 19(2019), 3 vom: 13. Dez., Seite 11-40 | volume:19 | year:2019 | number:3 | day:13 | month:12 | pages:11-40
    ISSN: 1681-2336
    Language: English
    Titel der Quelle: OECD journal on budgeting
    Publ. der Quelle: Paris : Organisation for Economic Co-operation and Development, 2001
    Angaben zur Quelle: 19(2019), 3 vom: 13. Dez., Seite 11-40
    Angaben zur Quelle: volume:19
    Angaben zur Quelle: year:2019
    Angaben zur Quelle: number:3
    Angaben zur Quelle: day:13
    Angaben zur Quelle: month:12
    Angaben zur Quelle: pages:11-40
    Keywords: health system ; subnational ; Decentralisation ; Finance and Investment ; Governance ; Social Issues/Migration/Health ; Economics ; Aufsatz in Zeitschrift
    Abstract: This article sheds light on the role of subnational governments in health systems across OECD countries. The views in this article show a move away from traditional measures of decentralisation, such as the share of subnational government expenditure of total expenditure, to measures capturing a range of responsibilities in the health sector. The data comes from the 2017 OECD Survey on Performance Measurement Systems in the Health Sector and Responsibilities across Levels of Government. The results show that despite health representing a large sector of subnational government expenditure, central governments still have considerable decision-making power. This power applies to key policy-making and budgeting decisions.
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  • 3
    Online Resource
    Online Resource
    Paris : OECD Publishing
    In:  OECD journal on budgeting 19(2019), 3 vom: 13. Dez., Seite 41-66 | volume:19 | year:2019 | number:3 | day:13 | month:12 | pages:41-66
    ISSN: 1681-2336
    Language: English
    Titel der Quelle: OECD journal on budgeting
    Publ. der Quelle: Paris : Organisation for Economic Co-operation and Development, 2001
    Angaben zur Quelle: 19(2019), 3 vom: 13. Dez., Seite 41-66
    Angaben zur Quelle: volume:19
    Angaben zur Quelle: year:2019
    Angaben zur Quelle: number:3
    Angaben zur Quelle: day:13
    Angaben zur Quelle: month:12
    Angaben zur Quelle: pages:41-66
    Keywords: health system ; measurement ; Performance ; Finance and Investment ; Governance ; Social Issues/Migration/Health ; Economics ; Aufsatz in Zeitschrift
    Abstract: This article looks at the application of performance measurement systems in the health sector across OECD countries. The data comes from the 2017 OECD Survey on Performance Measurement Systems in the Health Sector and Responsibilities across Levels of Government. The results show that the majority of countries have national performance measurement systems in place, covering multiple aspects of the health system. Despite varying objectives, measurement systems are usually aimed at improving performance of the health system, rather than at containing costs.
    Library Location Call Number Volume/Issue/Year Availability
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