Decentralizing rural health services: a case study in China.

Journal Article (Journal Article)

Many low and middle-income countries have decentralized their public health services in an effort to improve their equity, efficiency and effectiveness. This paper presents a case study of a poor rural county in China that devolved finance and management of basic health services to townships, the lowest level of government. It finds little evidence that townships mobilized additional financial resources or that they were able to address major management problems effectively. It cautions against unrealistically rapid decentralization of health services in poor rural areas.

Full Text

Duke Authors

Cited Authors

  • Tang, S; Bloom, G

Published Date

  • 2000

Published In

Volume / Issue

  • 15 / 3

Start / End Page

  • 189 - 200

PubMed ID

  • 11184653

International Standard Serial Number (ISSN)

  • 0749-6753

Digital Object Identifier (DOI)

  • 10.1002/1099-1751(200007/09)15:3<189::AID-HPM590>3.0.CO;2-Q


  • eng

Conference Location

  • England