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Management and Governance Paradigms in Health (SGHMANGOV) - Decentralization and Governance
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Management and Governance Paradigms in Health (SGHMANGOV) - Decentralization and Governance

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Questions and Answers

What is divestment in the context of public sector management?

  • The consolidation of public services under a single government department
  • The total relinquishment of certain public functions to private entities (correct)
  • The transfer of certain public functions to local governments
  • The process of decentralizing decision-making within a government agency
  • Which of the following is NOT a factor influencing decentralization?

  • Organizational and administrative factors
  • Financial situation
  • Economic growth rate (correct)
  • Human resource situation
  • What is the main characteristic of a budgetary unit?

  • Expenses are covered by the state budget, and services are provided free of charge (correct)
  • It is empowered to make decisions for itself
  • It is self-controlling and manages its own revenues
  • It is a legally established independent entity
  • What is the primary difference between an autonomous unit and a corporatized unit?

    <p>The level of self-control and decision-making authority</p> Signup and view all the answers

    What is the goal of corporatization in the public sector?

    <p>To improve the efficiency of public services by mimicking private corporations</p> Signup and view all the answers

    What is the result of privatization of a public entity?

    <p>It is transferred to private ownership</p> Signup and view all the answers

    What is the primary objective of decentralization?

    <p>To improve the quality and effectiveness of the system of governance</p> Signup and view all the answers

    What is the principle that guides the decentralization process?

    <p>The principle of subsidiarity</p> Signup and view all the answers

    What is deconcentration in the context of decentralization?

    <p>Dispersion of certain public functions from central offices to district offices</p> Signup and view all the answers

    What is delegation in the context of decentralization?

    <p>Dispersion of certain public functions to semi-autonomous organizations</p> Signup and view all the answers

    What is devolution in the context of decentralization?

    <p>Transfer of certain public functions to the sub-national level</p> Signup and view all the answers

    Decentralization involves the dispersion of powers, functions, personnel, or financial resources towards central authority.

    <p>False</p> Signup and view all the answers

    The principle of subsidiarity guides the decentralization process.

    <p>True</p> Signup and view all the answers

    Delegation involves the transfer of certain public functions to the sub-national level.

    <p>False</p> Signup and view all the answers

    Devolution involves the dispersion of certain public functions from central offices to district offices under direct control of the central government.

    <p>False</p> Signup and view all the answers

    The objective of decentralization is to decrease authority and capacity of sub-national levels.

    <p>False</p> Signup and view all the answers

    Divestment involves the transfer of ownership of a public entity into private hands.

    <p>True</p> Signup and view all the answers

    A budgetary unit is a self-controlling entity that pursues its own goals.

    <p>False</p> Signup and view all the answers

    A corporatized unit is a private organization that operates for profit.

    <p>False</p> Signup and view all the answers

    Privatization of a public entity results in a nonprofit organization.

    <p>False</p> Signup and view all the answers

    Study Notes

    Decentralization

    • Decentralization is the process of redistributing powers, functions, personnel, or financial resources away from central authority to make governance closer to the people.
    • It involves restructuring authority and responsibility according to the principle of subsidiarity, where the lowest level of authority capable of effectively addressing an issue takes responsibility.
    • The objective of decentralization is to improve the quality and effectiveness of the governance system while increasing the authority and capacity of sub-national levels.

    Types of Decentralization

    • Deconcentration: dispersion of public functions from central offices to district offices under direct control of the central government.
    • Delegation: dispersion of public functions to semi-autonomous organizations not wholly controlled by the central government, but ultimately accountable to it.
    • Devolution: transfer of public functions to the sub-national level, such as a state or local government.
    • Divestment: total relinquishment of public functions to private entities.

    Factors Influencing Decentralization

    • Organizational and administrative factors
    • Responsibilities and capacities, centralized and decentralized duties
    • Behavioral factors, including decision-making, managerial and technical skills
    • Political circumstances, including power and influence among politicians and bureaucrats, party politics
    • Financial situation, including resource constraints
    • Human resource situation, including morale, motivation, salaries, and incentives

    Autonomization and Corporatization

    • Budgetary unit: traditional organizational form of the public sector, where expenses are covered by the state budget, and services are provided free of charge.
    • Autonomous unit: self-controlling entity that pursues its own goals and makes decisions for itself, empowered to manage and use its revenues to cover expenses.
    • Corporatized unit: legally established as an independent entity that mimics the structure and efficiency of private corporations while maintaining social objectives through public ownership.
    • Privatized unit: transfer of a public entity into private ownership, either as a for-profit or nonprofit organization, with complete exposure to market forces.

    Decentralization

    • Decentralization is the process of redistributing powers, functions, personnel, or financial resources away from central authority to make governance closer to the people.
    • It involves restructuring authority and responsibility according to the principle of subsidiarity, where the lowest level of authority capable of effectively addressing an issue takes responsibility.
    • The objective of decentralization is to improve the quality and effectiveness of the governance system while increasing the authority and capacity of sub-national levels.

    Types of Decentralization

    • Deconcentration: dispersion of public functions from central offices to district offices under direct control of the central government.
    • Delegation: dispersion of public functions to semi-autonomous organizations not wholly controlled by the central government, but ultimately accountable to it.
    • Devolution: transfer of public functions to the sub-national level, such as a state or local government.
    • Divestment: total relinquishment of public functions to private entities.

    Factors Influencing Decentralization

    • Organizational and administrative factors
    • Responsibilities and capacities, centralized and decentralized duties
    • Behavioral factors, including decision-making, managerial and technical skills
    • Political circumstances, including power and influence among politicians and bureaucrats, party politics
    • Financial situation, including resource constraints
    • Human resource situation, including morale, motivation, salaries, and incentives

    Autonomization and Corporatization

    • Budgetary unit: traditional organizational form of the public sector, where expenses are covered by the state budget, and services are provided free of charge.
    • Autonomous unit: self-controlling entity that pursues its own goals and makes decisions for itself, empowered to manage and use its revenues to cover expenses.
    • Corporatized unit: legally established as an independent entity that mimics the structure and efficiency of private corporations while maintaining social objectives through public ownership.
    • Privatized unit: transfer of a public entity into private ownership, either as a for-profit or nonprofit organization, with complete exposure to market forces.

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