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Decentralization and regionalization of health policy: a historical-comparative approach between Brazil and Spain

机译：卫生政策的权力下放与区域化：巴西与西班牙之间的历史比较方法

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This article discusses the processes of de centralization and regionalization of health policy in Brazil and Spain between 1980 and 2015. The study was developed with contributions of the historical institutionalism and of the historical com parative method, by means of three dimensions of analysis: State context; trajectory and institution ality of the decentralization and regionalization of health; and constraints. The study showed that,in both countries, the more general context of re-democratization and decentralization of the State conditioned the reforms of health systems and their political-administrative organization. In addition, historical, institutional and political factors have had a specific impact in each case, influencing the regional organization of services, the balance of power and the division of responsibilities between the governmental spheres in the management, financing and coordination of health policy. The study suggests that the way these factors interrelated over time is important for understanding the decentralization and regionalization of health systems in different contexts.
机译：本文讨论了1980年至2015年间巴西和西班牙卫生政策的集群化和区域化进程。该研究是根据历史制度主义和历史COM比例方法的贡献制定，通过三维分析：国家背景;健康分权和区域化的轨迹和机构。和约束。该研究表明，在两国，重新民主化和权力下放的更为普遍的背景条件调节了卫生系统和政治行政组织的改革。此外，历史，制度和政治因素在每种情况下都有特定的影响，影响区域服务区域组织，权力平衡和政府领域之间的责任分工，卫生政策的管理，融资和协调。该研究表明，这些因素随着时间的推移而相互关联的方式对于了解在不同背景下的卫生系统的权力下放和区域化是重要的。

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