Clinic Decentralization An Israeli Model and Evaluation Strategy

Clinic Decentralization An Israeli Model and Evaluation Strategy Presents a model for clinic decentralization, implemented byIsraels largest health insurance fund, Kupat Holim Clalit KHC. Themain elements of the model are allocation of a fixed budget delegationof authority for budget utilization and service delivery provision ofincentives for fiscal responsibility and establishment of an internalinformation system. Explores expected outcomes of decentralization onthe basis of an extensive literature review. Emphasizes the importanceof evaluating such an organizational change, and outlines an evaluationstrategy. A major concern in this strategy is to control for the effectsof changes taking place at the same timeas decentralization, and theeffects of background variables such as demographic characteristics,health status, etc. For this purpose, a quasiexperimental design wasdeveloped, based on the comparison of an experimental and controlclinic, both before and after decentralization. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Journal of Management in Medicine Emerald Publishing

Clinic Decentralization An Israeli Model and Evaluation Strategy

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Publisher
Emerald Publishing
Copyright
Copyright © Emerald Group Publishing Limited
ISSN
0268-9235
DOI
10.1108/02689239310047835
Publisher site
See Article on Publisher Site

Abstract

Presents a model for clinic decentralization, implemented byIsraels largest health insurance fund, Kupat Holim Clalit KHC. Themain elements of the model are allocation of a fixed budget delegationof authority for budget utilization and service delivery provision ofincentives for fiscal responsibility and establishment of an internalinformation system. Explores expected outcomes of decentralization onthe basis of an extensive literature review. Emphasizes the importanceof evaluating such an organizational change, and outlines an evaluationstrategy. A major concern in this strategy is to control for the effectsof changes taking place at the same timeas decentralization, and theeffects of background variables such as demographic characteristics,health status, etc. For this purpose, a quasiexperimental design wasdeveloped, based on the comparison of an experimental and controlclinic, both before and after decentralization.

Journal

Journal of Management in MedicineEmerald Publishing

Published: Jun 1, 1993

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