ArticleThe International journal of health planning and management2022
Centralization and innovation: Competing priorities for health systems?
Article in The International journal of health planning and management, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
8 citing papers in PubMed.
- Spread and Scale-Up of a Region-Wide Telehealth Navigation Service in a Rural Context: Qualitative Process Evaluation.Journal of medical Internet research · 2025Article
- Factors Influencing the Implementation of a Disability Package for Children with Developmental Disabilities: A Policy Analysis.Acta medica Philippina · 2025Article
- Diabetes On Track: Redesigning Diabetes Management in Rural Primary Care.Diabetes spectrum : a publication of the American Diabetes Association · 2025Article
- Improving Communication and Management Following a Positive Home HPV Self-Sampling Result: Comparing Intervention Strategies Between the HOME and STEP Trials.Women's health reports (New Rochelle, N.Y.) · 2025Article
- Identification of interventions to improve patient experienced quality of care in transitions between healthcare settings: a scoping review.BMC health services research · 2024Article
- System interventions to support rural access to maternity care: an analysis of the rural surgical obstetrical networks program.BMC pregnancy and childbirth · 2023Article
- Voices from a Multidisciplinary Healthcare Center: Understanding Barriers in Gender-Affirming Care-A Qualitative Exploration.International journal of environmental research and public health · 2023Article
- Centralization and innovation: Competing priorities for health systems?The International journal of health planning and management · 2022Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.