Who should decide for local health services? A mixed methods study of preferences for decision-making in the decentralized Philippine health system.

ABSTRACT: BACKGROUND:The Philippines decentralized government health services through devolution to local governments in 1992. Over the years, opinions varied on the impact of devolved governance to decision-making for local health services. The objective of this study was to analyze decision-makers' perspectives on who should be making decisions for local health services and on their preferred structure of health service governance should they be able to change the situation. METHODS:We employed a mixed methods approach that included an online survey in one region and in-depth interviews with purposively-selected decision-makers in the Philippine health system. Study participants were asked about their perspectives on decision-making in the functions of planning, health financing, resource manageme

SUBMITTER: Liwanag HJ 

PROVIDER: S-EPMC7158124 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature