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 of Management in Medicine – Emerald Publishing
Published: Jun 1, 1993
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