Key issues relating to decentralization at the provincial level of health management in Cambodia
Key issues relating to decentralization at the provincial level of health management in Cambodia
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DOI：
10.1002/hpm.793
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发表时间：
2005-01-01
影响因子：
2.7
通讯作者：
Biggs, BA
中科院分区：
文献类型：
--
作者：
Men, B;Grundy, J;Biggs, BA
以下研究是2002-2003年在柬埔寨对省卫生厅（磅湛省）和国家卫生规划（国家免疫规划）的管理系统进行审查的一部分。本文的目的是识别、分析和推荐那些对健康管理绩效成功至关重要的管理系统因素，并特别关注省级管理。审查确定了与国家以下一级卫生管理绩效相关的关键成功因素，包括有效的人力资源管理在卫生部门改革中发挥更大作用，提高规划在高级管理中的地位，以及建立更全面和透明的财政体系。这些成功因素将使省级卫生管理部门能够更有效地应对柬埔寨一系列政府部门目前正在进行的行政分散化和政治权力下放的改革挑战。版权所有(c) 2005 John Wiley & Sons, Ltd。
The following study was conducted as part of a review of management systems at a Provincial Health Department (Kampong Cham Province) and a National Health Programme (National Immunization Program) in 2002-2003 in Cambodia. The aim of this paper is to identify, analyse and recommend those management system factors that are critical to the success of health management performance, with a particular focus on provincial management. The review has identified critical success factors associated with health management performance at the sub-national level that include a stronger role for effective human resource management in health sector reform, elevation of the status of planning in senior level management, and the development of a more comprehensive and transparent finance system. These success factors will position the provincial level of health management to respond more effectively to the reform challenges of administrative de-concentration and political decentralization that are currently underway across a range of government sectors in Cambodia. Copyright (c) 2005 John Wiley & Sons, Ltd.