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Centralization and innovation: Competing priorities for health systems?

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  • Andrew D. Scarffe
  • Alison Coates
  • Jenna M. Evans
  • Agnes Grudniewicz

Abstract

Over the last 15 years, there has been a trend in Canada to centralise the provision of health services that were previously administratively and fiscally decentralised. Canadian policy rhetoric on centralisation often identifies improved innovation as an anticipated outcome. This paper challenges the assumed relationship between centralisation and innovation. We incorporate evidence from the management literature into the debate on the structure of health systems to explore the effects that centralisation is likely to have on innovation in health systems. The findings of this paper will be of interest to international policymakers, who are currently grappling with the prospect of maintaining a decentralised approach or adopting a more centralised health system structure in the future.

Suggested Citation

  • Andrew D. Scarffe & Alison Coates & Jenna M. Evans & Agnes Grudniewicz, 2022. "Centralization and innovation: Competing priorities for health systems?," International Journal of Health Planning and Management, Wiley Blackwell, vol. 37(5), pages 2534-2541, September.
    • Handle: RePEc:bla:ijhplm:v:37:y:2022:i:5:p:2534-2541
    DOI: 10.1002/hpm.3531
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    References listed on IDEAS

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    1. Garcia-Goni, Manuel & Maroto, Andres & Rubalcaba, Luis, 2007. "Innovation and motivation in public health professionals," Health Policy, Elsevier, vol. 84(2-3), pages 344-358, December.
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